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Information Change Request

This form must be submitted by a Member who wishes to update personal information on his or her account. Account status and/or rank are not affected as completion of this form does not constitute a transfer or termination of the account identified on this form. This form is only used to update the relevant information.

PLEASE ONLY ENTER THE DETAILS YOU WANT TO CHANGE!

Full Name:

New Full Name:

Address:

New Address:

Phone no:

New Phone No:

E-mail:

New E-mail:

Please state the reason why you wish to change this information:

I understand that filling out and submitting this form is only a request to edit personal information. I acknowledge that the completion of this form does not constitute a sale and/or transfer of ownership for this account, which I currently own. I understand that I, the owner, will be responsible for this account including all but not limited to commissions, taxes, outstanding
balances, etc.

Please include a copy of your (the account holder’s) Identity Card, Drivers License, Passport or another form of acceptable identification.

Edits will be made within three business days of the company receiving the completed documents. The company reserves the right to approve or deny the requested changes.

I fully acknowledge and agree to the Policies & Procedures and accept the Terms and Conditions.

Today’s Date: September 8, 2024

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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Signed by Aaron Cassar
Signed On: May 29, 2022

Timestamp

Audit

May 26, 2022 9:54 pm AEST

Information Change Request Uploaded by Aaron Cassar - [email protected] IP 2409:4061:2c99:3f89:a47e:de00:ceb6:568