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Commercial Cards – Application

Apply for a Commercial Card

Information you’ll need to supply (it is recommended this information is supplied at the same time the application form is submitted to avoid unnecessary delays).

• Copies of your business financial statements (2 years required), or for new companies or businesses a cashflow projection for the next 12 months. • Copies of any interim business financial figures.

• Copies of Personal Taxation Returns for all business partners or directors. Additionally, to complete the Application form you will need to disclose:

• The current value of any personal assets and liabilities of all business partners and directors. • Balances of any existing business loans/lines of credit.

After you submit your application

• We will contact you shortly to advise on the progress of your application. • If your business is a company, a Director’s Guarantee may be required.

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Section continues over

Commercial Cards – Application

When complete forward to NAB Commercial Cards, Reply Paid 9992, Melbourne VIC 8060 or fax to 1300 656 521

NAB Business Access Card NAB Business Card NAB Qantas Business Card (MasterCard)

Section A

Product details

Business Facility Purpose Facility limit required

$

Section B

Business details

Business structure Sole Proprietor Partnership Company Is the business acting as trustee for a trust? Yes No

Registered Business/Company name Trading name of business (if different to registered business name)

ABN ACN/ARBN Business Registration Number

Business address Suburb State Postcode

Postal address (if different to business address) Suburb State Postcode

Tel. no. ( ) Fax. no. ( ) Website address What industry does your business operate in?

Agriculture Business Services Education Government Manufacturing Retailing Wholesaling Other Briefly describe the

business’s primary activity

Years trading

Number of employees Does the business have any existing lending facilities? Yes (give details) No

AMOUNT OWING MONTHLY REPAYMENTS

Type of loan Name of financial institution

$ $

Type of loan Name of financial institution

$ $

Is the business connected to another business/company? (through ownership, control etc.) Yes (what are the names of the other businesses/companies?) No

Financial summary

Please provide full copies of certified financial statements for the last 2 (two) years for your business and personal returns as completed by your accountant, or for new companies or businesses please provide a cashflow projection for the next 12 (twelve) months.

Section C

Personal details

(If more than 2 (two) Applicants, please photocopy and complete this section for the additional Applicants and forward with application form) Applicant No.  – Sole Proprietor/Partner/Director (Nominated contact person)

Title Surname Given name/s

Date of birth

/

/

Driver’s

licence no. Are you a permanent Australian Resident? Yes No

Street address Suburb State Postcode

Residential status

Mortgage Renting Boarding Own outright Supplied by employer Living with parents/relatives Years at

above address Yrs Mths Previous address (if under three 3 (three) years at present address)

Suburb State Postcode

Relationship to business

Sole Proprietor Partner Director

Number of years

in the industry Yrs Mths

Percentage of

business ownership % Have you had ownership in this business for at least 2 (two) years? Yes No (give previous employment details)

Job title Time at

employer Yrs Mths

Full-time Part-time Current employer’s name (if not employed full-time in own business) Visa

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Section C

Personal details

Applicant No.  – Partner/Director

Title Surname Given name/s

Date of birth

/

/

Driver’s

licence no. Are you a permanent Australian Resident? Yes No

Street address Suburb State Postcode

Residential status

Mortgage Renting Boarding Own outright Supplied by employer Living with parents/relatives Years at

above address Yrs Mths Previous address (if under three 3 (three) years at present address)

Suburb State Postcode

Relationship to business

Sole Proprietor Partner Director

Number of years

in the industry Yrs Mths

Percentage of

business ownership % Have you had ownership in this business for at least 2 (two) years? Yes No (give previous employment details)

Job title Time at

employer Yrs Mths

Full-time Part-time Current employer’s name (if not employed full-time in own business)

Section D

Personal financial details (only use whole dollar amounts)

Assets/liabilities jointly held should be listed at 50% of their market value. Business assets/liabilities should not be included

Applicant No. 

Assets – what you own Monthly personal income

Current market value of your principal home/residence

PRESENT VALUE PRESENT VALUE

$ Primary monthly income before tax $ Other property $ Primary monthly income after tax $ Bank account/s

$

Spouse/partner monthly income after tax (optional) $

Other tangible assets

(e.g. shares, vehicles) $ Other monthly income after tax $

Please specify Please specify

Total assets

$

Total monthly

income $

Applicant No. 

