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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 1 of 14 bcu Broker Loan Application bcu BROKER PROCESS Step 1: Complete the bcu home loan application Step 2: Obtain and attach supporting documentation Step 3: Verify the identity of each borrower or guarantor to the loan. Step 4: Written consent required for guarantors refer Privacy Notification - Guarantors Step 5: Complete the bcu broker loan submission coversheet Step 6: Fax or scan and email all documentation to bcu. BROKER LOAN SUBMISSION Name of broker ABN Licence number Email Phone Mobile Name(s) of borrower(s)/guarantors(s) Financial amount Interest rate (%pa) Terms (yrs) Repayments 1. $ $ 2. $ $ Overview of loan proposal / special instructions In submitting this application for credit and by completing the product, term, interest rate option, amount and other features on the loan details page of this application you are confirming that: • You have considered the borrower’s objectives and requirements and have determined that this facility is NOT unsuitable for them. • The borrower has confirmed that they do NOT anticipate any changes in their circumstances that may affect their ability to repay the loan within the agreed term. Full name Signature Date / /

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Page 1: bcu Broker Loan Application44 PAGE 4 of 14 bcu Broker Loan Application bcu BROKER PROCESS All borrowers/guarantors must sign the application (if more than 2 borrowers/guarantors an

bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 1 of 14

bcu Broker Loan Application bcu BROKER PROCESS

Step 1: Complete the bcu home loan application

Step 2: Obtain and attach supporting documentation

Step 3: Verify the identity of each borrower or guarantor to the loan.

Step 4: Written consent required for guarantors refer Privacy Notification - Guarantors

Step 5: Complete the bcu broker loan submission coversheet

Step 6: Fax or scan and email all documentation to bcu.

BROKER LOAN SUBMISSION

Name of broker ABN

Licence number

Email Phone Mobile

Name(s) of borrower(s)/guarantors(s)

Financial amount Interest rate (%pa) Terms (yrs) Repayments

1. $ $

2. $ $

Overview of loan proposal / special instructions

In submitting this application for credit and by completing the product, term, interest rate option, amount and other features on the loan details page of this application you are confirming that:

• You have considered the borrower’s objectives and requirements and have determined that this facility is NOT unsuitable for them.

• The borrower has confirmed that they do NOT anticipate any changes in their circumstances that may affect their ability to repay the loan within the agreed term.

Full name Signature Date / /

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 2 of 14

SUPPORTING DOCUMENTATION CHECKLIST

All required supporting documentation must be supplied from all relevant sections with submission of application

PLEASE NOTE: Tax File Numbers must be deleted prior to submission.

Please provide the following documentation to assist with the completion of your loan application.

PAYE INCOME VERIFICATION

• Last 3 pay slips for each borrower; OR

• At least two acceptable electronic payslips from the last two pay cycles, OR

• Most recent payslip with year to date figure (no more than 1 month old); OR

• Three months Bank statements from a Financial Institution showing regular salary credits, with the name of the employerevident minimum 3 months wages deposited;

If these documents are unavailable at least two of the following must be obtained for each borrower:• Recent letter from employer stating employment status (full time / part time / casual) and gross/net income for each

borrower , frequency of payment ,role or position, length of employment (original of this letter required);

• Employment Contract;

• Latest PAYG payment summary or ATO Notice of Assessment;

• One computer generated payslip.

SELF EMPLOYED INCOME VERIFICATION

• Copies of tax returns(individual and business)for the last 2 financial years with the last 2 ATO Assessment Notices for thelast 2 years; AND

• Financial statements – copy of last 2 years Balance Sheets and Profit and Loss Statements with latest no more than18 months old

OTHER INCOME

• Centrelink income (including pensions, parenting payments, family payments) a letter from the Government Departmentwhich lists the benefit amount and frequency or bank statements showing deposits

• Rental income – last 3 monthly rental statements from agent or copy of bank statements showing 3 months rental income ora copy of the current tenancy/lease agreement

• Investment income – (interest, dividends, annuity, super ,private pension) bank statements confirming continuity andconsistency over 12 month period

• Child support – bank statements confirming continuity and consistency over a 6 month period and a copy of the childsupport assessment notice

EXISTING LIABILITIES

• Home or investment loans – statement covering last 6 months;

• Other loans – statement covering last 6 months

• Rent Payment – bank statement confirming 3 months commitments have been met or letter from landlord confirming conductand an amount of rent

• Store accounts – current statement

• Credit cards – current statement

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 3 of 14

MORTGAGE INSURED LOANS

(Must confirm minimum 5% genuine savings over 3 months)

• Bank statements confirming a savings pattern over 3 months or funds held for 3 months(latest Statement no older than 1 month)

• Share Certificates confirming holdings and value (must confirm held for 6 months)

• Other documentation evidencing accumulation of minimum 5% deposit (where non genuine savings)

• Evidence of funds to complete

• If the loan is Mortgage Insured, there may be additional requirements as required by the LMI provider.

