PRIVATE AND CONFIDENTIAL

Reference number: 5 3 2 0 3 0 9 3 /D002240928

UNILODGE AUSTRALIA PTY LTD
GPO BOX 2481 Date: 1 3 A p r i l 2 0 2 3
BRISBANE QLD 4001
AUSTRALIA

Important information about your Foreign Tax Residency

Dear UNILODGE AUSTRALIA PTY LTD,

Thank you for choosing to do business with us.

To ensure we can uphold our responsibilities to you and to our Bank regulators, up-to-date
customer information is important.

Customer information for your account suggests that, UNILODGE AUSTRALIA PTY LTD, and/or
its Beneficial Owner(s) (BO)/Controlling Person(s) (CP) may have a foreign tax residency in a
country other than Australia.

Foreign tax residency refers to the country or countries in which an entity and/or their BO/CP is
liable to pay tax, irrespective of whether a tax return must be filed or any tax is actually payable.
To ensure your entity and/or BO/CP information is accurate, please read the following carefully,
complete and return the enclosed Declaration and/or Related Party Identification Forms to us
within 30 days from the date of this letter or your account/s will be restricted.

How this will affect you

If you have not returned the enclosed form by [30 days from date of letter], the following
account/s will be restricted on [30 days from date of letter].

Account Name Product Type Account

Number
St George Business St George Business XXXX8196
Vantage Vantage
St George Business St George Business XXXX4686
Vantage Vantage
St George Business St George Business XXXX9239
Vantage Vantage
St George Business St George Business XXXX8740
Vantage Vantage
St George Business St George Business XXXX9657
Vantage Vantage
St George Business St George Business XXXX6481
Vantage Vantage
St George Business St George Business XXXX0593
Vantage Vantage

Why we are contacting you

An international agreement, the Common Reporting Standard, requires all Australian banks
and financial organisations to identify customers who may have a foreign tax residency.

The Common Reporting Standard enables the exchange of customers' foreign tax
residency information between countries to protect the integrity of tax systems around
the world.

We are required by law to provide the information of all customers and/or their BO/CP who
have a foreign tax residency to the Australian Taxation Office (ATO). The ATO may then share
this information with tax authorities in other countries.

Make sure your profile information is up-to-date

Page 1 of 2
To ensure your entity and/or BO/ CP information is accurate, and we don't inadvertently report incorrect
information, we need you to confirm your tax residency status. Please complete the enclosed
Declaration and/or Related Party Identification Forms and return it to us. If you answered no, please
provide an explanation, and send through documentation to support your explanation.
As customer information for your account/s suggests that your entity and/or BO/CP may have a foreign
tax residency, please be aware that if you do not complete and return the Declaration and/or Related
Party Identification Forms, your information may be reported to the ATO.

Next Steps

To update your customer information:

1. Complete all sections of the enclosed Declaration and/or Related Party Identification Forms

2. Sign and date your completed form(s)

3. Return your completed form(s) to us via:

Post: Foreign Tax Operations
GPO Box 2670
SYDNEY NSW 2001

If you have recently provided us with all the information we require, please disregard this request.

Need help?
Please call Foreign Tax Operations on 1300 725 863 between 9am-5pm (Australian Eastern

Standard Time) Monday-Friday if you have further questions or need help to complete this request.

Customers outside Australia please call +61 2 9155 7580.

Please note, we are unable to provide taxation advice. If you need help to determine the tax residency
status of your entity or BO/CP, please contact your taxation advisor.

Yours sincerely,
Foreign Tax Operations

Privacy
Please see the Privacy Statement included in the Declaration Form, that outlines what we do to
manage and protect your personal information.

Enclosed:
Common Reporting Standard Declaration - Entity with BO/CP
Related Party Identification Form
Common Reporting Standard Declaration -
Entity with Beneficial Owner(s)/Controlling Person(s)

Page 2 of 2
Common Reporting Standard 5 3 2 0 3 0 9 3 /D002240928

Declaration - Entity with For advice on

Beneficial Owner(s)/Controlling Person(s) taxation matters
please contact
Form purpose an accredited
An international agreement, the Common Reporting Standard, requires all Australian banks and and qualified
financial organisations to identify and report customers who have foreign tax residency, to their local tax professional.
tax authority. Please be aware that if you do not complete and return the Declaration Form, your
information may be reported to the Australian Taxation Office.

