GO MasterCard - Merchant Login Page - GE Money

GO MasterCardApplication FormNU7GO MasterCard is a credit facility provided by GE Capital Finance Australia(ABN 42 008 583 588) trading as GE Money.Please complete all sections of the form to ensure the quickest responsePlease ensure you have sighted the applicant’s ID before commencing this form.All applicants must be:• 18 years of age or older • a permanent resident of Australia1. Please complete the tick boxes below to indicate that you understandthe following:I understand that GO MasterCard is a general purpose credit card that can be usedto buy products and services from merchants who accept MasterCard. The GOMasterCard has a range of features, including ongoing access to long term interestfree finance options at Harvey Norman and over thousands of participating retailersaround Australia, up to 62 days interest free on all MasterCard purchases worldwideand membership of the GO MasterCard rewards program.By making this application, I confirm that my key credit card requirements are met bythe GO MasterCard.4. Your Personal Details ContinuedPrevious Residential Address (if less than 3 years at Current Residential Address)State PostcodeTime at this address Years MonthsMailing Address (if different to Current Residential Address)I AGREEWhat would you like your credit limit to be?The limit the credit provider is willing to offer(After taking into account all the information I have provided).No more than $8,000No more than $4,000Or, please nominate a figure $ (min $1,000 limit applies)(Please tick one)StatePostcodeDate of BirthD D / M M / Y YDriver’s Licence NoYour credit limit is subject to our lending criteria. By proceeding with thisapplication you confirm that you will accept a credit limit that may be lower thanthe amount you have nominated above.2. Your eligibility for future credit limit invitationsFor us to be able to offer you future credit limit increase invitations, we need yourconsent. When you receive future invitations you can decide in each case whetherto apply. If you do apply, we may agree to increase your limit. You can withdrawyour consent at any time by speaking with a customer service representative.Do you want to consent to receivingcredit limit invitations in the future? Yes No3. Your Personal DetailsPlease write in BLOCK lettersTitleFirst Name(s)Expiry Date D D / M M / Y Y StateResidential status:Own my own home Rent Live with ParentsHave a mortgage Board OtherMortgagee/Landlord Name (if applicable)Mortgagee/Landlord phone number( )Marital status:Defacto Divorced MarriedSeparated Single Widowed5. Your Employment DetailsLast NameHave you been known by any other name? If yes please provide detailsCurrent Residential Address (not a PO Box address)Employment status:Please select one box onlyPermanent Full TimePermanent Part TimeCasual/Seasonal/TempContractor Full TimeContractor Part TimeSelf-employedStatePostcodeWorkers Compensation/Social SecurityOtherTime at this address Years MonthsHome phone number( )Mobile phone numberEmail addressOccupationEmployer’s NameEmployer’s phone number( )How long have you worked there? Years MonthsSecurity Password (eg. mother’s maiden name - max. 15 characters)Page 1 of 4

6. Your Financial Details 10. Confirmation of my IdentityPlease enter all amounts in whole dollars.IncomeIncludes all income types eg. Salary, Government, Rental/InvestmentsYour weekly income (after Tax) $ .00Your partner’s weekly income (after Tax) $ .00Monthly ExpensesDo you share expenses? Yes NoYour share of the total monthlymortgage/rent paymentsYour share of total monthly living expenses(eg. utilities, groceries, petrol/transport, entertainment)Your share of other monthly loan payments$$$.00.00.00Your Credit Card(s)(e.g. Visa/MasterCard/Store Cards)Total balance of all your credit cards $ .00Total credit limit of all your credit cards $ .00How many credit cards do you have?Do you have an account/s with a: Bank Credit UnionName of your financial institutionType of Accounts: Savings Cheque7. Your Reference DetailsName of a close friend or relative (in Australia not living with you)Friend or relative’s contact telephone number( )Friend or relative’s residential addressStatePostcode8. Privacy Consent, Authorisation & DeclarationTo GE Capital Finance Australia (ABN 42 008 583 588) (“GE Money”).BuildingSocietyI hereby apply to GE Money for a credit facility to enable me and each additionalcardholder (if any) to purchase goods and services on credit and to obtain cashadvances. I understand that if GE Money accepts my application, GE Money willprovide me with an offer to enter a credit contract (including financial table andconditions of use), governing the credit facility. I acknowledge that I will be boundby the credit contract when I accept that offer, subject to those conditions of use.I acknowledge that the information provided in this application is true and correct,and that no information which would cause GE Money to