Membership form

MEMBERSHIP APPLICATION

YOUR DETAILS

Eligibility for Membership *

I'm an existing Woolworths or Endeavour Group team memberI'm related to a memberI have an affinity to Woolworths Group or Endeavour Group

Woolworths or Endeavour Group Team *

What is your group or team?

Store or Site Name *

Employee Number *

Relationship to member *

Name of member *

What is your affinity to Woolworths or Endeavour Group? (e.g. Everyday Rewards member, contractor) *

Title *

First name *

Middle name(s) (if any)

Last name *

Gender *

Date of birth *

Email *

Mobile number *

Residential address *

Street address *

City *

State *

Postcode *

Do you have a different mailing address? *

YesNo

Mailing address *

Street address *

City *

State *

Postcode *

Are you a tax resident in a country other than Australia? *

YesNo

You are a foreign tax resident if you are liable to pay tax in another country, even if you don't need to fill out a tax return.

What is your Tax File Number?Collection of Tax File Number (TFN) information is authorised and regulated by tax laws and the Privacy Act. It is not an offence to choose not to quote your TFN. However, if your TFN is not quoted you may be charged Withholding Tax on the interest that you earn. If quoted, your TFN will automatically be applied to future accounts you open on this membership unless you instruct us otherwise.

What is your Tax Identification Number?

Are you a politically exposed person? *

YesNo

Do you want this to be a joint account? *

YesNo

YOUR DETAILS

Second applicant

Eligibility for Membership *

I'm an existing Woolworths or Endeavour Group team memberI'm related to a memberI have an affinity to Woolworths Group or Endeavour Group

Woolworths or Endeavour Group Team *

What is your group or team? *

Store or Site Name *

Employee Number *

Relationship to member *

Name of member *

What is your affinity to Woolworths or Endeavour Group? (e.g. Everyday Rewards member, contractor) *

Title *

First name *

Middle name(s) (if any)

Last name *

Gender *

Date of birth *

Email *

Mobile number *

Residential address *

Street address *

City *

State *

Postcode *

Do you have a different mailing address? *

YesNo

Mailing address *

Street address *

City *

State *

Postcode *

Are you a tax resident in a country other than Australia? *

YesNo

You are a foreign tax resident if you are liable to pay tax in another country, even if you don't need to fill out a tax return.

What is your Tax Identification Number?

Are you a politically exposed person? *

YesNo

PRODUCTS AND SERVICES

Would you like a Visa debit card? *

YesNo

Would you like access to use internet banking? *

YesNo

* Please refer to our Financial Services Guide and Summary of Accounts & Availability of Access Facilities.

* Please refer to our Privacy Policy and Notification.

I apply for membership of Woolworths Team Bank, as part of the membership I agree to opening an Everyday Transaction account, and undertake to deposit the sum of $1.00 for share capital, which is fully refundable in accordance with the Constitution should I close my membership.(Required) *

I agree to be bound by the 'VISA Conditions of Use' and all other terms and conditions applicable to the selected Accounts and Access facilities. I acknowledge that my/our Card/s and Personal Identification Numbers will be mailed to my home/mailing address.(Required) *

I agree to the Financial Services Guide, Summary of Accounts & Availability of Access Facilities, Privacy Policy and Privacy Notification as outlined on our website.(Required) *

We apply for membership of Woolworths Team Bank, as part of the membership we agree to opening an Everyday Transaction account, and undertake to deposit the sum of $1.00 for share capital, which is fully refundable in accordance with the Constitution should we close my membership.(Required) *

We agree to be bound by the 'VISA Conditions of Use' and all other terms and conditions applicable to the selected Accounts and Access facilities. We acknowledge that my/our Card/s and Personal Identification Numbers will be mailed to our home/mailing address.(Required) *

We agree to the Financial Services Guide, Summary of Accounts & Availability of Access Facilities, Privacy Policy and Privacy Notification as outlined on our website.(Required) *

VERIFICATION DOCUMENTS

First applicant

Document type *

State *

Licence number *

Card number *

Medicare card number *

Reference number *

Middle name on card

Card colour *

Issuing country *

Passport number *

Please upload an image of your document *

Browse

Second applicant

Document type *

State *

Licence number *

Card number *

Medicare card number *

Reference number *

Middle name on card

Card colour *

Issuing country *

Passport number *

Please upload an image of your document *

Browse

MEMBER ELIGIBILITY CONFIRMATION

I confirm that I meet the eligibility requirements to become a Woolworths Team Bank member. *

We confirm that we meet the eligibility requirements to become a Woolworths Team Bank member. *

HOW DID YOU FIND US?

Please let us know where you heard about us *

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