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Hi team,
Please be advised that an '{form_name}' has been completed on the website.
Please action the request or forward to the appropriate person for a response.
| Question | Answer |
| Type of distributor |
{typeOfDistributor} |
| Distributor details | |
| Name of distributor | {nameOfDistributor} |
| Name of distributor's contact | {nameOfDistributorsContact} |
| Distributor phone number | {distributorContactPhone} |
| Distributor email address | {distributorContactEmail} |
| Select applicable financial product | {selectApplicableFinancialProduct} |
| Select reporting information type | {selectReportingInformationType} |
| Complaint Information | |
| When was the complaint made | {whenWasTheComplaintMade} |
| What was the source of the complaint | {whatWasTheSourceOfTheComplaint} |
| Who made the complaint | {whoMadeTheComplaint} |
| Complainant's Preferred Contact Method | {complainantsPreferredContactMethod} |
| Complainant's Contact Phone Number | {complainantsContactPhoneNumber} |
| Complainant's Email Address | {complainantsContactEmail} |
| Complaint Detail | {complaintDetail} |
| Auswide Bank Client Number | {auswideBankClientNumberIfKnown} |
| Distributor Feedback | |
| Distributor Feedback Detail | {distributorFeedbackDetail} |
| Financial Difficulty | |
| When was the financial difficulty reported | {whenWasTheFinancialDifficultyReported} |
| What was the source of the report | {whatWasTheSourceOfTheReport} |
| Who made the report | {whoMadeTheReport} |
| Customer's Preferred Contact Method | {customersPreferredContactMethod} |
| Customer's Phone Number | {customersContactPhoneNumber} |
| Customer's Email Address | {customersContactEmail} |
| Details of the reported Financial Difficulty | {detailsOfTheReportedFinancialDifficulty} |
| Auswide Bank Client Number | {auswideBankClientNumber} |
| Significant Dealing | |
| What date did the distributor become aware of the potential significant dealing | {whatDateDidTheDistributor} |
| What date did the potential significant dealing occur? | {whatDateDidThePotentialSignificantDealingOccur} |
| Please describe the potential significant dealing | {pleaseDescribeThePotentialSignificantDealing} |
| Why is the dealing considered significant | {whyIsTheDealingConsideredSignificant} |
| How was the significant dealing identified | {howWasTheSignificantDealingIdentified} |
| Information Requested by Issuer | |
| Details of the response to Auswide Bank's request for information | {detailsOfTheResponse} |
