Your full name

Line 1 address

Suburb/City State Postcode

Contact phone number

Recipient organisation name

Line 1 address

Suburb/City State Postcode

dd/mm/yyyy

Dear Sir/Madam,

Re: Change of direct credit information for Full name, SRN or HIN Your SRN or HIN

I have changed the bank account into which I would like my direct credits to be paid. Please update your records to make sure all future payments are credited to my new Commonwealth Bank account.

Previous account details

Financial institution:	Previous bank
Branch:	Branch name
Account name:	Account name
BSB:	BSB number
Account number:	Account number

New Commonwealth Bank account details

Branch:	Branch name
Account name:	Account name
BSB:	BSB
Account number:	Account number

Share Details

Shareholder reference number (or HIN):	SRN or HIN
ASX code:	ASX share code
Account number (or Investor ID):	Account number or investor ID

Please ensure your records are updated to reflect this change in account. If you have any questions, please do not hesitate to contact me on Your contact phone number.

Thank you for your assistance.

Yours sincerely,

............................................................ ............................................................

Your full name Joint account holder name if applicable

The above information has been checked and is believed to be correct.