Chant West

Please tell us some details about yourself before accessing the Chant West Pension AppleCheck service.

Tell us if you are:

	An existing AustralianSuper member
	Thinking about becoming an AustralianSuper member
	An employer who uses AustralianSuper
	An employer thinking about using AustralianSuper

Employer Name

Employer Number

(optional)

First Name

Last Name

Member Number

(optional)

Year of Birth

Phone (business hours)

Position

Number of Employees (approx.)

Email Address

Postal address

Suburb
State Postcode

Note:
Chant West Pension AppleCheck is being provided to you for no charge at the request and cost of AustralianSuper. Accordingly, Chant West will provide AustralianSuper with a copy of the personal information that you provide above. In all other respects, Chant West will treat the personal information that you provide above in accordance with its Privacy Policy.