Tick where applicable. Please use black or blue pen, and write in English using BLOCK LETTERS.

Section 1 Entity Details

Full name of Entity
The term 'Entity' refers to a company, partnership, association, co-operative, trust or government body
UniLodge Australia Pty Ltd

Principle place of business address

PO Box or 'Care of' is not allowed

Unit/Street Number Street Name/Type Suburb/City

Level 22/100 Brisbane
Creek Street
State/Province Country (do not abbreviate) Postcode/Zip
QLD Australia 4000

Section 2 Declaration of Residency for Tax Purposes

What is a Foreign Tax Resident?
Foreign Tax Residency refers to the country or countries in which an individual or Entity is liable to pay tax,
irrespective of whether a tax return must be filed or any tax is actually payable.

What is a Tax Identification Number(TIN)?

A TIN is an identifying number or equivalent issued by a country that is used for tax purposes.

Your Entity has been identified as a potential Foreign Tax Resident of the below country(ies)
Please confirm the Foreign Tax Residency information for your Entity is correct in the table below, and provide TIN
details. If you're a tax resident in a jurisdiction that doesn't issue a TIN or equivalent, you'll need to provide evidence
(which could include publicly available information) from an official authority written in English. Use the blank rows in
the table to provide us with details of any other countries not listed.

Conflicting Foreign Country Are you a tax If you answered If you answered no, please provide an
Residency resident of this yes, please provide explanation, and send through
Information country? your Tax documentation to support your
Identification explanation
Number (TIN)
Address CANADA x No
☐
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 1 of 8
Section 3 Beneficial Owner(s)/Controlling Person(s)
A Beneficial Owner/Controlling Person(s) refers to the individual(s) that directly or indirectly owns a legal interest
in the Entity of 25% or more and/or exercises actual effective control over the Entity, whether from an economic
or other perspective such as through voting rights. In addition, in the case of a trust, a controlling person
includes the settlor(s), trustee(s), appointer(s), protector(s), beneficiary(ies) or classes of beneficiaries and in the
case of an Entity other than a trust, the term includes persons in equivalent or similar positions.

I If the BO/CP is an existing customer of the Bank, please complete Sections 3 and 4

I If the BO/CP is not an existing customer of the Bank, please complete Section 4 and the attached Related Party
Identification Form (RIF)

Are there any Beneficial Owner(s)/Controlling Person(s) that are Foreign Tax Residents outside Australia
(who are customers of the Bank)?

No x Go to Section 4

Yes Give details of each Beneficial Owner/Controlling Person

Details of Beneficial Owner/Controlling Person 1

Title Full given name(s) Family name Date of birth
Mr John McCall MacBain 13 / 5 / 1958

Permanent residential address - PO Box or 'Care of' is not allowed

Unit/Street Number Street Name/Type Belmont Avenue Suburb/City

Vancouver
4707
State/Province British Columbia Country (do not abbreviate) Canada Postcode/Zip

Details of Foreign Tax Residency

Country Tax Identification Number (TIN)

Switzerland 756.6350.8908.36

Type text here

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 2 of 8
Details of Beneficial Owner/Controlling Person 2
Title Full given name(s) Family name Date of birth

/ /

Permanent residential address - PO Box or 'Care of' is not allowed

Unit/Street Number Street Name/Type Suburb/City

State/Province Country (do not abbreviate) Postcode/Zip

Details of Foreign Tax Residency

Country Tax Identification Number (TIN)

Details of Beneficial Owner/Controlling Person 3

Title Full given name(s) Family name Date of birth

/ /

Permanent residential address - PO Box or 'Care of' is not allowed

Unit/Street Number Street Name/Type Suburb/City

State/Province Country (do not abbreviate) Postcode/Zip

Details of Foreign Tax Residency

Country Tax Identification Number (TIN)

Details of Beneficial Owner/Controlling Person 4

Title Full given name(s) Family name Date of birth

/ /

Permanent residential address - PO Box or 'Care of' is not allowed

Unit/Street Number Street Name/Type Suburb/City

State/Province Country (do not abbreviate) Postcode/Zip

Details of Foreign Tax Residency

Country Tax Identification Number (TIN)

NOTE: If you have more than 4 Beneficial Owner(s)/Controlling Person(s), please photocopy this section to
provide more details.

