Document ID: chunk:federal_register_of_legislation:F2014L00343:body:0:p4
Version: federal_register_of_legislation:F2014L00343
Segment Type: other
Provision Reference: 
Character Range: 9037–14540

Changed                                   Yes
Unchanged                                 No
No longer acting as a responsible person  Interim

    1.2                   New director, executive officer and senior manager employment information
Title                                                                                                Given name(s)  Family name  Date of birth  Former name(s)
(1)                                                                                                  (2)            (3)          (4)            (5)

Type of responsible person  Position title  Main responsibilities  Employer name  Associate
(6)                         (7)             (8)                    (9)            (10)
Director                                                                          Yes
Director (Chair)                                                                  No
Executive officer: CEO
Executive officer: CFO
Other executive officer
Secretary
Senior manager
Other responsible person

Assessed under Fit and Proper Policy   Start date  Responsible person - Business phone number  Responsible person - Business email address
(11)                                  (12)         (13)                                        (14)
Yes
No
Interim

2.  Responsible persons information - RSE auditor

    2.1                   Existing RSE auditor
Title                                           Given name(s)  Family name  Date of birth  Former name(s)  Organisation name  ABN
(1)                                             (2)            (3)          (4)            (5)             (6)                (7)

Number of RSEs audited  Responsible person status                 Assessed under Fit and Proper Policy  End date  Responsible person - Business phone number  Responsible person - Business email address
(8)                     (9)                                       (10)                                  (11)      (12)                                        (13)
                        Changed                                   Yes
                        Unchanged                                 No
                        No longer acting as a responsible person  Interim

    2.2                   New RSE auditor
Title                                      Given name(s)  Family name  Date of birth  Former name(s)  Organisation name  ABN
(1)                                        (2)            (3)          (4)            (5)             (6)                (7)

Number of RSEs audited  Assessed under Fit and Proper Policy  Start date  Responsible person - Business phone number  Responsible person - Business email address
(8)                     (9)                                   (10)        (11)                                        (12)
                        Yes
                        No
                        Interim

3.  Responsible persons information - RSE actuary

 1.
   2.
        1.               Existing RSE actuary
Title                                          Given name(s)  Family name  Date of birth  Former name(s)  Actuarial firm  ABN
(1)                                            (2)            (3)          (4)            (5)             (6)             (7)

Number of RSEs covered by actuary  Number of sub-funds covered by actuary  Responsible person status                 Assessed under Fit and Proper Policy  End date  Responsible person - Business phone number  Responsible person - Business email address
(8)                                (9)                                     (10)                                      (11)                                  (12)      (13)                                        (14)
                                                                           Changed                                   Yes
                                                                           Unchanged                                 No
                                                                           No longer acting as a responsible person  Interim

    3.2.                 New RSE actuary
Title                                     Given name(s)  Family name  Date of birth  Former name(s)  Actuarial firm  ABN
(1)                                       (2)            (3)          (4)            (5)             (6)             (7)

Number of RSEs covered by actuary  Number of sub-funds covered by actuary  Assessed under Fit and Proper Policy  Start date  Responsible person - Business phone number  Responsible person - Business email address
(8)                                (9)                                     (10)                                  (11)        (12)                                        (13)
                                                                           Yes
                                                                           No
                                                                           Interim

4.  Notification that a responsible person is no longer fit and proper

Title  Given names  Family name  Date of birth  Position title  Fit and Proper assessment date
(1)    (2)          (3)          (4)            (5)             (6)

5.  Address details

  5.1.  Registered address of the entity
Address Line 1
Address Line 2
Suburb                                       State     Postcode
Country (applicable if not Australia)

  5.2.  Postal address of the entity
Address Line 1
Address