Assets – what you own Monthly personal income Current market value

of your principal home/residence

PRESENT VALUE PRESENT VALUE

$ Primary monthly income before tax $ Other property $ Primary monthly income after tax

$ Bank account/s

$

Spouse/partner monthly income after tax (optional) $

Other tangible assets

(e.g. shares, vehicles) $ Other monthly income after tax $

Please specify Please specify

Total assets

$

Total monthly

income $

Section E

Facility security details

Is the Application for a company? Yes (Director’s Guarantee is required from each director detailed in Section C.) No Is there any other security being offered? Yes (give details) No

Mortgage over Property

OWNER’S NAME ADDRESS MARkET VALUE MORTGAGE IS HELD WITH? AMOUNT OWING

$ $

$ $

Liabilities – what you owe

NAME OF LENDER AMOUNT OWING MONTHLY PAYMENTS

Mortgage – principal

residence $ $

Other loans/mortgages

$ $

TOTAL LIMITS AMOUNT OWING MONTHLY PAYMENTS

All credit cards

$ $ $

Monthly personal

expenses General living expenses (e.g. food, gas, electricity, rent) $

Total monthly expenses

$

Liabilities – what you owe

NAME OF LENDER AMOUNT OWING MONTHLY PAYMENTS

Mortgage – principal

residence $ $

Other loans/mortgages

$ $

TOTAL LIMITS AMOUNT OWING MONTHLY PAYMENTS

All credit cards

$ $ $

Monthly personal

expenses General living expenses (e.g. food, gas, electricity, rent) $

Total monthly expenses

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Section continues over Section F

Facility establishment details

Emboss Name

This field is mandatory (Do not use ‘/ ’ – oblique or ‘()’ – brackets)

Emboss company/business name to appear on all cards – max. 18 characters

Please note that the cardholder name will also be embossed.

Would you like to personalise all your cards with your business name? Yes (give details below) No

Name to appear on card – max. 35 characters (18 characters on line 1 and 17 characters on line 2)

(Line 1) (Line 2)

Important information on personalising your cards

The name selected by you will be positioned in the top left corner of the card.

The name you select must only:

• be your full registered business name or company name or legal name(s); • use a maximum number of 35 characters (including spaces);

• use CAPITAL LETTERS; and

• use standard English keyboard characters. NAB reserves the right to:

• amend or exclude any name submitted by you; and • request verification of any name submitted by you.

Section G

Facility repayment details (Only complete the section relevant to the product you are applying for.)

NAB Business Access Card

Would you like your monthly repayments deducted from one of your existing NAB accounts? Yes (give details) No Name of account

which is to be debited

– – –

BSB No. Account No.

Minimum payment Fixed amount of $ Closing balance How many days after statement end do you want the direct debit applied to your account(choose from 1 - 25)

or the minimum payment whichever is greater. Fixed amount must be greater than $10 NAB Business Card

Your monthly repayments must be made by direct debit. It is possible to have your monthly repayment deducted in full from one of your existing NAB accounts.

Name of account which is to be debited

– – –

BSB No. Account No.

How many days after statement end do you want the direct debit applied to your account(choose from 1 - 5) NAB Qantas Business Card

Would you like your monthly repayments deducted from one of your existing NAB accounts? Yes (give details) No Name of account

which is to be debited

– – –

BSB No. Account No.

Minimum payment Fixed amount of $ Closing balance How many days after statement end do you want the direct debit applied to your account(choose from 1 - 14)

or the minimum payment whichever is greater. Fixed amount must be greater than $10

Section H

Cardholders details

(If more cardholders are to be nominated please photocopy and complete this section for the additional cardholders and forward with application form) Important Information for NAB Qantas Business Card only

You will need to complete the Points Earner details below. Any Facility Owner or Cardholder can be a nominated Points Earner. A Points Earner must be a member of the Qantas Frequent Flyer program to have points credited to their Membership Account. Membership and points are subject to the terms and conditions of the Qantas Frequent Flyer program. For more information, go to qantas.com/frequentflyer A joining fee usually applies. However, NAB has arranged for this to be waived for a limited time for new NAB Qantas Business Cardholders who join by visiting qantas.com/joinffnabbusiness or calling    and quoting NABBUSINESS.

Cardholder  Owner Employee

Title Surname Given name/s

Date of birth

/

/

Cardholders

credit limit $ Customer No.

Residential address Suburb State Postcode

Complete for NAB Qantas Business Card only

Points Earner Qantas Frequent Flyer Membership Name (title, first name and surname) Points Earner Qantas Frequent Flyer Number

Do you want to restrict cardholder cash advance access? Yes No Nominated account details (NAB Qantas Business Card and NAB Business Access Card only)

Do you wish to attach any of your other NAB accounts to this card? Yes (give details) No (Not valid for NAB Business Card)

– – – – – –

BSB No. Account No. BSB No. Account No.

Cardholder  Owner Employee

Title Surname Given name/s

Date of birth

/

/

Cardholders

credit limit $ Customer No.

