AML Form - Partnership / Association

About this form

Under the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (AML/CTF Act) we are required to identify and verify our clients before providing some services. This form collects details about a partnership, association or co-operative. In addition, EACH partner (for a partnership), each committee member / office holder who controls the organisation (for an association or co-operative), any individual who owns 25% or more or otherwise controls it, and the person submitting this form must each complete the separate 'AML – Individual' form at excelbas.com.au/aml/individual, entering this organisation's name.

Organisation Details

Type of organisation

Full name of the partnership / association / co-operative

Business / trading name(s) and any other names

ABN

Registration / incorporation number (associations and co-operatives)

State / country of registration

Principal place of business / operations

Nature of the business, or the objects / purpose of the association

Governing Documents

Upload the partnership agreement, constitution or rules

Upload the certificate of registration / incorporation (associations and co-operatives)

People Who Own or Control the Organisation

Partners (for a partnership) or committee members / office holders such as chairperson, secretary and treasurer (for an association or co-operative): full name, role and residential address (one per line)

Beneficial owners: any individual who directly or indirectly owns 25% or more of the organisation or otherwise controls it - full name, date of birth, % interest and how control is exercised (one per line)

Contact Person / Authorised Representative

The person submitting this form on behalf of the organisation.

Full name

Position / role

Email

Phone

Your authority to act for the organisation

Upload evidence of your authority if you are not a partner or office holder (e.g. committee resolution, letter of authority)

Services and Purpose

Tell us what the organisation is engaging us for. Tick all that apply.

Politically Exposed Person (PEP) Declaration

A politically exposed person (PEP) is someone who holds or has held a prominent public position or function in Australia (domestic PEP), in a foreign country (foreign PEP), or in an international organisation (e.g. the United Nations). Examples include heads of state or government, government ministers, members of parliament, senior judges, senior military officers, ambassadors, senior executives of state-owned enterprises, and senior officials of political parties. This also includes immediate family members (e.g. spouse, partner, parents, children and their partners) and known close associates of a PEP.

Is any partner, office holder, beneficial owner or authorised representative of the organisation (or any of their immediate family members or close associates) a politically exposed person?

If yes, please provide the person's name, their connection to the organisation, the position held, and the country or organisation

Source of Funds and Wealth

What is the main source of the funds for the services or transactions you are engaging us for?

Source of funds details (e.g. the asset sold, the lender, the grant provider)

How has the organisation (and its partners / members) accumulated its wealth? (e.g. trading history, fundraising, asset sales)

Privacy and Declaration

Privacy collection notice: Excel Business and Accounting Services collects the information in this form, including personal information about partners, office holders, owners and representatives, to comply with our obligations under the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) and associated Rules. We use it to identify and verify our client and the people connected to it, assess money laundering and terrorism financing risk, keep records as required by law, and make any reports required by law. We may verify information with third parties such as government registries (e.g. ASIC, ABN Lookup and state associations registers), document verification and identity service providers, and screening services. Politically exposed person information may be sensitive information and is collected only for this purpose. We may disclose information to AUSTRAC and other government agencies as required or authorised by law, and to our service providers. We are required to keep these records for at least 7 years. If this information is not provided we will be unable to provide the requested services. Our Privacy Policy explains how to access or correct information and how to make a complaint. You can contact us using the details on our Contact Us page. By submitting this form you confirm that the individuals named have been made aware that their information is being provided to us.

I have read and understood the privacy collection notice above

I declare that I am authorised to provide this information on behalf of the organisation, that it is true, correct and complete, and that I will notify Excel Business and Accounting Services of any changes

Partnership / Association Identification