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Westpac Banking Corporation ABN 33 007 457 141
AFSL and Australian credit licence 233714
Customer Information Certificate – Regulated Partnership
Definition: a partnership is the relationship that exists between persons/organisations (the partners) carrying on business
in common with a view to profit. The rights of the partners between themselves are governed by a partnership agreement.
A regulated partnership is a partnership that is registered as a member of a professional association (e.g. a state/territory
law society, real estate institute, institute of chartered accountants).
Please note that this certificate may have been pre-populated with information that the Bank has previously collected from the
customer. In completing this form you are responsible for completing any blank sections, checking the accuracy of any
pre-populated section, informing us if any of the information is not correct and supplying the correct information in substitution.
Bank use
only
(initials)
1 Is the partnership registered as a member of a Yes Go to 2
professional association (e.g. a state/territory law No Complete the Customer Information
society, real estate institute, institute of chartered Certificate for an Unregulated
accountants)? Partnership
2 Full partnership name
3 Does the partnership have a business/trading Yes (insert business/trading name)
name, other than the partnership name, under
which it carries on its business?
(Note: this includes any business name, other No
than the partnership name, registered with ASIC)
4 Does the partnership have an Australian Business Yes (insert ABN)
Number (ABN)? No
5 Is the partnership a tax resident of any country Yes
outside of Australia? No Go to 7
6 Country(ies) outside of Australia in which the 1. Country of tax residence:
partnership is a resident for tax purposes and TIN:
country’s associated Tax Identification Number OR
(TIN)* TIN not issued by this country
TIN pending issue by country's tax authority
*A TIN is an identifying number or equivalent used 2. Country of tax residence:
for tax purposes. If a ‘TIN’ is not available, please TIN:
specify the reason against the appropriate OR
country. TIN not issued by this country
TIN pending issue by country's tax authority
Note: If the partnership has more than 3 countries 3. Country of tax residence:
in which it is a tax resident, please provide the TIN:
details on a separate paper. OR
TIN not issued by this country
TIN pending issue by country's tax authority
7 Full address of the partnership’s principal place of
business (not a PO box)
8 Country of establishment
9 State or Territory of establishment
10 Date of establishment / /
11 Name of professional association the partnership
is registered with (e.g. the relevant state/territory
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law society)
12 Membership details (e.g. membership number
issued by the professional association)
13 Full name of ONE partner in the partnership
Note: For partners that are individuals (natural
persons), full name (given name(s) including
middle name(s) and family name) is required. An
initial, nickname, alias, shortened name or part of
a name is NOT acceptable.
14 Is the partner listed above at Q13 an existing Yes
Westpac customer? No Complete the applicable Customer
Information Certificate for the partner
who is not an existing Westpac
customer
15 Beneficial Owner – Owner Yes Go to 17
Does the partnership have any INDIVIDUALS No Go to 16
(NATURAL PERSONS), who ultimately own
directly or indirectly, 25 per cent or more of the
partnership?
Note: This includes INDIVIDUALS (NATURAL
PERSONS) who are owners of an underlying
entity (e.g. company) and who ultimately own 25
per cent or more of the partnership listed above
at Q2.
16 Beneficial Owner – Controller or Other Go to 17
The partnership must have at least one ultimate
beneficial owner. If you have answered “No” to
Q15 above, provide the details of each
INDIVIDUAL (NATURAL PERSONS), who is any
of the following:
An individual with 25 per cent or more voting
rights (including a power of veto)
An individual who holds the position of senior
managing official (or equivalent), e.g. a
controlling/managing partner
An individual who controls the partnership
through a capacity to make financial and
operating decisions on behalf of the
partnership
17 Provide the details of each INDIVIDUAL
(NATURAL PERSON) who is a beneficial owner BENEFICIAL OWNER 1
Note: the identity of all beneficial owners must be All given names:
verified. This can be completed through the Family name:
provision of certified copies of identification Other name(s) known by (if any):
documents or via electronic verification. Date of birth: / /
Electronic verification is only available to
individuals with an Australian residential address Permanent residential address, including country
and an Australian mobile number. (not a PO Box):
Foreign Tax Residency Information:
A Tax Identification Number (TIN) is an identifying Email address for electronic verification purposes:
number or equivalent used for tax purposes. If a
‘TIN’ is not available, please specify the reason Foreign Tax Residency Information:
against the appropriate country.
Is beneficial owner 1 a tax resident of any country
Note: If the beneficial owner has more than 3 outside of Australia?
countries in which they are a tax resident, please Yes
provide the details on a separate paper.
No
Page 2 of 7 PC 2242 0419 Intranet
If yes, please indicate the country(ies) in which
beneficial owner 1 is a resident for tax purposes and
each country’s associated TIN.
1. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
2. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
3. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
BENEFICIAL OWNER 2
All given names:
Family name:
Other name(s) known by (if any):
Date of birth: / /
Permanent residential address, including country
(not a PO Box):
Email address for electronic verification purposes:
Foreign Tax Residency Information:
Is beneficial owner 2 a tax resident of any country
outside of Australia?
Yes
No
If yes, please indicate the country(ies) in which
beneficial owner 2 is a resident for tax purposes and
each country’s associated TIN.
1. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
2. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
3. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
Page 3 of 7 PC 2242 0419 Intranet
BENEFICIAL OWNER 3
All given names:
Family name:
Other name(s) known by (if any):
Date of birth: / /
Permanent residential address, including country
(not a PO Box):
Email address for electronic verification purposes:
Foreign Tax Residency Information:
Is beneficial owner 3 a tax resident of any country
outside of Australia?
Yes
No
If yes, please indicate the country(ies) in which
beneficial owner 3 is a resident for tax purposes and
each country’s associated TIN.
1. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
2. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
3. Country of tax residence:
TIN:
OR
TIN not issued by this country
TIN pending issue by country's tax authority
BENEFICIAL OWNER 4
All given names:
Family name:
Other name(s) known by (if any):
Date of birth: / /
Permanent residential address, including country
(not a PO Box):
Email address for electronic verification purposes:
Foreign Tax Residency Information:
Is beneficial owner 4 a tax resident of any country
outside of Australia?
Yes
No
If yes, please indicate the country(ies) in which
beneficial owner 4 is a resident for tax purposes and
each country’s associated TIN.
1. Country of tax residence:
Page 4 of 7 PC 2242 0419 Intranet
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