Non Genuine Savings:• A Statutory Declaration re to be supplied regarding any Gift forming the deposit and being non-repayable

FHOGFully Completed original FHOG Applications are to be forwarded to bcu for the Lender to lodge.

DETAILS REQUIRED TO ESTABLISH SECURITY

• Real property (land) already owned

o Certificate of Title details

o Current rates notice/Valuer Generals Extract

• Real property (land) to be purchased

o Full, signed purchase contract/offer (front page NSW) including title details

CONSTRUCTION/PROGRESSIVELY DRAWN

• Council approved Plans and Specifications; and

• Fixed Price Building Contract or tender (signed) or Quote where Building contract is being finalised.

• Schedule of payments (may be included in building contract)

• Quotes for additional work signed, accepted and dated by the applicant(s) and provider

Please provide details of an exit strategy where the applicant is 50 years of age or older, and the security property will be owner occupied and the loan term will exceed the government retirement age.

Please advise the form of a repayment or exit strategy how the loan will be serviced and repaid upon retirement.

AML & FINANCIAL TRANSACTION REPORTS ACT 1988

(Must be supplied for each party to the loan)

Refer to the bcu Identification form for details

BROKER VERIFICATION

I certify that I have sighted the original documents provided to me by our client(s) and confirm that the documents forwarded to you are true copies of the originals.

Full name (please print) Signature of Broker Date / /

CONSTRUCTION/PROGRESSIVELY DRAWN

EXIT STRATEGY

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 4 of 14

bcu Broker Loan Application bcu BROKER PROCESS

All borrowers/guarantors must sign the application (if more than 2 borrowers/guarantors an additional borrower/guarantor form is to be completed).

All questions/sections of this application MUST be completed as appropriate (if insufficient space or additional sections required, please attach additional forms or pages). Failure to do so may cause delay in processing your application. Please print and use black ink pen. In this Mortgage Application the term “bcu” refers to bcu, a division of Police & Nurses Limited

Prior to completion of this application all applicants must read the attached Privacy Notification statement.

Is your loan wholly or predominantly for personal, domestic or household purposes? Yes No

PURPOSE OF LOAN

Purchase residential property new existing

• Refinance existing home loan

• Construct new dwelling

• Renovations

• Other purpose ____________________________________

• Is this loan for an Owner occupied property or Investment Property

• Purchase residential land

• Are you eligible for the First Home Owners Grant? Yes No

Address of property being purchased / offered as security Post code

Purchase price of property/Value Amount you wish to borrow $ $

We may require a valuation of the property. Please note that where the amount you wish to borrow is more than 80% of the value of the property, we may require you to pay for Lender’s Mortgage Insurance.

Expected settlement date / /

FUNDS POSITION

Funds Required for Purchase/Construction/Refinance

Purchase Price $

Contract Price [construction] $

Refinance/s $

Renovations [listing attached] $

Less Deposit Paid [copy of receipt to be provided] $

Less F.H.O.G. [application also to be submitted] $

Less Other $

Less Gift [Statutory Declaration to be provided] $

Less Own Funds [Evidence to be provided] $

Plus Costs legals Solicitor stamp duty [estimate] $

Plus Mortgage Insurance $

**Mortgage Repayment Insurance $

Total $

Surplus / Shortfall $

Explain shortfall

**Mortgage Repayment Insurance, covers your mortgage in the event of death, sickness, employment or disability. Would like bcu to provide a quote for Mortgage Protection Insurance Yes No

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 5 of 14

LOAN 1 DETAILSLoan Type Loan Amount

$

Repayments Principal and Interest Interest only

Interest Only terms (Yrs) (max term 5 years)

Repayment Frequency (W,F,M)

Interest rate Options

Variable Rate Fixed Rate

Indicative Variable Rate %

Fixed Rate Term (Yrs)

