Change of Details Form

  • Please upload some photo identification. Either a Drivers Licence, Passport or Student ID. You can upload a PDF, JPEG or Microsoft Word document.
    Drop files here or
    Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB.
    • Bank Account Details

      For elders 65 years and over
    • Please provide Bank account verification (Top section of bank statement with Name, Address, BSB number and Account number). You can upload a PDF, JPEG or Microsoft Word document.
      Drop files here or
      Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB.
      • Application Declaration

        I have read and understand the Policy and I declare all information supplied to be true and correct. I agree that my typed name below can be used as a digital representation of my signature to that fact.
      • For any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au