grant creditto me incorrectly has been withheld.I assent to GE Money providing money or other valuable consideration to theMerchant in return for its employee advising me to apply for the credit facility,as disclosed to me in connection with this application.I acknowledge that the Merchant named in this application and its employees areacting as the agent of GE Money in receiving this application.I have read and agree to the collection, use and disclosure of information aboutme set out in the Important Privacy Notice that appears on the reverse of thisapplication form.I understand GO Mastercard needs to verify my identity and wishes to use my personaldetails at a credit reporting agency for this. This is the easiest way to be identified.Note: If you do not wish to be verified this way do not tick the below box. You will thenbe asked to complete ID checks using alternative methods, which takes longer.11. Merchant Use OnlyMerchant NoMerchant NameSuburb/ TownMerchant phone numer( )Merchant fax number( )Booklet NoGoods DescriptionPurchase Price$ .00Promotion TypeOwn-It-Now/Low Interest Start Up APR.% Total Promotional Term monthsIf Split / Combined Promotion Deferred Payment Term monthsCustomer Identification (ID)Primary ID TypeDrivers Licence/Learners Permit Passport *Proof of Age/NSW Birth Card * Pension Card ** these ID types require secondary IDID number (eg. licence number)IssuerIssue DateExpiry DateD D / M M / Y YD D / M M / Y YState of Issue Passport - County of IssueSecondary ID *Taxation Notice Centrelink Utility Bill/Rates NoticeDocument No (eg. acc. no)IssuerI have read and agree to GO MasterCard verifying my identity in accordance with the confirmation.*Return completed form to Merchant.Issue DateD D / M M / Y YMerchant Declaration: I have read and understood the National ConsumerCredit Protection and Anti-Money Laundering and Counter Terrorism Financingtraining materials as set out in the Merchant Operating Guide. I confirm thatI have sighted original documents of the applicant and that I have verified thename, address, and date of birth of the applicant from those documents.9. Credit ApplicationName of merchant staff member sighting applicant’s IDI have read and agree to the Declaration and Important Privacy Noticethat appear on the reverse of this form. I confirm that I have read all of Employee IDthese documents and now make the Declaration in favour of GE Moneyand consent to the matters set out in the Important Privacy Notice.Merchant SignatureDateSignature of Applicant for GO MasterCard Date✗✗D D / M M / Y YD D / M M / Y YPlease fax page 1 and 2 of this form to GE Money on 1300 361 045.Page 2 of 4

Declaration and Important Privacy InformationThis privacy notice (“Notice”) is relevant to your application for thecredit card facility (“Credit Facility”) described in the credit cardapplication form (“Application”) provided with this Notice.The Credit Facility is provided by the credit provider (“CreditProvider”) named in the Application.Acknowledgment and ConsentBy completing the Application, I acknowledge that I am, or will beproviding personal information to the Credit Provider about me andI am not currently aware of anything that may adversely impact myability to service the credit card being considered.I understand that if I fail to provide any information requested inthis Application, or do not agree to any of the possible disclosuresor uses detailed above, the Credit Provider may be unable toprocess or accept my Application, or operate or administer theCredit Facility (if any).I acknowledge that this personal information, and any other personalinformation the Credit Provider collects about me (“my personalinformation”), will be used by the Credit Provider to enable it toassess my Application, and if my Application is approved, for theinitial establishment and then the subsequent administration ofthe Credit Facility.I consent to the Credit Provider using and disclosing my personalinformation for this purpose.I agree that the Credit Provider and each of its related companiesmay exchange information about me including any informationprovided by me in the Application, any other personal information Iprovide to any of them, any transaction details or transaction historyarising out of my arrangements with any of them, and any otherpersonal information which they otherwise lawfully obtain about me.I agree that my personal information can be used by theCredit Provider and each of its related companies to:• assess my Application and administer the Credit Facility,• perform administrative tasks and manage business operations,• provide services to me in relation to this or other productsor services,• tell me about products or services of the Credit Provider andeach of its related companies (unless I ask the Credit Providernot to),• tell me about products or services of other organisations thatmight be of interest to me (unless I ask the Credit Provider not to),• help to develop products