Indicative Fixed Rate %

Fixed Rate Lock In fee $

LOAN 2 DETAILSLoan Type Loan Amount

$

Repayments Principal and Interest Interest only

Interest Only terms (Yrs) (max term 5 years)

Repayment Frequency (W,F,M)

Interest rate Options

Variable Rate Fixed Rate

Indicative Variable Rate %

Fixed Rate Term (Yrs)

Indicative Fixed Rate %

Fixed Rate Lock In fee $

INDIVIDUAL BORROWERS DETAILS APPLICANT 1

Capacity Borrower Mortgagor Guarantor

Title (optional) Mr Mrs Ms Miss Other

First name Middle name

Surname

Gender Male Female

Date of birth Driver’s licence number/ /

Marital Status (optional) Married Single Other

Is your spouse/partner financially dependent on you Yes No N/A

Number of other dependents Age/s of dependents

Home Ph. Mobile Ph. Work Ph.

Email Address

Current Residential address Post code

Postal address (if same as residential write “as above”) Post code

Date you moved to your current address / /

Rent Board Owner Live with Parents Relatives

Previous address [If less than 3years in current] Post code

Date you moved to your previous address / /

Rent Board Owner Live with Parents Relatives

Residency Status Aust Citizen Permanent res. Non Resident

INDIVIDUAL BORROWERS DETAILS APPLICANT 2

Capacity Borrower Mortgagor Guarantor

Title (optional) Mr Mrs Ms Miss Other

First name Middle name

Surname

Gender Male Female

Date of birth Driver’s licence number/ /

Marital Status (optional) Married Single Other

Is your spouse/partner financially dependent on you Yes No N/A

Number of other dependents Age/s of dependents

Home Ph. Mobile Ph. Work Ph.

Email Address

Current Residential address Post code

Postal address (if same as residential write “as above”) Post code

Date you moved to your current address / /

Rent Board Owner Live with Parents Relatives

Previous address [If less than 3years in current] Post code

Date you moved to your previous address / /

Rent Board Owner Live with Parents Relatives

Residency Status Aust Citizen Permanent res. Non Resident

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 6 of 14

EMPLOYMENT DETAILS APPLICANT 1

Present Employer

Employer’s name (Business name if self-employed)

Employer’s address Post code

Employment status

Full time Permanent part-time Casual

Seasonal Retired Self employed Unemployed

Occupation

Date started Phone Number

/ /

Are you on probation? Yes No

Contact Person

Previous Employer (if less than 2 years)

Employer’s address Post code

Employment type

Full time Permanent part-time Casual

Seasonal Retired Self employed Unemployed

Occupation

Date started / /

From / / to / /

SELF EMPLOYMENT DETAILSName of Business

Nature of Business

Name of Accountant’s Firm/Name of Accountant

Trading Years Phone Number

EMPLOYMENT DETAILS APPLICANT 2

Present Employer

Employer’s name (Business name if self-employed)

Employer’s address Post code

Employment status

Full time Permanent part-time Casual

Seasonal Retired Self employed Unemployed

Occupation

Date started Phone Number

/ /

Are you on probation? Yes No

Contact Person

Previous Employer (if less than 2 years)

Employer’s address Post code

Employment type

Full time Permanent part-time Casual

Seasonal Retired Self employed Unemployed

Occupation

Date started / /

From / / to / /

SELF EMPLOYMENT DETAILSName of Business

Nature of Business

Name of Accountant’s Firm/Name of Accountant

Trading Years Phone Number

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 7 of 14

SALARY/INCOME

Applicant 1

Salary (after tax) $

Frequency i.e. weekly, monthly etc

Other income i.e. Rental, dividends, Centrelink payments etc (If a joint application, please state the combined total amounts for each item below)

Type of income Amount Frequency i.e. weekly, monthly, etc $

$

$

$

Total Monthly Income $ monthly

LIABILITIES/COMMITMENTS

For both applicants

Mortgage/Rent/Board Payment Total Owing Institution/sprovider $ monthly $

provider $ monthly $

provider $ monthly $

Car loans Payment Total Owing Institution/sprovider $ monthly $

provider $ monthly $

Personal loans/hire purchase Payment Total Owing Institution/s provider $ monthly $

provider $ monthly $

provider $ monthly $

Other Loans Payment Total Owing Institution/sprovider $ monthly $

provider $ monthly $

Credit Cards/Store Card Payment Total Owing Institution/sprovider $ monthly $

provider $ monthly $

provider $ monthly $

To assist our assessment of your application, tick if you intend to close this credit account.