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 3 of 8
Section 4 Declaration

I declare the following:

I The information I have provided in this form is true and correct and I understand the selections that I have made and
how they apply to the Entity.
I If my circumstances for the Entity or Beneficial Owner(s)/Controlling Person(s) change causing the information provided
on this form to become incorrect, I will notify the Bank of any updated information.
Signature of Authorised Entity Representative
This form must be signed by an appropriate Entity Representative which may include an authorised officer or
director of a company, a partner of a partnership, a trustee of a trust, an executor of an estate, or an authorised
representative (verified and held by) to act on behalf of the Entity account holder.
Signature Date (DD/MM/YYYY) Contact number

X 28 / 04 / 2023 0437729182

Full name (please print) Role/Function

Christopher Allan Webb

CFO
How do I notify the Bank about a change of circumstance?
Contact via post or email. Contact details are listed in 'Next steps'. We may require you to complete this form again
depending on your circumstances.

Next Steps:
Step 1 Ensure all relevant sections of the form are completed

Step 2 Sign and date this form.

Step 3 Complete the enclosed Related Party Identification Form (if required).

Step 4 Return the completed form(s) to:

Post: Foreign Tax Operations

GPO Box 2670
SYDNEY NSW 2001
Privacy Statement
We collect the personal information required by this form from We are required or authorised to collect personal information
you to process your application or to meet certain regulatory from you by certain laws. Details of these laws are in our
obligations. We may also provide your information to comply with privacy policy.
legislative or regulatory requirements in any jurisdiction, tell
you about products or services we think may interest you, Our privacy policy is available on our website. It covers:
prevent fraud, crime or other activity that may cause harm in . How you can access the personal information we hold
relation to our products or services and help run our business. about you and ask for it to be corrected;
. How you may complain about a breach of the Australian
Privacy Principles or a registered privacy code and how
If you do not provide all the information we request, we may need we will deal with your complaint; how we collect, hold and
to reject any application you make or we may no longer be able disclose your personal information in more detail.
to provide a product or service to you.
We will update our privacy policy from time to time.
We may disclose your personal information to other members
of the Westpac Group, anyone we engage to do something on For our customers located in the European Union
our behalf ("service providers") and other organisations that
assist with our business. The General Data Protection Regulation (GDPR ) regulates
the collection, use, disclosure or other processing of personal
Sometimes we will disclose your personal information to an data under European Union ( EU ) law. Personal data means
entity which is located outside Australia. Details of the any information relating to you from which you are either
countries where the overseas recipients are likely to be located identified or may be identifiable. Our collection, use,
are in our privacy policy. disclosure and other processing of your personal data may
also be regulated by the GDPR.
As a provider of financial services, we have obligations to
disclose some personal information to government agencies Please refer to our EU Data Protection Policy on our website
and regulators in Australia, and in some cases offshore. We are at
not able to ensure that foreign government agencies or https://www.westpac.com.au/privacy/eu-data-protection-policy/
regulators will comply with Australian privacy laws, although for information about how we manage your personal data
they may have their own privacy laws. By using our products under the GDPR. The EU Data Protection Policy also forms
or services, you consent to these disclosures. part of this Privacy Statement.

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 4 of 8
Common Reporting Standard 53203093 / D002240928
Related Party Identification Form - Individual
This form needs to be completed by the Related Party (Beneficial Owner/Controlling Person, Settlor of Trust or
Beneficiary).

All fields are mandatory

If you have more than one Related Party, please photocopy this form to provide more details.

Tick where applicable. Please use black or blue, and write in English using BLOCK LETTERS.

Section 1 Details of individual to be identified

Title Full given name(s) Family name Date of birth

/ /
Gender Phone number Email address

Male Female

Are you known by any other name(s)

No Yes Specify all other names

Residential address - PO Box is not allowed

Unit/Street Number Street Name/Type Suburb/City

State/Province Country (do not abbreviate) Postcode/Zip

Section 2 Foreign Tax Residency Information Type text here

What is a Foreign Tax Resident?

Foreign Tax Residency refers to the country or countries in which an individual or Entity is liable to pay tax, irrespective of
whether a tax return must be filed or any tax is actually payable.

What is a Tax Identification Number(TIN)?

A TIN is an identifying number or equivalent issued by a country that is used for tax purposes.

