Confirm your details

To ensure payments due to you are directed to the correct account and superannuation fund we require you to either confirm the details provided from our database or provide your new account details and superannuation information.

Please note that if your superannuation details have changed you will need to complete the Superannuation Choice Form provide on the webpage and return to this form.

Disclaimer: The purpose of this form is to confirm your personal details to ensure payments owing to you are correctly allocated to your requested Superannuation Fund and Bank Account.

In order to ensure a secure payment to your Superannuation we have provided the Name of your Fund in our correspondence . Please confirm "these details are correct" OR '"You have completed the Superannuation Choice Form". *

Please complete Superannuation Choice Form - ONCE COMPLETED RETURN TO 'CONFIRM YOUR DETAILS"

Please state the name of your superannuation fund - membership number not required. *

In order to to ensure a secure payment we have provided you with the last 3 digits of your Bank Account in our correspondence. Please confirm if these details are correct. *

Full name *

Email address *

Address * ( Unit, No. Street, Suburb, State, Postcode, International Country Codes)

Mobile *

Date of birth

Day Month Year

Tax File Number *

Current BSB *

Current Account No. *

Privacy

La Trobe University respects the privacy of your personal information. We, La Trobe University Human Resources & AAO collect personal information about you to set up and manage a payroll deduction on your behalf and maintain accurate donor data. We will only use this information for this purpose. If your personal information is not provided to us then we will be unable to complete this request correctly. You may have the right to access the personal information we hold about you subject to any exemptions in relevant laws, by contacting us on (03) 9479 1234.

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