Applicant 2

Salary (after tax) $

Frequency i.e. weekly, monthly etc

DECLARED MONTHLY PERSONAL EXPENSES Do not include any rental property expenses within these expense items*.

Expense Payment

Childcare $ monthly

Child maintenance/alimony $ monthly

Education $ monthly

Insurances* $ monthly

Mobile phone/internet/Pay TV $ monthly

Private school fees $ monthly

Other (e.g. entertainment, gym or other memberships, holidays, *cleaning or gardening services)

$ monthly

$ monthly

$ monthly

$ monthly

Proposed new loan repayments this loan $

Are you a guarantor or co-borrower in respect to any other loan or loans? Yes No

Details

Loan Amount $

Repayment Amount $ monthly

Total Monthly Expenses $

Surplus/shortfall $

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 8 of 14

ASSETS

Total for both applicants

Asset Est. Value Details

Real estate property Home $

Investment Properties $

Cash/bank accounts $

Shares/investments $

Motor vehicles $

Furniture & personal effects $

Superannuation Applicant 1 $

Superannuation Applicant 2 $

Other Assets

$

DETAILS OF SECURITY OFFERED

1st property

Property type House Unit Townhouse/Apartment Vacant land Other

Investment Owner Occupied

Address: Street Name and Number Suburb State Postcode

Registered Proprietors of Security Property:

Ownership of Property at present Owned Unencumbered Mortgaged New Purchase

Title details if available

Lot

Deposited Plan

Volume Folio

Estimated Market Value $

Purchase/Contract price $

Contact details to arrange valuation/access First name Surname Phone number

2nd property

Property type House Unit Townhouse/Apartment Vacant land Other

Investment Owner Occupied

Address: Street Name and Number Suburb State Postcode

Registered Proprietors of Security Property:

Ownership of Property at present Owned Unencumbered Mortgaged New Purchase

Title details if available

Lot

Deposited Plan

Volume Folio

Estimated Market Value $

Purchase/Contract price $

Contact details to arrange valuation/access First name Surname Phone number

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 9 of 14

HOME INSURANCE

You will need to arrange for home insurance upon exchange of contracts and contents insurance from the time you move in. If you are purchasing a unit you will also need to obtain a Certificate of Currency from the body corporate’s insurer to make sure the property is adequately covered. bcu will need to be listed on your home insurance policy as an interested party and the minimum amount the property is to be insured for will be advised prior to settlement. A copy of the home insurance policy will be required by bcu 5 days prior to settlement.

bcu offer the competitively-priced protection of Allianz Home insurance including a wide range of flexible features & benefits such as optional flood protection to tailor a cover to suit your needs.

Would you like bcu to provide a quote for Allianz insurance Yes No

LENDERS MORTGAGE INSURANCE

Please note that where the amount you wish to borrow is more than 80% of the value of the property we may require you to pay for Lenders Mortgage Insurance (LMI). LMI should not be mistaken for Mortgage Protection Insurance. LMI insurance protects bcu against a loss should you as a borrower default on your home loan.

Is Lenders Mortgage Insurance required Yes No

SOLICITOR/CONVEYANCER

Solicitors DetailsName of Firm

Street Name and Number Suburb State Postcode

Contact Person

Contact Telephone NumbersPhone Fax Mobile

Email Address

SERVICE NOMINATION

You may choose to complete this service nomination if you are applying for a bcu Home Loan in joint names.

I/we nominate_____________________________________________________________

to receive notices and documents under the National Credit Code on behalf of both of us.

IMPORTANT NOTICE: Each of the persons signing the application is, entitled to receive a copy of any notice or any other document under the National Credit Code.

By signing this service nomination declaration all borrowers are giving up the right to be provided with the information directly from bcu, as only the nominated party will receive the statements and notices on the account.

Any of the persons who have signed this form can advise us at any time in writing that they wish to cancel their nomination and accordingly wish to receive directly a copy of any notice or other document under the National Credit Code.

