Periodical Payment Authority

To submit a Periodical Payment Authority please complete and email this form to: cdf@cg.org.au

Request Type*

New Authority

Amend an Existing Authority

SECTION 1 – ACCOUNT HOLDER DETAILS

Account Holder*

Client Number*

Nominated Contact Person for this request

Full Name*

Email*

Mobile*

SECTION 4 – ACCOUNT HOLDER AUTHORITY

This form must be signed by the nominated Authorised Signatories of the Account Holder as referenced in Section 1, in line with the Account Authority instructions provided to CDF when the account was opened.

Signatory A

Full Name (Signatory A)*

Role (Signatory A)*

Signature (Signatory A)*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Upload a scan or photo of the wet ink signature (JPG, PNG or PDF). Digital signatures are not accepted.

Date (dd/mm/yyyy) (Signatory A)*

Signatory B

Full Name (Signatory B)*

Role (Signatory B)*

Signature (Signatory B)*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Upload a scan or photo of the wet ink signature (JPG, PNG or PDF). Digital signatures are not accepted.

Date (dd/mm/yyyy) (Signatory B)*

Important Information

Disclosure Statement: The Fund is required by law to make the following disclosure. Investment in the Fund is only intended to attract investors whose primary purpose for making their investment is to support the charitable purposes of the Fund. Investors’ funds will be used to generate a return to the Fund that will be applied to further the charitable works of the Archdiocese of Melbourne and the Dioceses of Sale, Bunbury and Ballarat. The Fund is not prudentially supervised by the Australian Prudential Regulation Authority nor has it been examined or approved by the Australian Securities and Investments Commission (ASIC). An investor in the Fund will not receive the benefit of the financial claims scheme or the depositor protection provisions in the Banking Act 1959 (Cth). The investments that the Fund offers are not subject to the usual protections for investors under the Corporations Act (Cth) or regulation by ASIC. Investors may be unable to get some or all of their money back when the investor expects or at all and investments in the Fund are not comparable to investments with banks, finance companies or fund managers. The Fund’s identification statement may be viewed here or by contacting the Fund. The Fund does not hold an Australian Financial Services Licence.

Direct Debit Request Service Agreement: By signing this authority you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and the CDF Community Fund as set out in this Periodical Payment Authority – you can view the CDF Direct Debit Request Service Agreement here and on the CDF website catholicdevelopmentfund.org.au

Privacy Policy: View the CDF Privacy Policy on the CDF website catholicdevelopmentfund.org.au/privacy

03/2026

CDF Periodical Payment Authority