Commonwealth Consolidated Regulations(regulation 3B)
| Transferor superannuation provider information | |
| 101 |
Contact name |
| 102 | Contact telephone number |
| 103 | Contact facsimile number |
| 104 | Contact e-mail address |
| Member information | |
| 201 | Tax file number (if
given to the provider in connection with the operation or possible future
operation of the Act) |
| 202 | Name |
| 203 | Previous name (if any) |
| 204 | Sex |
| 205 |
Date of birth |
| 206 | Residential address |
| Employer information Note
This information is only required if the member's
residential address is not shown. | |
| 301 | Name |
| 302 | Trading name |
| 303 | PAYE
group number |
| 304 | Business address |
| Contributed amounts information | |
| 401 |
Financial year to which the transferred contributed amount relates |
| 402 |
Transferred amount and the total amounts mentioned in subsection 13 (7)
of the Act* |
| 403 | Transferred employer contributed amount (accumulation)* |
| 404
| Transferred employer contributed amount (defined benefit)* |
| 405 | Transferred
post 20 August 1996 component of employer eligible termination payment rolled
over on or after 1 July 1997* |
| 406 | Transferred allocated surplus amount*
|