Business Banking Online application. This application will register you to Business Banking Online and allow you to: • Access accounts held by ONE company or business entity • Process Credit Direct Entry file payments e.g. payroll • Appoint up to four Users who require access to Authorise payments Additional Requirements: If you require any of the following additional access, please complete the appropriate additional application located at banksa.com.au/bbo • Access accounts held by an additional linked company or business entity • Access the personal account(s) of the business principal e.g. director • Additional Users who will require access to Authorise payments Business Banking Online Application ? 1. Primary Company Details Title (Sole trader) Name of Company, partnership or sole trader ? ABN/ACN/ARBN Principal place of Business/Administration – PO Box not allowed Address – PO Box not allowed Phone No. 1 (Mandatory) Country Phone No. 2 Postal Address – if different from above Country Email address (Mandatory) Overseas Telegraphic Transfers required? Yes No ? 2. Account Details List only the accounts held by the Primary Company to be accessed using Business Banking Online. You must nominate ONE of the accounts to charge the Business Banking Online Monthly Access Fee to. Foreign currency users must nominate a single AUD account. One to sign (A level user Monthly Two to sign One to sign only) OR two Two to sign Access BSB Account Number (A level user (any) to sign (any (any) Fee Billing required)* level user) Account ? ? accepted# ? ? ? ? # If you select this option it means either one level “A” User or any two Users of either level “A” and/or level “B” as appointed by you can authorise a transaction. * If you select this option it means either two level “A” Users or one level “A” User and one level “B” User appointed by you can authorise a transaction. Would you like to nominate a single billing account to be charged for any transaction or service fees also incurred through using Business Banking Online? Yes No If Yes, Nominated Transaction Billing Account Number If you select “No”, you will be able to make a billing account selection as you perform each transaction. BSA02037 (10/13) Page 1 of 7 BankSA – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. ? 3. Appoint Users Company Administrator You must nominate at least one person to be a Company Administrator who will be responsible for: • Setting and maintaining the company details and the company’s daily transaction limit; • Setting and maintaining Authorisation limits for those Users who will have Authorised User access; and • Adding and/or removing other Users and assigning and maintaining their User access rights. If you appoint more than one Company Administrator, how will they operate? Independently Jointly Authorise Users – Authentication device application Users nominated as having Authorise User access below will be issued an Authentication device to allow them to authorise transactions processed through Business Banking Online. If you have selected “two to sign” on any account(s) and different levels of Authorise User in Section 6, please make sure that there are adequate Authorise Users including of the appropriate level to authorise transactions at all times. Identification Requirements Each person nominated as an Authorise User must provide identification to the bank. Authorised Signing Representative You may give any User below the authorisation to sign any future Business Banking Online application forms on behalf of the Primary Company. 4. Users Acknowledgement Individuals nominated as an Authorise User and who sign below, acknowledge and agree that: · They have read and will be bound by the Authentication Subscriber Agreement in section 7 below; · They have read the Terms and Conditions of use of Business Banking Online, with which the Authentication device will be used; · They will not use Business Banking Online other than in accordance with the Terms and Conditions of use of Business Banking Online; · This form supersedes any previous application for an Authentication device that they may have lodged; and · They authorise BankSA to collect, maintain, use and disclose their personal information in a manner set out in the Privacy Statement in section 8 below. 5. Level of Users to Authorise payments If you selected “Two to sign (“A” level user required)” in section 2 of this application, this means either two level “A” Users or one level “A” User and one level “B” User appointed by you can authorise a transaction. If you elect to take this option please indicate the appropriate level for each User in Section 6. BSA02037 (05/14) Page 2 of 7 ? 