Are you (Beneficial Owner/Controlling Person, Settlor of Trust or Beneficiary) a Tax Resident outside Australia?
No Go to Section 3 below

Yes Give details of the country(ies) in which you are a resident for tax purposes and each country's associated Tax
Identification Number (TIN).

If you're a tax resident in a jurisdiction that doesn't issue a TIN or equivalent, you'll need to provide evidence
(which could include publicly available information) from an official authority written in English.

If you have more than 3 countries in which you are a tax resident, please photocopy this section to provide more
details.

Country Tax Identification Number (TIN)

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 5 of 8
Section 3 Certification
Certifiers must complete the next page and certify legible copies of either:

I One Document from Group 1

Or

I One Document from Group 2 and one other document from Group 3

Group 1 - Primary Photographic Identification Documents

Australian Passport (current or expired by less than 2 years).
Foreign passport issued by a foreign government, the United Nations or an agency of the United Nations.
Foreign Travel document issued by a foreign government, the United Nations or an agency of the United
Nations.
Australian licence/permit.
Foreign driver's licence which contains a photograph.
Proof of age card issued by State or Territory.
National Identity card issued by a foreign government, the United Nations or an agency of the United
Nations.

Group 2 - Primary Non-Photographic Identification Documents

Australian Birth Certificate or extract.
Foreign Birth Certificate.
Citizenship Certificate - Australian.
Citizenship Certificate - Foreign.
Centrelink Pension Card.

Group 3 - Secondary Identification Documents

Notice of Financial Benefits issued by a Commonwealth or State/Territory Department (less than 12 months
old).
Notice issued by the Australian Taxation Office (issued in the last 12 months).
Notice issued by a Local Government Body or Utilities Provider (less than 3 months old).
Department of Veteran s Affairs pension card.
Foreign driver s licence which does not contain a photograph.
Tenancy/lease agreement (must be current).
Medicare Card
Australian Marriage Certificate
Student ID card issued by an Australian tertiary institution (TAFE or University).
Notice issued by the principal of a school (less than 3 months old, must include the name of the customer,
residential address, period of school attendance & be issued on a school letterhead).
A current card issued under Commonwealth, State or Territory law for the purpose of identification for a
government service or as a licence.

Special Provisions - for Refugees only, either of the following documents:

Certificate of Identity issued by the Australian Government.

Convention Travel Document (Titre de Voyage or equivalent) issued by the Australian Government.

Signature of Individual to be identified

Full name (please print) Signature

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 6 of 8
Section 4 Certifier's Declaration and Details
Categories of acceptable certifiers
1. A person enrolled on the Roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal
practitioner (however described).
2. A judge of a court.
3. A magistrate.
4. A chief executive officer of a Commonwealth court.
5. A registrar or deputy registrar of a court.
6. A notary public (for the purposes of the Statutory Declaration Regulations 1993).
7. A police officer.
8. An Australian consular officer or an Australian diplomatic officer (within the meaning of the Consular Fees Act 1955).
9. A member of the Institute of Chartered Accountants in Australia, CPA Australia or the Institute of Public Accountants
with two or more years of continuous membership.
10. An officer with two or more years of continuous service with one or more financial institutions (for the purposes of
the Statutory Declaration Regulations 1993).
11. A Justice of the Peace.
12. An agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public.
13. A permanent employee of the Australian Postal Corporation with two or more years of continuous service who is
employed in an office supplying postal services to the public.
14. A finance company officer with two or more years of continuous service with one or more finance companies (for the
purposes of the Statutory Declaration Regulations 1993).
15. An officer with, or authorised representative of, a holder of an Australian financial services licence, having two or
more years of continuous service with one or more licensees.
16. Any person specifically appointed as our agent to certify identity.
17. A Commissioner of Declarations
18. A Commissioner of Affidavits
19. Note: Non-residents - certification by the following acceptable certifiers - categories numbered 1, 2, 3, 4, 5, 6, 7, 8, 9
& 10 as equivalent within the certifier's country of residence.

Certifier's Declaration
Note to Certifier: Please ensure copies are legible and record the following on each copy of the identification provided.
"This is a true copy of an original or certified copy document provided"; then print and sign your name, date and
Qualification number (if applicable) and also provide your details below so that we may contact you if necessary to confirm
this information.

