Authorised Signatory/Verifying Officer

COMPANY LETTERHEAD

AUTHORISED SIGNATORY/VERIFYING OFFICER LETTER OF NOMINATION

For the (NAME OF ORGANISATION) Purchasing Card Program, (I/we) hereby authorise the person nominated below to act as an Authorised Signatory and/or Verifying Officer.

DETAILS OF NOMINEE

Nominee

______

Position

______

Business Address

______

Please register as  Authorised Signatory  Verifying Officer

Westpac Customer Identification Reference ______

Specimen Signature

______

Please forward this form to Westpac Commercial Card Services. COMPANY LETTERHEAD

(I/we) undertake to inform Westpac as soon as practicable when this employee’s registration is to be revoked or the person ceases employment with (NAME OF ORGANISATION).

Name ______

Position ______

Signature ______Date ____ / ____ / ____

Please forward this form to Westpac Commercial Card Services.