INTRODUCER ACCREDITATION FORM

Please provide us with your details below.

Accreditation - Introducer

Licensing Details

What licence details do you currently have?

I am an authorised credit representative of an Australian Credit Licence holder

I am a director/employee of an Australian Credit Licence holder

Full Name of ACL Holder

ACL Number

Credit Representative Number

Are you a director or an employee?

Director

Employee

Full name of ACL holder

ACL number

ABN/ACN of ACL licence holder

Credit/Lending Experience

Do you have minimum 2 years credit or lending experience?

Yes

How many years of credit lending experience do you have?

Provide details of your experience

MFAA/FBAA Accredited Mentor Full Name

Certified Identification Documents- Supplied for All Directors and Loan Writers

Primary Certified Photographic Identification Document (e.g. Passport or Drivers License (front and back))

Maximum file size: 8.39MB

Secondary Certified Identification Document (e.g. Passport, Drivers License (front and back), Medicare Card, Birth Certificate or Government Issued Card)

Maximum file size: 8.39MB

Supporting Documents - Company

Professional Indemnity Insurance Certificate (must be current showing no less than $2M for any one claim and $6M in the aggregate with minimum 84 month run off)

Maximum file size: 8.39MB

Bank Statement (for payment of broker fees and commissions)

Maximum file size: 8.39MB

Current Industry Membership Certificate (MFAA or FBAA)

Maximum file size: 8.39MB

Current External Dispute Resolution Membership Certificate (i.e. AFCA)

Maximum file size: 8.39MB

High Resolution Copy of Your Company Logo (png or jpeg files accepted)

Maximum file size: 8.39MB

Supporting Documents - All Directors and Loan Writers

Written confirmation from one of the directors, confirming you are covered under their ACL

Maximum file size: 8.39MB

Evidence of Education: Minimum Cert IV Finance & Mortgage Broking

Maximum file size: 8.39MB

Police Check (national criminal history check). Less than 6 months old.

Maximum file size: 8.39MB

Broker Acknowledgement

By signing this box I/we acknowledge that this application for accreditation will be assessed by Collective Lending Pty Ltd and that approval is at the discretion of Collective Lending Pty Ltd.

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*Minimum requirement to become an accredited Introducer or Referrer is proof of industry body membership (i.e. FBAA or MFAA) and current PI cover in place.