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 10 of 14

DECLARATION

Applicant Declaration

By signing this application, I/we declare that we have read the Privacy Notification which is also available from www.bcu.com.au and that I/we:

• have read and accept the above and that all statements made by me/us in relation to our loan application are true andcorrect and that I/we will immediately notify bcu of any change to my/our circumstances;

• have taken into account any known change/s to my/our financial circumstances which might affect my/our ability tomeet our commitments under this contract;

• confirm that I/we have reviewed the features of the home loans offered by bcu and have chosen to apply for the loanthat best suits my/our needs

• can afford the loan applied for;

• bcu will rely upon the truth and correctness of the information supplied; and

• In the event my/our application does not proceed or is refused, I/we will be liable for any costs incurred by bcu inrelation to my/our application.

• Has all or part of the deposit due above for this loan been obtained from borrowing Yes No

Approval of your application will be subject to a satisfactory valuation and other requirements.

I/we understand that in the event of my/our application being cancelled or declined, I/we are responsible for all fees incurred up to the date of cancellation or decline and I/we agree to pay these costs.

ESTATEMENTS

I would like to register to receive eStatements Yes No

I would like to be notified at the above mentioned email address when my eStatement is ready for viewing. I consent to bcu giving account statements to me online.

I acknowledge that I have been told that, by my giving this consent:

a) paper statements need no longer be given to me; and

b) I must regularly check emails for notice that statements are available online

Applicant 1 Full name Signature Date

/ /

Applicant 2 Full name Signature Date

/ /

INTERVIEW DECLARATION

I__________________________________________________________________hereby make the following representations:

• Has each of the applicants demonstrated sufficient English fluency to understand the loan and its implications Yes No If no, please provide details:

• Has the applicant/each of the applicants demonstrated sufficient financial literacy to understand the loan and its Implications. Yes No If no, please provide details:

Full name of interviewer Date of interview / /

Full address of interviewer Postcode

Signature

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 11 of 14

On final approval of this home loan application you will be issued with a standard bcu membership package containing a bcu basic access account and registration to bcu’s internet and mobile banking systems. You will also be issued with a Product Disclosure Statement, Fees & Charges Schedule, Interest Rates Schedule and Financial Services Guide at that time. These documents are for accessed via www.bcu.com.au at any time.

BCU CREDIT CARD APPLICATION

If you would like to apply for a bcu credit card, please refer to the Credit Card Key Fact Sheet (must be printed and attached to this application – can be obtained from bcu’s website) and complete this section. A Letter of Offer will be sent to you separately to confirm your credit limit on final approval of this home loan application.

I/we would like to apply for Joint credit card, or Individual credit card

in the name of First borrower

Second Borrower

Preferred credit limit of $ or, the maximum credit limit available to me/us based on our application details.

Type of credit card requested bcu Classic bcu Rewarder

LINKED PRODUCTS

Would you like to link this card to your bcu basic access product to make it even easier for you to access your money

Yes No

ADDITIONAL CARDHOLDER

If you would like to add another cardholder to this card (not a joint holder) please provide the following details. Additional cardholders must be at least 16 years of age.

First name Middle name Surname

Date of birth / /

Residential address (no PO Box address please) Post code

Mobile phone number Email address

Name to be printed on card

If you are applying for a bcu Rewarder Card, would you like the additional cardholder to be issued with a Rewards Card to redeem points earned? Yes No

Note: It will be necessary for bcu to verify the identity of the additional cardholder.

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 12 of 14

CONSENTS AND NOTICES

Customer 1 First name Middle name Surname

Customer 2 First name Middle name Surname

Yes, I agree to bcu sending invitations to apply for credit limit increases on this credit card. I understand that I can choose not to accept the invitation to apply for an increased credit card limit sent to me, that I may withdraw my consent to receive credit limit increase invitations at any time by contacting bcu and that bcu has discretion whether to grant any increase applied for.

• Pursuant to the Electronic Transactions Act I/we request and authorise bcu to provide electronically its Credit ProposalDisclosure Documents. In making this request I/we acknowledge that:

• Paper documents may no longer be given; and

• Electronic communications must be regularly checked for documents; and

• Consent to the giving of documents by electronic communication may be withdrawn at any time.

I/we nominate the following borrower(s) to receive statements, notices and other documents under the National Credit Code on behalf of me/all of us:

All borrowers in this application nominated below

Title (optional) Mr Mrs Ms Miss Other

bcu member number Date of birth / /

First name Middle name Surname

The National Credit Code entitles each of you to receive a copy of all statements, notices and other documents relating to the loan contract above. By signing this nomination you are giving up that right to individually receive information directly from us. This nomination can be canceled by you at any time by contacting bcu.

