Broker Accreditation Millbrook Group Accreditation Form We accredit brokers holding, or operating as a credit representative under, an Australian Credit Licence, with current PI cover and membership of a recognised industry association. Your details.Name First Middle Last Role or Title(Required)Work Email(Required) Mobile(Required)Business and licensing.Details of the brokerage and the authorisation under which credit assistance is provided.Registered business name(Required)Trading name (if different)(Required)ABN(Required)Aggregator(Required)Business Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Licensing status(Required)I hold an Australian Credit Licence (ACL)I am a credit representative under an aggregator ACLACL numberCredit representative numberLending focus and experience.What you write and how much. This helps us match you to the right credit contact and tailor the accreditation pack to your business.Lending focus (select all that apply)(Required) Commercial property Bridging finance Development Residential - Alt Doc Residential - Full Doc SMSF Lease Doc Other Other Annual settlement volume(Required)Under $10m$10m - $25m$25m - $50mOver $50mIdentity verification.Please upload two clear copies of identification. Choose any two of: Australian passport, driver's licence or Medicare card. Document 1: Australian Passport(Required)Accepted file types: maximum10mbperfileacceptedformats:pdf, jpeg, png, webp, heicpleasesupplytwodifferentdocuments, Max. file size: 2 MB. Document 2: Driver's Licence(Required)Max. file size: 2 MB. Broker Code of Conduct.George to addConsent(Required) I have read the Millbrook Group Broker Code of Conduct in full and agree to be bound by it as a condition of accreditation.Disclosure(Required) I undertake to act with honesty, transparency and clear communication in all dealings with clients, with Millbrook Group, with my aggregator and with regulators, and to disclose all material facts relevant to each loan application.Consent(Required) I agree to the privacy policy.
