ZiiPAY Pre Application
Trust
Please note: This form will collect basic information and Zii team will prefill those information in ZiiPAY application form. Customer will still need to login to Zii Portal, and go to 'Integration-ZiiPAY-Config' to complete the application and sign.
Business Legal Name
*
Business Trading Name
*
Business ABN
*
Physical Business Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Zii Contact
Zii Sales, Zii Account Manager
Number of V660 terminals required ($29+GST/unit, recommended for POS)
*
Number of P630 terminals required ($19+GST/unit, only recommended for Kiosk)
*
Surcharge Rate % to customer
*
The range has to be between 0 (no surcharge) ~ 2%
Banking Details
Please make sure the settlement bank details provided is under the business
BSB
*
Account Number
*
Bank Statement no older than six months/Bank Account Proof
*
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This must show the legal name of the applying entity. Require Company legal name, full bank account number including BSB, account number, Bank Logo. Business address on the bank statement must be the same address of the business.
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Authorized Person
Person Legal Name
*
First Name
Last Name
Person Roles
*
Owner (Someone who owns 25% or more of the company)
Controlling Person (Authorized to make major business decisions)
Signatory (Authorized to sign contracts on behalf of the company)
Direct (Someone appointed to manage a company's business and affairs)
Position
Phone Number
*
Please enter a valid phone number.
Email
*
Email used to activated the ZiiPay account
Trust Deed File
*
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Only accept a fully signed copy
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Director AUS Driver License (Front Side)
*
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Director AUS Driver License (Back Side)
*
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Director Passport
*
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Passport first page photo
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Other Documents
IDs for any Shareholder with 25% or greater ownership of the company, or beneficiaries of trust
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Australian citizens can submit their passports (first page photo) or Australian Driver's license (front and back side photo). Non-Australian citizens must submit their passports (first page photo).
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