Account Application

First Name

Last Name

Email Address

Phone Number

Company Name (Optional)

ABN (Optional)

Street Address (Line 1)

Street Address (Line 2)

Suburb

State StateACTNSWNTSAQLDVICTASWAOther (Not Australia)

Post Code

Country (If Not Australia)

Drivers Licence State Drivers Licence StateACTNSWNTQLDSAWATAS

Drivers Licence Number

Drivers Licence Card Number

Date of Birth (DD/MM/YYYY)

Validation Consent Validation Consent I confirm that I am authorised to provide the personal details presented and have obtained the consent of the individuals to which the personal details relate for this information to be passed to and checked with the document issuer, official record holder, a credit bureau and authorised third parties for the purpose of verifying my identity and address. I also confirm that if required, evidence of this consent can be produced.

Legal Agreements Legal Agreements I confirm that I have read and agree to comply with all relevant policies, including the Standard Form of Agreement, as outlined on the Resolver Group Policies Page. I also confirm that I have the legal capacity to create this account and bind the Applicant to the aforementioned Legal Agreements. I understand that any service ordered will have a relevant Service Schedule which I will be required to separately agree to before I am able to activate the service. Resolver Group Contracts and Policies are available at this link