Vendor Setup - Header3

When we require further information from you to set-up your trading account.

Organisation Type :

Full Legal Name : *

Trading Name : *

Company Email Address : *

Work Phone Number : *

Work Fax Number :

Trading Address : *

Suburb : *

City : *

Postal Address :

Year Established : *

Number of Employees :

Given Names : *

Surname : *

Date of Birth : * DD/MM/YYYY

Home Ph : *

E-Mail : *

Mobile Ph : *

Home Address : *

Home Suburb : *

Home City : *

Years at Home Address :

Director Status : *

Shareholding % : *

YOU CONSENT TO OUR COLLECTING, HOLDING, USING AND DISCLOSING
(A) INFORMATION ABOUT YOU THAT YOU GIVE US AND (B) OTHER INFORMATION WE GATHER ABOUT YOU (“PERSONAL INFORMATION”) AS FOLLOWS:


So we may:
1a) Verify what you tell us about yourself with third parties such as Government Agencies (including the Ministry of Justice, The NZ Transport Agency and the Insolvency Service) credit reporters and debt collecting agencies. b) Carry out credit checks on you. c) Decide whether to lend you money, administer any loan and enforce payment. d) Comply with our obligations under the Anti-Money Laundering, Countering the Financing of Terrorism Act 2009 and the Credit Reporting Privacy Code 2004.
2) In these processes we may provide your personal information to third parties and the credit reporting agencies and debt collectors may hold that information and may disclose it to other parties who wish to carry out credit checks on you or for other lawful purposes.

[The Credit Reporter(s) we currently use are Veda Advantage (NZ) Limited, Private Bag 92156, Auckland Mail Centre Auckland 1142, and / or Centrix Group Limited P.O. Box 62512 Green Lane Auckland 1546]

You declare that the information you give us is true and correct and you consent as shown above.

 ACCEPTED *

General Footer6

Phone 0800 74 11 11 - Ext 3  |  11k Piermark Drive, Albany, Auckland  |  P.O. Box 31-720, Milford, Auckland 0741

 Credit Capable Limited. All Rights Reserved