Customer 1 First name Middle name Surname

Customer 2 First name Middle name Surname

Yes I agree to receive notices for all my banking and loan accounts via bcu’s Internet Banking platform, iBank. I agree to receive statements by accessing bcu’s Internet Banking (iBank) once advised the statement is available via email or iBank secure mail. I understand you may tell me on each occasion or you may advise me once of the availability of my statement on or by a certain day of the month.

I understand that bcu will stop posting me paper statements and notices and that I will need to check emails and iBank regularly and that I can revert to receiving paper statements and notices in the post at any time.

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 13 of 14

IDENTIFICATION FORM

Each borrower or guarantor to a loan must be identified. Complete one form for each individual being identified

First name Middle name Surname Date of birth/ /

Residential address (no PO Box address please) Post code

Any other names known by

Borrower Guarantor

Signature Date / /

Identification method Face-to-Face online via bcu.com.au - online identification ref no. ________________________

Face-to-Face Collect one document from List A or one from List B and one from List C

LIST APrimary Photographic – Identification Documents

• Photo Drivers Licence or permit issued by a State or Territory or Foreign Government

• Photo ID card issued by a State or Territory Government

• Current Passport (or expired within last 2 years) issued by the Commonwealth

• Passport, with photo of the person, issued by Foreign Government, the United Nations or a UN Agency

• National ID Card, with photo and signature of the person, issued by Foreign Government, the United Nations or a UN Agency

LIST BNon-photographic – Identification Documents

• Birth Certificate issued by a State or Territory

• Birth Extract issued by a State or Territory

• Citizenship Certificate issued by the Commonwealth

• Pension Card issued by Centrelink

• Birth Certificate issued by a Foreign Government, the United Nations

• Citizenship Certificate issued by a Foreign Government

LIST CSecondary – Identification Documents

• A notice containing the name of the individual and his/her residential address issued by:

• the Commonwealth, a State or Territory within the preceding twelve months which records the provision of financialbenefits to the individual under a law of the Commonwealth, State of Territory (as the case may be).

• the Australian Taxation Office within the preceding twelve months which records the debt payable to or by the individual by or to (respectively) the Commonwealth, under a Commonwealth law relating to taxations.

• a local government body or utilities provider within the preceding three months which records the provision of servicesby that local government body or utilities provider to that address or to that person.

Note: If a document is written in a language that is not understood by the person carrying out the identification procedure, then it has to be accompanied by an English translation prepared by an Accredited Translator. The translator must be accredited by the National Accreditation Authority for Translators and Interpreters Ltd (NAATI)

bcu Identification Form

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bcu, a division of Police & Nurses Limited ABN 69 087 651 876 AFSL No. 240701 Australian Credit Licence No. 240701 PAGE 14 of 14

BROKER DECLARATION

I am satisfied that the identity of the applicant whose name, date of birth, residential address and signature appears above has been verified in accordance with this form and the criteria listed above. I also confirm that I have sighted original documents in verifying the applicant’s identity, and that the true and complete copies of these are attached to this form.

Signature Date / /

OUR PRIVACY POLICY

Our Privacy Policy is available at https://www.bcu.com.au/privacy-notificationThe Policy contains information about:• how you can access your information• how you can seek correction of your information• how you make a complaint and how we will deal with it• in what overseas countries we are likely to disclose your information.

Disclosure to overseas recipientsWe do not currently disclose your information to overseas recipients.

How to contact usYou can contact us: • in person at one of our stores• by calling us on 1300 228 228• by email at [email protected]• in writing to PO Box 1563, Coffs Harbour, NSW, 2450.

DISCLOSURE TO INSURERS AND GUARANTORS

A lenders’ mortgage insurer or a registered trade insurer may obtain a consumer credit report about you from a Credit Provider or from a credit reporting body to access whether to provide lenders’ insurance to us in relation to application for consumer credit, or whether to provide trade insurance to us in relation to an application for commercial credit.

Lenders Mortgage Insurance may be acquired by the Credit Provider from Genworth Financial Mortgage Insurance Pty Ltd (ABN 60 106 974 305), trading as Genworth or QBE Lenders’ Mortgage Insurance limited (ABN 70 000 511 071).

Details of Genworth Policy

Details of QBE Policy