and services that may be of interestto me (including use in research and development),• assess and manage risk,• comply with legislative and regulatory requirements includingcrime prevention,• build and maintain the relationship with me and with each of theparticipating retail stores where the Credit Facility may be used (“CreditFacility Merchants”), including to assist in resolving any disputes.However, if the Application is successful, or the Application isdeclined, neither the Credit Provider nor its related companieswill use my personal information for these purposes if I ask theCredit Provider not to by:• calling 1800 826 577, or• writing to GPO Box 1007, Melbourne VIC 3001.I understand that, and agree to, the Credit Provider and each ofits related companies disclosing my personal information, as isnecessary, to one or more of the following types of organisationsfor any of the uses referred to above:• Credit Reporting Agencies,• other financial institutions and credit providers,• credit card scheme operators,• the Credit Provider’s service providers and agents(such as delivery companies, mail houses and debt collectors),• any Credit Facility Merchant,• any additional cardholder,• organisations through whom I might choose to request an advance,• organisations through whom I choose to make payments to theCredit Provider or its related companies, and• my nominated referees (including my employer),and in addition where disclosure is required or allowed by law orwhere I have otherwise consented (this includes the consents I haveprovided in the Application).Subject to the Privacy Act 1988 and the other terms of thisNotice, I consent to any such disclosures of my personal informationregardless of how or when it was collected.I consent to the Credit Provider disclosing my personal informationto any employer named in the Application Form (or otherwiseprovided by me to the Credit Provider) to verify information Ihave provided in respect of an application. I also consent to anysuch employer disclosing my personal information, includingincome information, to the Credit Provider for the purpose of theCredit Provider verifying that information.If, and to the extent that the Credit Provider does so in a mannerand for purposes that conform with the Privacy Act, I agree to theCredit Provider obtaining information about my commercial activitiesand commercial credit worthiness from a business which providesinformation about the commercial credit worthiness of persons,and to the Credit Provider using that information in assessing myapplication for credit or for loan management purposes; and I alsoagree to the Credit Provider giving to and receiving from any creditproviders named in the Application and any credit providers namedin a credit report issued by a Credit Reporting Agency, informationabout my credit arrangements, provided that the information is givenor received to assess an application for credit made by me to therecipient credit provider or to assess my credit worthiness; and Ialso agree to the Credit Provider obtaining a credit report containingpersonal information about me from a Credit Reporting Agency and tothe Credit Provider using that report or any information derived fromthe report in assessing this Application, and for any other purposespermitted under the Privacy Act.I also acknowledge that subject to the provisions of the PrivacyAct, the Credit Provider may otherwise disclose to any personany information concerning the Credit Facility granted to me or theconduct of the Credit Facility.I acknowledge that some of the organisations to whom my personalinformation will be disclosed may be overseas.I agree to the transfer of my personal information by the CreditProvider and each of its related companies to such an organisationoverseas, but only to the Credit Provider’s service providers andagents for use in connection with any of the purposes that the CreditProvider and each of its related companies are authorised to usemy personal information.I separately agree that if I nominate an additional cardholder I willfirst ensure that this person has seen this Important PrivacyInformation and has agreed to their personal information beingcollected, used and disclosed by the Credit Provider and each of itsrelated companies in the same way and in the same manner thatmy personal information may be collected used and disclosed inaccordance with my consent and this Important Privacy Notice. If Iprovide information about any other person for the purpose of theCredit Provider or its related companies verifying information aboutme or seeking to locate me I will ensure that any such person hasagreed to the collection, use and disclosure of their information by theCredit Provider and its related companies for the relevant purpose.I further agree that if I nominate any additional cardholder under18 years of age who does not have sufficient understanding andintelligence to understand this Notice, I will ensure that their parentsor guardians agree to this Notice on their behalf.I understand that I can access most of my personal informationthat the Credit Provider and its related companies hold about me(sometimes there will be a reason why that is not possible, in whichcase I will be given reasons).To find out what sort of personal information the Credit Providerand its related companies has about me, or to make a request foraccess, I acknowledge that I can contact the Credit Provider’sCustomer Solutions Centre on 1300 462 273 or by writing to GPOBox 1007, Melbourne VIC 3001.I acknowledge that I can enquire as to the identity of each relatedcompany of the Credit Provider.Page 3 of 4

