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Authority to Obtain Confidential Information (Form A)

➤ Authority to Obtain Confidential Information (Form A)

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I/We give authority to Collins House Private Wealth (Collins House), a Corporate Authorised Representative of Collins House Private Wealth Pty Ltd (AFSL No. 449146), and its Financial Advisors, Consultants, and staff, namely Mr Dominic Alafaci, Mr Sam Campisi, Ms Kate Nicol, Mr Lloyd Masocha, Ms Moira Bentley, Ms Claire Jin, Ms Yi Li, Mrs Neda Kuzmic, Ms Heidi Motte and Mr James Campisi, authority to obtain any confidential information they may require regarding the above.

The authority is to remain valid until revoked.

If you have any queries, please contact Collins House as below:

PHONE (03) 9629 6922
EMAIL mail@collinshouse.com

POST
PO Box 24175
Melbourne VIC 3001

OFFICE
Level 13, 90 Collins Street
MELBOURNE VIC 3000

Confirmation of supplied details

Contact Us

If you would like to discuss obtaining Independent
Financial & Investment Advice, or any of our other
Professional Services, please feel free to contact us.

Call us
(03) 9629 6922

<span>Call us</span><br>(03) 9629 6922

Connect

<span>Connect</span>

Collins House

Collins House
Level 13
90 Collins Street
MELBOURNE VIC 3000

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Contact

T/ (03) 9629 6922

F/ (03) 9620 5131

Mailing Address:
PO BOX 16056
Collins Street West
Melbourne VIC 3007