Certifier's Declaration - I certify that:

1. The person named above signed this form in my presence.
2. I sighted originals of the documents noted on reverse of form.
3. I am satisfied that the documents produced were genuine and that to the best of my knowledge they confirm the name,
address and/or date of birth of the person named above.

Category number of acceptable certifier (see list above) Qualification number (if applicable)

Certifier's Details
Title Full given name(s) Family name

Address

Daytime phone number Signature

Branch/Office Use Only

Employee name Employee No. Branch Name Branch No. Signature

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 7 of 8
Our Reporting Obligations
We are required to identify tax residents of a country/ies other than Australia in order to meet account information
reporting requirements under local and international laws.

If at any time after account opening, information in our possession suggests that you, the Entity and/or any
individual who holds ownership and/or control in the Entity of 25% or more (Controlling Person/Beneficial Owner)
may be a tax resident of a country(ies) other than Australia, you may be contacted to provide further information on
your foreign tax status and/or the foreign tax status of the Entity and/or any Controlling Person/Beneficial Owner.
Failure to respond may lead to certain reporting requirements applying to the account.

By completing this application you certify that if at any time there is a change to the foreign tax status details for
you, the Entity and/or any controlling persons/beneficial owner, you will inform the bank. You also certify that if at
any time there is a change of a controlling person/s/beneficial owner/s in your Entity, you will inform the bank.

A controlling person/beneficial owner refers to the individual(s) that directly or indirectly owns a legal interest in the
Entity of 25% or more and/or exercises actual effective control over the Entity, whether from an economic or other
perspective such as through voting rights. In addition, in the case of a trust, a controlling person/beneficial owner
includes the settlor(s), trustee(s), appointer(s), protector(s), beneficiary(ies) or classes of beneficiaries and in the
case of an Entity other than a trust, the term includes persons in equivalent or similar positions.

By completing this application, you also certify that the settlor(s) (applicable to Standard Trusts only) are not foreign
tax residents. If the settlor(s) are a foreign tax resident, you must telephone 1300 725 863 at the time of completing
this application. When you contact us, you will be asked to provide additional information for the settlor(s).

Next Steps:
Step 1 Ensure all relevant sections of this form are completed

Step 2 Attach all supporting documentation

Step 3 Sign and date this form

Step 4 Return the completed form(s) to:

Post: Foreign Tax Operations

GPO Box 2670
SYDNEY NSW 2001

Privacy Statement We are required or authorised to collect personal information

We collect the personal information required by this form from from you by certain laws. Details of these laws are in our
you to process your application or to meet certain regulatory privacy policy.
obligations. We may also provide your information to comply with
legislative or regulatory requirements in any jurisdiction, tell Our privacy policy is available on our website. It covers:
you about products or services we think may interest you, . How you can access the personal information we hold
prevent fraud, crime or other activity that may cause harm in about you and ask for it to be corrected;
relation to our products or services and help run our business. . How you may complain about a breach of the Australian
Privacy Principles or a registered privacy code and how
we will deal with your complaint; how we collect, hold and
If you do not provide all the information we request, we may need disclose your personal information in more detail.
to reject any application you make or we may no longer be able
to provide a product or service to you. We will update our privacy policy from time to time.
We may disclose your personal information to other members For our customers located in the European Union
of the Westpac Group, anyone we engage to do something on
our behalf ("service providers") and other organisations that
assist with our business. The General Data Protection Regulation (GDPR) regulates
the collection, use, disclosure or other processing of personal
data under European Union (EU) law. Personal data means
Sometimes we will disclose your personal information to an any information relating to you from which you are either
Entity which is located outside Australia. Details of the identified or may be identifiable. Our collection, use,
countries where the overseas recipients are likely to be located disclosure and other processing of your personal data may
are in our privacy policy. also be regulated by the GDPR.
As a provider of financial services, we have obligations to Please refer to our EU Data Protection Policy on our website
disclose some personal information to government agencies and at
regulators in Australia, and in some cases offshore. We are https://www.westpac.com.au/privacy/eu-data-protection-policy/
not able to ensure that foreign government agencies or for information about how we manage your personal data
regulators will comply with Australian privacy laws, although they under the GDPR. The EU Data Protection Policy also forms
may have their own privacy laws. By using our products or part of this Privacy Statement.
services, you consent to these disclosures.

Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian Credit Licence 233714 Page 8 of 8