*Confirmation of my identity with a credit reporting agencyGO MasterCard is required by the Anti-Money Laundering & Counter-Terrorism Financing Act 2006 to verify my identity before providingme with a product or service.By checking this box (or acknowledging this statement), I agreeI have read this information and allow GO MasterCard to providepersonal information about me to a Credit Reporting Agency toenable verification of my identity.Personal information that GO MasterCard may provide to the creditreporting agency includes:• My full name• My address• My date of birthI understand that in addition to the circumstances described in theprivacy consent, my personal information will be used by the creditreporting agency and by GO MasterCard to assess whether theinformation provided by GO MasterCard matches the informationheld about me by the credit reporting agency for the purpose ofverifying my identity. I also understand that use of my personalinformation in this way does not constitute a credit check or impactmy credit standing in any way.The credit reporting agency may inform GO MasterCard as towhether the personal information provided is a full or partial matchwith information held on credit information files. GO MasterCardcannot rectify any discrepancies but will advise me by email andprovide contact details of the credit reporting agency where I canconfirm my details.How else can I verify my identity?Verification with a credit reporting agency is the fastest way toattempt to establish identity however, GO MasterCard offersalternatives, for anyone not wishing to use their personal informationheld at a credit reporting agency, you can take your identitydocuments, together with a copy of the Australia Post IdentifyVerification Form to any participating Post Office.Key facts about this credit cardCorrect as at: 24/09/2013GE Capital Finance AustraliaThis information sheet is an Australian Government requirement under the National Consumer Credit Protection Act 2009Description of credit cardProduct NameGO MasterCardMinimum Credit Limit $1,000Minimum repaymentsYour monthly payment for a statement period will be:• nil if your closing balance is $1.50 or less;• the closing balance if it is more than $1.50 but less than $25;• 3% of the closing balance or $25 (whichever is greater), excluding any part of that balance which is made up of unexpired own-it nowpromotions, buy now pay later promotions, instalment interest free promotions (“promotions”), and overdue or over limit amount and anyestablishment fee, plus:• any existing arrears carried over from your previous statement;• any amount you owe over your credit limit;• any instalment payment due under a promotion for that statement period;• any establishment feeNote: If the account has only active Buy Now Pay Later and Establishment Fee/Annual Fee and/or Account service fee/Account Keeping Feethen no Minimum Monthly Payment will be requested.Interest on purchases 21.74%Interest - free periodMaximum 62 days for purchases if you pay your balance in full and on time and have paid the previous month’s balance in full and on time.• There is no interest free period on cash advances, balance transfer and Instalment Interest Bearing transactions• Interest Free period on Buy Now Pay Later, Instalment Interest Free and Interest Free only apply to active promotionsInterest on cash advance 29.49%Promotional interest rate0% for 1 - 60 monthsThe interest rate thereafter changes to 29.49%Balance transfer interest rate 21.74%Annual fee $0Late Payment fee $25There may be circumstances in which you have to pay other fees. A full list of current fees applicable to this credit card can be obtained fromhttp://gomastercard.com.au/en/Personal/using_your_account/fees_and_charges.htmlFor more information on choosing and using credit cards visit the ASIC consumer website at www.moneysmart.gov.auThe information on this sheet may be out of date. To confirm this information is correct you may wish to visit www.gomastercard.com.au/en/PersonalCredit provided by GE Capital Finance Australia (ABN 42 008 583 588), trading as GE Money. Australian Credit Licence Number 392145.Page 4 of 4GEGO000460 07/13

GO MasterCard - Merchant Login Page - GE Money

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