6. User Details User 1 Only provide details here for Users who will be a Company Administrator and/or required to Authorise transactions through Business Banking Online. Users who require other levels of access (e.g. View, Create) must be set up on the system by the Company Administrator. Title Given name(s) Surname Date of Birth / / Address – PO Box not allowed Country Email address (Mandatory) Daytime phone number ? To identify you during phone support, provide your preferred Question and Answer (e.g pet’s name) Question (Mandatory) ? Answer (Mandatory) Company Administrator (refer Section 3 Appoint Users)? Yes No Authorise User access/Authentication device required? Yes No Authorised Signing Representative? – Nominated authorised person to sign BBO forms Yes No ? User Authorisation level (optional) A or B Signature of appointed Authorise User Date ✗ / / User 2 Title Given name(s) Surname Date of Birth / / Residential Address – PO Box not allowed Country Email address (Mandatory) Daytime phone number To identify you during phone support, provide your preferred Question and Answer (e.g pet’s name) Question (Mandatory) Answer (Mandatory) Company Administrator (refer Section 3 Appoint Users)? Yes No Authorise User access/Authentication device required? Yes No Authorised Signing Representative? – Nominated authorised person to sign BBO forms Yes No User Authorisation level (optional) A or B Signature of appointed Authorise User Date ✗ / / User 3 Title Given name(s) Surname Date of Birth / / Residential Address – PO Box not allowed Country Email address (Mandatory) Daytime phone number To identify you during phone support, provide your preferred Question and Answer (e.g pet’s name) Question (Mandatory) Answer (Mandatory) Company Administrator (refer Section 3 Appoint Users)? Yes No Authorise User access/Authentication device required? Yes No Authorised Signing Representative? – Nominated authorised person to sign BBO forms Yes No User Authorisation level (optional) A or B Signature of appointed Authorise User Date ✗ / / BSA02037 (05/14) Page 3 of 7 User 4 Title Given name(s) Surname Date of Birth / / Address – PO Box not allowed Country Email address (Mandatory) Daytime phone number To identify you during phone support, provide your preferred Question and Answer (e.g pet’s name) Question (Mandatory) Answer (Mandatory) Company Administrator (refer Section 3 Appoint Users)? Yes No Authorise User access/Authentication device required? Yes No Authorised Signing Representative? – Nominated authorised person to sign BBO forms Yes No User Authorisation level (optional) A or B Signature of appointed Authorise User Date ✗ / / 7. Authentication Subscriber Agreement By completing your details in Section 6 – User Details of this application(s) and being nominated as having Authorise User access, you are taken to have applied for an Authentication device for use with Business Banking Online and you are taken to offer to enter into an agreement with us on these terms and conditions. We are taken to have accepted that offer when we issues you with an Authentication device. Authority. You confirm that there is nothing that prohibits you from applying for and using an Authentication device (this includes, where relevant, being authorised to apply for and use it). User Obligations. You must: · not permit any other person to access or use your Authentication device; · not disclose any information connected to your Authentication device (including token passwords and passphrases). This includes ensuring, that when you are using your Authentication device, the information that you have entered is not observed; · take reasonable steps to ensure that your Authentication device cannot be used by any other person; · on your first use of the Authentication device, update your password; · not make a record of any information connected to your Authentication device unless this information is kept securely and separately from any place where the Authentication device is stored. For example, you must not keep a record of any token passwords or passphrases on any disk or computer; · not use the Authentication device other than to access and use those Business Banking Online and other services which you have been otherwise authorised to access and then only in accordance with that authorisation; · destroy any Authentication devices, in accordance with our instructions if the Authentication device is no longer to be used to access or use Business Banking Online and other services; · contact us immediately if your access details (including passwords and passphrases) become known to anyone else, the security of the Authentication device is compromised, the computer used to access Business Banking Online is lost, stolen or fraudulently accessed, or if you become aware of any unauthorised transaction or error on an account to which access or use is enabled by the Authentication device; and · contact us immediately if your authorisation to use any of the services to which the Authentication device enables access or use, is revoked or suspended. Issuing New Authentication devices. If you report your Authentication device lost, we will need to issue a new one. We may charge a fee for doing so. Revocation of Authentication device. We may suspend or revoke your Authentication device at any time without prior notice. If your Authentication device is revoked, you will need to apply for a new Authentication device. Information Verification.