SAMAF ACCOUNTANTS AND CONSULTANTS

NEW STAFF MEMBER DETAILS

SURNAME: Raza GIVEN NAMES:
Kazim

ADDRESS: 13/186 Forrest Parade Rosebery Date of Birth: 11/11/1992

0832 NT Marital Status:

Married

TEL NO (H):

61420660952
TEL NO (M):

7/1/2020
START DATE:

NEXT OF KIN /
EMERGENCY Rida Fatima Tax File Number: 368605036
CONTACT:

RELATIONSHIP: Wife NATIONALITY: Pakistani

CONTACT PHONE NO: 449974110 VISA STATUS: Bridging Visa

BANK DETAILS:-

Name of Bank: Commonwealth Bank

Name of Branch: St Albans Vic

Name the Account is in: Kazim Raza

Bank BSB no: 63135

Bank Account Number: 10731556

Signed:__________________________________________

6/24/2020
Date:_________________

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 SUPERANNUATION FUND DETAILS (Please tick selection)

Employee Name: KAZIM RAZA

x I have my own Superannuation Fund as follows:

(please complete ALL sections)

Name of Fund: HOSTPLUS

Address of Fund: LOCKED BAG 5046 PARRAMATTA

State NSW P/Code

Membership/Policy No: 103432675

Super Fund ABN 68657495890

Super Fund Contact Phone No: 03 (96247370)

Super Fund BSB:

Super Fund Bank A/c No or BPAY details:

A letter from the trustee stating that this is a complying fund and (for a self mana
A) superannuation fund) a copy of documentation from the ATI confirming the fund is regulated

I have attached: B) Written evidence from the fund they will accept contributions from my employer, and

C) Details about how my employer can make contributions to this fund

OR

I wish to join Stantons International Audit & Consulting Pty Ltd AMP CustomSuper Plan

6/24/2020
Signed: Date:

file:///conversion/tmp/activity_task_scratch/625222625.xlsx
 2124

and (for a self managed

the fund is regulated

mployer, and

Super Plan

file:///conversion/tmp/activity_task_scratch/625222625.xlsx