New Client On-Boarding
Date submitted
*
-
Day
-
Month
Year
Date
Partner
*
Chris Reed
Domenic Suleman
Sarah Power
Manager
*
Chris Reed - cr@buscgroup.com.au
Domenic Suleman - ds@buscgroup.com.au
Sarah Power - sp@buscgroup.com.au
Kerry O'Malley - kerry@flpfinancial.com.au
Janelle - jg@buscgroup.com.au
Mary - maryann@buscgroup.com.au
Date of initial meeting with client
*
-
Day
-
Month
Year
Date
Primary Client Type
*
Individual
Entity
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
FP Client Only
*
Yes
No
ATO ID Verification done?
*
Yes
No
Please complete ATO ID Verification jotform:
https://form.jotform.com/Buscgroup/ato-id-verification
Primary Client Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Gender
*
Male
Female
Are client details in XPM?
*
Yes
No
Date of Birth
-
Day
-
Month
Year
Date
Phone Number
*
-
Area Code
Phone Number
TFN
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Entity Name
*
TFN/ABN:
Client Type
*
Stand-alone company
Discretionary Trust
Unit Trust
Hybrid Trust
SMSF
Partnership
Club or Society
Estate
Deceased Estate
Government Entity
Not for profit
Other
Contact Person
*
First Name
Last Name
Contact Email
*
example@example.com
Are client details in XPM?
*
Yes
No
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Exclude from Welcome Email?
*
Yes
No
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Audit Insurance
*
Please Select
Part of a group that has already taken up audit insurance
Salary & Wage Earner (inc. shares & rental properties) <$500k
Salary & Wage Earner with Partner (inc. shares & rental properties) <$500k
Self Managed Super Fund
Sole Trader / Partnership / Non Trading Company & Trust <$500k
Business Group <$500k
Business Group/Salary & Wage Earner $500k - $1m
Business Group/Salary & Wage Earner $1m - $3m
Business Group/Salary & Wage Earner $3m - $6m
Business Group/Salary & Wage Earner $6m - $10m
Business Group/Salary & Wage Earner $10m - $25m
Business Group/Salary & Wage Earner $25m - $50m
Business Group/Salary & Wage Earner $50m - $75m
Business Group/Salary & Wage Earner $75m - $100m
Not Applicable
Name of the group that has already taken up audit insurance
*
Are there other individuals included:
*
Yes
No
Number of Individuals
*
1
2
3
4
5
6
7
8
9
10
Name 1
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
Email Address
*
example@example.com
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 2
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
Email Address
*
example@example.com
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 3
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 4
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 5
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 6
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 7
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 8
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 9
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
-
Day
-
Month
Year
Date
Email Address
example@example.com
Contact Number
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Name 10
*
First Name
Middle Name
Last Name
Did the client complete the New client (individual)Details Jotform?
*
Yes
No
TFN
*
Date of Birth
*
-
Day
-
Month
Year
Date
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Client Type (tick all applicable)
*
Retiree
Non Business
Business
SMSF
Financial Planning
Estate Planning
Property Development
Are there other entities included:
*
Yes
No
List ALL entities (please provide TFN/ABN)
*
List of entities that needs CorpSec
List of entities that needs System Set-up
List of entities that needs Audit Insurance
Ethical Letter
*
Yes
No
Back
Next
Old Accounting Firm Name
Contact Person
First Name
Last Name
Contact Number
-
Area Code
Phone Number
Email Address
example@example.com
Office Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Referred by
First Name
Last Name
Client Rating
*
A
B
C
D
Work Scheduling
*
Not Applicable
Jan
Feb
March
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Any job/s requiring setup?
*
Yes
No
Gift required?
*
Yes
No
List of Instructions & Additional client information
Submit
Should be Empty: