New Client Form

Step 1 of 4

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Your Details and Services

1.1 – Relationship with Modoras

Are you a new or existing client of Modoras Accounting QLD?*

New client

Existing client

Unsure

1.2 — Personal details

Title*

Full Name*

First Last

Date of birth*

Day

Month

Year

TFN

Occupation*

1.3 — Contact Details

Email*

We will use this address for onboarding and service communications.

Enter Email Confirm Email

Mobile number*

Enter the best number for us to contact you.

Residential Address*

Street address Suburb State Postal Code Country

Is your postal address the same as your residential address?

Yes

Postal address*

Street address Suburb State Postal Code Country

1.4 — Family Details

Marital Status*

Spouse or Partner TItle*

Spouse or Partner Full Name*

First Last

Spouse or Partner Date of Birth*

Day

Month

Year

Spouse or Partner Email*

Spouse or Partner Phone

Do you have dependants?*

Yes

Number of Dependants*

Please enter a number from 1 to 10.

Dependant 1 – Name

First Last

Dependant 1 – Date of Birth

Day

Month

Year

Dependant 2 – Name

First Last

Dependant 2 – Date of Birth

Day

Month

Year

Dependant 3 – Name

First Last

Dependant 3 – Date of Birth

Day

Month

Year

Dependant 4 – Name

First Last

Dependant 4 – Date of Birth

Month

Day

Year

Dependant 5 – Name

First Last

Dependant 5 – Date of Birth

Month

Day

Year

Dependant 6 – Name

First Last

Dependant 6 – Date of Birth

Month

Day

Year

1.5 — Company director details

Are you currently a director of an Australian company?*

Director ID

Enter your 15-digit Director ID

Australian company name/s

Add each Australian company for which you are currently a director.

1.6— Services

Select all services that apply. Your selections will determine which additional questions appear on the next page.

Personal tax*

N/A

Individual Tax Return

Rental Property Tax Advice

Capital Gains Tax Advice

Other

Business and entity services*

N/A

Business Tax & Accounting

BAS / IAS Services

Company Accounting Services

Trust Accounting Services

SMSF Accounting Services

Business Advisory

Budgeting, Forecasting & Cashflow Advisory

Other

Other service

1.7— Identity verification

Australian anti-money laundering and counter-terrorism financing requirements mean we need to verify the identity of new clients and may need additional information for some services. We will send you a separate email with instructions to complete identity verification through our secure digital verification platform.

Identity-verification acknowledgement*

I understand that identity verification and any requested checks must be completed before services can commence.

Additional information

Individual Entity

2.1— Individual Client Information

Are you acting on your own behalf?*

Yes

Who are you acting for?*

Are you Australian tax resident?*

Yes

Are you on a Working holiday visa?*

Yes

Are you, your spouse or an immediate family member a Politically Exposed Person (PEP)?*

Examples include current or former senior government officials, politicians, judges or military officials.

Yes

Please provide details.

Do you have any significant financial connections to overseas countries?*

Yes

Please provide details.

Is there anything unusual or complex about your tax affairs?*

Yes

Please provide details.

Business and entity information

How many entities are you engaging us for?*

Please enter a number from 1 to 10.

3.1.1— Entity 1 Details

Entity Type*

Sole trader

Company

Trust

Partnership

SMSF

Other

Entity Name*

ABN*

ACN (if applicable)*

Registered Address*

Street Address Suburb State Postal Code Country

3.1.2— Ownership & Control Details

Owners and controllers*

Who ultimately owns or controls the entity? List all individuals who: – Own 25% or more – Control the entity – Act as trustees, directors or partners Add each relevant owner or controller. Enter 0% where a person controls the entity but does not hold an ownership interest.

Full Name

Date of Birth

Position / Role

Ownership %

Are there any individuals who ultimately benefit from or control the entity through another structure?*

Yes

Please provide details

Are you acting on behalf of another individual or entity?*

Yes

Please explain.

Are any owners, directors, trustees, partners, beneficiaries or authorised representatives Politically Exposed Persons (PEPs)?*

Yes

Please explain.

Does the entity operate overseas, have overseas owners or beneficiaries, or conduct transactions with overseas jurisdictions?*

Yes

Please explain.

Is there anything unusual, complex or high-value about the entity’s ownership structure, funding arrangements, transactions or international involvement that we should understand?*

Yes

Please explain.

Acknowledgement

By submitting this form, I confirm that:

The information provided in this New Client Form is true, complete and correct to the best of my knowledge.
I acknowledge that Modoras Accounting (QLD) Pty Ltd may rely on the information supplied to determine whether it can provide services to me and to meet its legal and regulatory obligations.
I understand that, in accordance with Australian anti-money laundering and counter-terrorism financing requirements, I may be required to complete identity verification and provide additional information or documentation before services can commence.
I agree to provide any information reasonably requested by Modoras to verify my identity, understand the nature of my affairs and satisfy its regulatory obligations.
I understand that Modoras may be unable to commence or continue providing services if requested information is not provided.

I confirm that I have read and agree to the acknowledgements above.*

Yes

Consent to Electronic Communications

I consent to receiving communications, requests for information, engagement documents and other correspondence electronically, including via email, secure client portals and digital signature platforms.*

Yes

NEWCLIENTFORM

Your Details and Services

1.1 – Relationship with Modoras

1.2 — Personal details

1.3 — Contact Details

1.4 — Family Details

1.5 — Company director details

1.6— Services

1.7— Identity verification

Additional information

Individual Entity

2.1— Individual Client Information

Business and entity information

3.1.1— Entity 1 Details

3.1.2— Ownership & Control Details

Acknowledgement

Consent to Electronic Communications

Contact us

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