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Section continues over Complete for NAB Qantas Business Card only

Points Earner Qantas Frequent Flyer Membership Name (title, first name and surname) Points Earner Qantas Frequent Flyer Number

Do you want to restrict cardholder cash advance access? Yes No Nominated account details (NAB Qantas Business Card and NAB Business Access Card only)

Do you wish to attach any of your other NAB accounts to this card? Yes (give details) No (Not valid for NAB Business Card)

– – – – – –

BSB No. Account No. BSB No. Account No.

Cardholder consent

Each cardholder to read and to provide consent by signing as provided below

I, the person named above as Cardholder consent to the issue of a NAB Commercial Card (‘Card’) in my name for use as Agent of the Customer named herein. I acknowledge I will receive the Conditions of Use for NAB Commercial Cards with the Card and those terms govern my use of the Card.

For NAB Qantas Business Card only

I understand I have no entitlement to points earned in connection with my card. Any points earned in relation to my card will be credited to the nominated Points Earner’s Qantas Frequent Flyer Membership Account. If I am a nominated Points Earner then: I authorise NAB to give to Qantas Airways Limited ABN 16 009 661 901 or any related body corporate that operates the Qantas Frequent Flyer program in the future (“Program Provider”), and vice versa, my

membership account information (including membership number and full name) to confirm program membership and facilitate the crediting of points to my Qantas Frequent Flyer account.

Cardholder  signature

Cardholder  signature

Date

/

/

Date

/

/

Section I

Customer (Company/Business) Consent

The Customer requests the issue of a Card (and Personal Identification Number [PIN]) to the Cardholder/s above (or nominated in connection with this application) in accordance with the Customer’s NAB Commercial Card Facility Offer Letter and Terms and Conditions (including, without limitation, the Conditions of Use for NAB Commercial Card and NAB Electronic Banking (card based) Product Disclosure Statement referred to in the Terms and Conditions for the Facility). In the event the Cardholder/s has nominated other accounts to be attached to the Card under the heading ‘Nominated account details’, the Customer hereby authorises those accounts to be accessed by use of the Card and Personal Identification Number issued to the Cardholder/s.

Section J

Privacy Protection of Information

Sharing and handling your personal information

If you go ahead with this application, we can give some of your personal information to credit reporting bodies and others and get information about you from them to help us assess your credit worthiness.

There is more information about how we collect, use, share and handle your personal information in our Privacy Policy and Privacy Notification. This includes how you can:

• access and correct your information;

• make a complaint about how we manage your information; and • contact the credit reporting bodies we deal with if you have queries about

the information they hold.

Our Privacy Policy is at www.nab.com.au/privacy and our Privacy Notification is at www.nab.com.au/privacynotification. We’ll also provide you with a copy of the Privacy Notification.

Acknowledgement and consent I acknowledge and agree as follows:

NAB may obtain personal information about me from a credit reporting body NAB may obtain information about me from a credit reporting body to assess my application (in relation to either consumer credit or commercial credit) or to collect any payment that is overdue in relation to credit that NAB gives me as a result of making this application

NAB may exchange information with other credit providers NAB may give to and obtain from credit providers named in this credit application and credit providers that may be named in a credit report issued by a credit reporting body information about my/our personal or commercial credit arrangements. This information can include any information about my/ our creditworthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act. The information may be used for the following purposes:

• To assess an application by me/us for credit.

• To assist me/us to avoid defaulting on my/our credit obligations. • To notify other credit providers of a default by me/us.

• To assess my/our creditworthiness.

This information may include credit eligibility information (that is information NAB obtained from a credit reporting body or based on information obtained from a credit reporting body).

Authority to exchange information Qantas Frequent Flyer program Program Provider means, in the case of the Qantas Frequent Flyer program, Qantas Airways Limited ABN 16 009 661 901, or any related body corporate that operates the Qantas Frequent Flyer program in the future.

If I am the nominated Points Earner, then NAB may give to the Program Provider and vice versa, my membership account information (including membership number and full name) to confirm program membership and facilitate the crediting of points to my Qantas Frequent Flyer account.

NAB may give information to guarantors and proposed guarantors NAB may give personal information about me to a potential or existing guarantor,or their authorised legal representative, (including a person or entity nominated as a guarantor in Section E) to assist them:

To consider whether to act as a guarantor or to offer property as security and to inform them about:

• this application, the credit guaranteed or to be guaranteed; • my credit worthiness, credit capacity or credit history; and • any other matter NAB decides is relevant to a potential guarantor

or guarantor.

The information that NAB may give to a guarantor or potential guarantor may include credit eligibility information (that is information NAB obtained from a credit reporting body or based on information obtained from a credit reporting body). Information will only be given to a potential guarantor to enable them to consider whether to act as a guarantor or to offer property as security.

