Resi Partner Broker Accrediation

New or Transfer(Required)

New Accreditation Request

Transfer of Accreditation

Name & Address

Introducers Full Name(Required)

Name of Entity(Required)

Address Details(Required)

Street Address City State Post Code

Contact Details

Phone(Required)

Date of Birth(Required)

Office Phone(Required)

Email(Required)

Aggregator(Required)

Lender References

Lender References(Required)

1st References Name Mobile Number

Lender References(Required)

2nd References Name Mobile Number

Compliance Details

Australian Credit Licence(Required)

Registered

Applied

Licensed

Name of ACL Holder

Licence Number

Relationship to Licence(Required)

Employee of Licensee Holder

Authorised Credit Rep

Individual Licence Holder

Credit Rep Number(Required)

Registration Details

Membership Body Number(Required)

Have you been a broker longer than 2 years?(Required)

Yes

No

Mentor Details

Mentor's Name Mentor's Contact Number

Registration Details(Required)

PI Cover Insured Cover Amount (in any one claim)

Declaration

Have you or any of your associates ever declared bankruptcy?(Required)

Yes

No

Have you or any of your associates ever been found guilty of any offence involving fraud, dishonesty, drug trafficking or money laundering?(Required)

Yes

No

If "yes" please provide details:

Has your accreditation ever been refused or revoked with any other lender?(Required)

Yes

No

If "yes" please provide details:

Consent(Required)

I certify the above information is true and correct.

I understand that as a RESI Accredited Introducer, I will be granted access to the introducer website.

The representations have been made to RESI to enable it to determine whether or not to determine whether or not to accredit me as an introducer. I understand and acknowledge that RESI is relying on the information in this form to determine whether to offer accreditation.

Broker Accreditation

Getting Accreditated

Name & Address

Contact Details

Lender References

Compliance Details

Registration Details

Declaration

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