Ashok Parekh & Co Pty Ltd

CHARTERED ACCOUNTANT

ABN: 71061110432 ACN: 060 110 432

New Client Details Form – Individual Client

We appreciate you taking the time to complete the following details. If you have any questions in relation to this form, please do not hesitate to ask for assistance.

CURRENT DETAILS

TITLE

SURNAME

GIVEN NAMES

GENDER

DATE OF BIRTH

TAX FILE NUMBER

BANK ACCOUNT
DETAILS

OCCUPATION

POSTAL ADDRESS

RESIDENTIAL
ADDRESS

TELEPHONE

EMAIL ADDRESS

UPLOAD DOCUMENTS SUCH AS GROUP CERTIFICATES

CHILDREN / DEPENDANTS

HOW DID YOU HEAR
ABOUT US?

I CONFIRM THAT THE ABOVE DETAILS ARE TRUE & CORRECT

/ /

NAME OF ACCOUNT: (Eg: Mr Kevin P Smith)


BSB:


ACCOUNT NUMBER:

HM:

()

Mob: