illion AU BAN Request Application Form

illion (AU) BAN request application form

First Name

Last Name

Other Known Names

Date of Birth

DD/MM/YYYY

Current Address

Postcode

Suburb

State

Please select... New South Wales Victoria Queensland Western Australia South Australia Tasmania Australian Capital Territory Northern Territory

Previous Address

Previous Postcode

Previous Suburb

Previous State

Please select... New South Wales Victoria Queensland Western Australia South Australia Tasmania Australian Capital Territory Northern Territory

Your Email

Reason For Request

Drivers License Number

Phone Number

This form will only place a BAN on your personal credit file with illion. If you choose you can request illion to send your BAN request to the other Australian Credit Reporting Bodies (Equifax & Experian), please advise if you would like this to occur below:

Please indicate if you are requesting  illion to send this BAN request (including any supporting information) to Equifax & Experian. I understand that illion will share this BAN request and is not responsible for the actions of the other Credit Reporting Bodies (“CRBs”). Please note the other CRBs may contact you directly to confirm the actions they have taken or any additional information they may require.

Please select... Yes. I request illion to send this BAN request (including any supporting information) to Equifax & Experian. No. I do not request illion to send this BAN request (including any supporting information) to Equifax & Experian.

CRBSend