Due Diligence Form (Australian Company) – The Perth Mint Completed Form Examples and Samples
Explore a comprehensive example of a filled Due Diligence Form for an Australian Company, as required by The Perth Mint. This sample provides a clear guide on correctly completing sections like company details (ACN/ABN), beneficial owners, and source of wealth. Use our template to streamline your application process and ensure compliance with AML/CTF regulations.
Due Diligence Form (Australian Company) – The Perth Mint Example
How this form was filled:
This example shows a completed Due Diligence Form for 'Innovate AUS Metals Pty Ltd', an Australian proprietary company. Key sections filled include company details (ACN/ABN), principal place of business, nature of business, and source of funds. It also details the beneficial owners, their percentage of ownership, and provides verification documents, completed and signed in early 2026.
Information used to fill out the document:
- Company Full Legal Name: Innovate AUS Metals Pty Ltd
- Trading Name (if different): Innovate AUS Metals
- Australian Company Number (ACN): 610 123 456
- Australian Business Number (ABN): 50 610 123 456
- Date of Incorporation: 2021-07-15
- Country of Incorporation: Australia
- Registered Office Address: Level 15, 100 Eagle Street, Brisbane, QLD 4000, Australia
- Principal Place of Business: Level 15, 100 Eagle Street, Brisbane, QLD 4000, Australia
- Nature of Business: Precious metals investment and technology consulting.
- Purpose of Relationship with The Perth Mint: To purchase and store investment-grade gold and silver bullion.
- Source of Funds/Wealth: Initial capital investment from directors' personal savings and retained profits from technology consulting services.
- Primary Contact Person: Olivia Chen
- Contact Person Position: Chief Executive Officer
- Contact Email: [email protected]
- Contact Phone: +61 7 3000 1234
- Beneficial Owner 1 Name: Olivia Chen
- Beneficial Owner 1 DOB: 1985-05-15
- Beneficial Owner 1 Address: 25 Riverview Parade, Indooroopilly, QLD 4068, Australia
- Beneficial Owner 1 Ownership %: 60%
- Beneficial Owner 2 Name: Benjamin Carter
- Beneficial Owner 2 DOB: 1988-11-22
- Beneficial Owner 2 Address: 10 Park Road, Milton, QLD 4064, Australia
- Beneficial Owner 2 Ownership %: 40%
- Authorised Signatory Name: Olivia Chen
- Signature Date: 2026-02-10
What this filled form sample shows:
- Accurate completion of company identification numbers (ACN and ABN).
- Clear and compliant declaration of all beneficial owners with over 25% control.
- A detailed and plausible description for the Nature of Business and Source of Funds sections.
- Complete details for the designated primary contact person and authorised signatory.
- Use of contemporary and realistic dates and Australian addresses, reflecting a current application scenario.
Form specifications and details:
| Form Name: | Due Diligence Form (Australian Company) |
| Provider: | The Perth Mint |
| Use Case: | Account opening for an Australian proprietary company for bullion investment. |
| Jurisdiction: | Australia |
| Compliance Focus: | Anti-Money Laundering and Counter-Terrorism Financing (AML/CTF) |
Created: February 13, 2026 01:16 AM
