Great Southern Bank A business name of Credit Union Australia Ltd ABN 44 087 650 959 AFSL and Australian credit licence 238317 GPO Box 100, Brisbane QLD 4001 P 133 282 W greatsouthernbank.com.au Add or Delete Signatory on FOR INTERNAL USE ONLY Customer number Personal Account USE THIS FORM TO: Add or delete signatory(ies) on personal account 1 DETAILS OF ACCOUNT/S TO BE AMENDED This form is NOT to be used for organisation and business accounts. Account Name: Account Number: Account Type: Account Name: Account Number: Account Type: Account Name: Account Number: Account Type: 2 DETAILS OF SIGNATORIES TO BE ADDED OR DELETED All signatories being added to an account must complete a signatory (non-shareholder) request form, if not already a customer of Great Southern Bank. Additional signatory(ies) can be added to an account without changing the Overdraft details. Name: Customer Number: Signature: Add or Delete Name: Customer Number: Signature: Add or Delete Name: Customer Number: Signature: Add or Delete 3 AUTHORISATION OF ACCOUNT OWNER I/We understand that I/we will be liable for all debts incurred by the signatory through the use of an electronic card, cheque book, or any other means of accessing my/our account. I/We authorise the person nominated on this form to have access as specified in Great Southern Bank’s General Information, Terms & Conditions brochure to the above account/s Facilities brochure. I/We acknowledge the signatory(ies) only has access to transact on the above deposit account. For all transaction accounts listed in Section 1, I/we authorise the above signatory(ies) to be issued with a visa debit card and to be registered for online banking/telebanker. I/We agree to indemnify Great Southern Bank against any loss, damage or penalty arising from access by any signatory on the accounts listed above until their authority is revoked by you in writing. SC03_210623 Great Southern Bank | Add or Delete Signatory on Personal Account | Page 1 of 2 3 AUTHORISATION OF ACCOUNT OWNER (CONTINUED) The cancellation does not take effect until the written notice is received by Great Southern Bank. This authority cancels all existing authorities I/we have given to Great Southern Bank. Where there are 2 or more signatories, the account signing authority remains unchanged. You acknowledge that the signatory(ies) can operate as one of the designated signatory(ies) on the account(s). The Signatory does NOT have authority to: • change any of the signatory authorisations on the account • give a 3rd party access or authority to operate on the account • make enquiries about loan account balances or available credit on a loan account (except for transactional accounts) • change contact details, including the mailing address for statements. • add, change or remove a PayID set up on your account This authority cancels all existing authorities I/we have given you. Where there are 2 or more signatories, the account signing authority will be as follows: Any one to sign All parties to sign Name: Customer Number: Signature: Date: Name: Customer Number: Signature: Date: Once you have completed this form: Email it to: Mail it to: [email protected] Drop it into a branch Great Southern Bank GPO BOX 100, Brisbane QLD 4001 We’re here to help If you need assistance completing this form, call us on 133 282 or drop into your local branch. SC03_210623 Great Southern Bank | Add or Delete Signatory on Personal Account | Page 2 of 2.