verification of identity reportverification of identity report (report) highlighting any specific...
TRANSCRIPT
Agency Service
Verification of Identity Report
Thomas AndersonTuesday October 31st 2017
Reference: 10119617_1
Agency Verification conducted by ZipID
ACCEPT Accepted by ZipID QA team
Verification of Identity Report
I, Thomas Anderson, agree that my information is:
1. checked with the issuer or official record holder, and
2. collected and used in accordance with Australian privacy laws and the ZipID Privacy Policy.
Full nameThomas Anderson
Date of birth29 Jul 1979
Appointment location123 Example StreetBrisbane, QLD 4000
Appointment timeTuesday October 31st 2017 3:56pm
Prepared by ZipID as Verification Agent forLand Dealings DemoABN: 12345679
1300 073 744123 Test Street, Melbourne VIC 3000
ZipID Account: 106213
ZipID report reference10119617_1
Page 2
Verification of Identity Report
Identity Agent declaration
This declaration is to be read subject to any qualifications or variances noted on the front page of the accompanying Verification of Identity Report (Report) highlighting any specific circumstances to be considered by the Report’s recipient.
ZipID Pty Ltd, ABN 87 166 644 702, of Level 15, 100 Arthur Street, North Sydney 2060, Identity Agent, and having been directed to use the Verification of Identity Standard by Land Dealings Demo, hereby certifies that:
(a) the identification relates to Thomas Anderson; and
(b) the identification was carried out on Tuesday October 31st 2017; and
(c) the original current identification documents as listed below were produced to ZipID and copies of these documents signed, dated and endorsed by ZipID as true copies are attached to this certificate; and
Australian Passport, Australian Drivers Licence
(d) the Verification of Identity was conducted in accordance with the Verification of Identity Standard, and
(e) the Verification of Identity has been conducted in accordance with paragraph 4.2.11(b) of the Anti-Money Laundering and Counter-Terrorism Financing Rules Instrument 2007 (No. 1) in circumstances where ZipID has been appointed in writing for this purpose.
Sean Simmons, Head of ZipID on Tuesday October 31st 2017
Identification documents in this reportAustralian PassportAustralian Drivers Licence
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Verification of Identity Report
Identification documents
Page 4
Identification typeAustralian Passport
TRUE COPY OF ORIGINAL
ZipID Pty Ltd
31/10/2017
Identification typeAustralian Drivers Licence
TRUE COPY OF ORIGINAL
ZipID Pty Ltd
31/10/2017
Verification of Identity Report
Identification documents (continued)
Page 5
Identification typeAustralian Drivers Licence
TRUE COPY OF ORIGINAL
ZipID Pty Ltd
31/10/2017
Verification of Identity Report
Client Authorisation Form
31/10/2017
TRUE COPY OF ORIGINAL 31/10/2017
ZipID Pty Ltd
Page 6