Non-Individuals – Authority to disclose confidential information to guarantors and proposed guarantors

NAB may give to potential or exiting guarantor, or their authorised representative (including a person or entity nominated as guarantor in Section E) confidential information about our creditworthiness, credit standing, credit history, credit capacity or eligibility for credit.

Such confidential information may include, but is not limited to, copies of this loan application or loan contract, statements of our assets and liabilities, copies of mortgage documents or equitable charge, or other information considered necessary by NAB to assist them to:

(a) consider the risk of acting as a guarantor in or of offering property as security for, personal or commercial credit provided, or to be provided, to us by NAB; or

(b) make disclosures where that person or entity is a guarantor of, or has provided property as security for, personal or commercial credit provided by NAB to us; or

(c) make disclosures where that person or entity is a guarantor of, or has provided property as security for, personal or commercial credit provided by NAB to us and the amount owing under the personal or commercial credit is, or may be, increased; or

(d) make disclosures where that person or entity is a guarantor of, or has provided property as security for, personal or commercial credit provided by NAB to us and at the request of the guarantor, a copy of the latest loan account statement provided to us; or

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©2014 National Australia Bank Limited ABN 12 004 044 937 AFSL and Australian Credit Licence 230686 76292A0214

[Business purpose] I/We declare that the credit to be provided to me/us by the

credit provider is to be applied wholly or predominantly for business purposes or investment purposes other than investment in residential property. Important

You should only sign this declaration if this loan is wholly or predominantly for business purpose or investment purposes other than investment in residential property. By signing this declaration you may lose your protection under the National Credit Code.

Signature of Applicant number 

Signature of Applicant number 

Date

/

/

Date

/

/

Section k Guarantor’s Consent – (To be completed by Directors where Application is for a company)

I/we authorise the National Australia Bank Limited to obtain from a credit reporting agency a credit report containing personal credit information about me/us to assess whether to accept me/us as a guarantor for personal credit or commercial credit applied for, or provided to, the borrowers.

This information may include credit eligibility information (that is information NAB obtained from a credit reporting body or based on information obtained from a credit reporting body).

I/We agree that if NAB approves the borrower’s Application for credit this authorisation remains in force until the credit facility covered by the borrower’s Application is discharged.

Signature of Guarantor

Signature of Guarantor

Date

/

/

Date

/

/

NAB USE ONLY

Complete for Banker approved applications only

Important The following fields MUST be completed before the requested facility can be established and cards issued.

$ • Facility limit approved • Customer number

• Application has been approved under appropriate DCA • Is facility secured? Yes No

• Yes – Interest Rate Code Margin %

• Credit commitment established

• Letter of offer and Welcome Kit prepared and sent to customer • Security documentation prepared and executed Yes N/A

Banker’s signature

Tel No. ( ) Name

BU Id number

When complete, bankers to submit an eform.

CARDS AUSTRALIA USE ONLY

Card type

Business Access Visa Business Card Visa Business Access MasterCard Business Card MasterCard® Qantas Business Card MasterCard®

Billing Account number Company ID

Nature of business (tick one) S P C T O Type of account (tick one) F U

MasterCard is the registered trademark of MasterCard International Incorporated. NAB may give information to others

NAB may contact my accountant,solicitor, adviser, bank, other financial institution or contact person to verify details in this Application. Where I have provided any identification documentation (e.g. passport, driver’s licence) to NAB in connection with my application, NAB may contact the authority that issued the document to verify the status of and any information contained in the document.

Signature and Declaration

By signing this Declaration I acknowledge and agree

[Personal information about an individual] Where I/we have provided personal information about an individual (such as an employer, relative, spouse/partner, solicitor or contact person), I will let them know:

• their personal information has been collected by NAB for the purpose of providing me/us with the product or service which is the subject of this Application (including assessing my/our Application) and managing and administering the product or service and protecting against fraud; • their personal information may be disclosed to other organisations involved

in the provision, management or administration of my/our product or service as required by law or with their consent;

• I/we may not be able to obtain the product or service the subject of this Application if that individual’s personal information is not provided;

• the individual can gain access to their personal information by contacting NAB; and

• NAB’s contact details; and

• NAB handles their personal information in the way set out in NAB’s Privacy Policy at www.nab.com.au/privacy and in NAB’s Privacy Notification at www.nab.com.au/privacynotification and they can also request a copy by asking NAB.

[Insolvent, bankruptcy] I/we have never been insolvent nor committed any act of bankruptcy or entered into any assignment, composition or arrangement for the benefit of creditors and that there is no unsatisfied judgement in any court against me/us.

[Content of the Application Form] I/We declare that I/we have read this Application and the information in it is complete and accurate before signing. [My/our signature] My/our signature(s) below evidences my/our stated understanding, acknowledgment, authority, consent and agreement to all matters set out in this Application in particular Section J – Privacy Protection of Information.

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