Super Refund Application FormSuper Refund Application Form

Superannuation Application

Leaving Australia?

Unlock the Hidden Money in your Super Funds!

instructions

What do I need?

The name of the Super Company and your Membership Number for every job held

A photocopy of your passport ID

A copy of your Aussie Visa Grant email or your current visa grant number

When to complete this Application:

If you are leaving Australia or have left Australia.

Store

Staff

Staff's Email

1) Tell Us About Yourself

First Name(s) (Mandatory)

Last Name (Mandatory)

Email (Mandatory)

Phone/Mobile Number

Your Overseas Address (Mandatory)

Australian Residential Address (Mandatory)

Date of Arrival

Date of Departure

Expiry Date of CURRENT Visa

CURRENT Visa Type

Date of Birth

Gender
Male Female

Tax File Number (TFN)

Nationality

2) Now for the Best Bit … Where Do You Want Your Money Sent?

* Superannuation refund must be transferred to an international bank account.

Name of Bank

Account Holder's Name

Country Bank Account is in

International Bank Account Number (IBAN)

Account Number

Swift / SORT / BIC Code

I declare these bank details are correct

3) Super Fund Details

Super Fund #1

Employer's Company Name

Start Date

End Date

Please provide employer's contact details (phone AND email) if you would like us to follow-up and check whether your super money has been paid / payments are up-to-date.

Employer's Email

Employer's Phone

Superannuation Fund Company Name

Super Membership Number

4) Visa Grant Information

*Please list your current VISA GRANT NUMBER you received from Immigration, letting you know your Aussie visa has been granted (You can also forward us a copy of your visa grant email).

CURRENT Visa Grant Number

Past Visa Details

Visa 1

Visa Type

Effective Date From

Effective Date To

5) Sign the Attached Form

Please, CLICK HERE to print and sign your application form to give us your permission to proceed.

You only need to sign where indicated. Leave the rest blank and we will fill it out for you.

6) Comments