Identification type
Select
Driver Licence Passport Medicare Card Centrelink Card ImmiCard
Select one identification type. Only the selected document fields will be shown.
OR
OR
OR
OR
C. Personal Bank Details
You may provide your personal bank account now for future refunds or Payee/Seller transactions. i These details are optional, but providing them now can speed up transaction processing.
Bank account name should closely match the individual's name. GoEscrow may remit a $0.01 transfer and request a transaction reference code as confirmation. SWIFT codes are required for international bank accounts. Further details may be requested for international settlements.
E. Authority and Execution
Section A of this form has matched the email address, mobile phone number or ABN to an existing GoEscrow account. A new application is not required. Please use the GoEscrow apps or contact customer service if this is incorrect.
This form is presented by Jitzu, a GoEscrow referral partner. The escrow payment service is provided and administered by GoEscrow Pty Ltd. Information submitted through this form is provided directly to GoEscrow, with a summary of the submission also provided to Jitzu. Jitzu does not provide the escrow service, hold or control escrow funds, bind GoEscrow, or determine transaction, settlement, refund or dispute outcomes.
I authorise GoEscrow Pty Ltd ACN 650 709 354 to create an account in my name. I am the person in the identification data in section B and I consent to my information being checked with the document issuer or official records holder via third party systems for the purpose of confirming my identity. I have read, understood and agree to the Terms Of Use Agreement and have read and understood the Product Disclosure Statement and Financial Services Guide .
I confirm I am the applicant
I confirm the information supplied is true, accurate and complete.
Digital signature acknowledgement.
SUBMIT
