Compliance National Online Enquiry Request Form

You have reached the express enquiry form. Completing this form will ensure that you are contacted within 24 hours (work days), by the appropriate compliance specialists at Compliance National.

This form includes enquiries for assistance in applying for an AFSL or Credit Licences.

You must answer each question fully and accurately. This will ensure you get the best advice from the right specialists. Please note: Compliance National receives dozens of inquires each week, many from robots or scammers. Please be patient with our requirements, they are meant to reduce bogus inquires.

All details in this form will be kept strictly confidential and not provided to any person or organisation outside Compliance National. Compliance National strictly complies with the provisions of the Privacy Act (Cwth) 1988.

Name of Person making the Enquiry:*

First NameLast Name

Your Business or Proposed Business Name.*

Business Name

Are you a current AFSL Holder?*

YesNo

Are you a Credit Licence Holder?*

YesNo

Your Contact Phone Number:*

Area CodePhone Number

Please provide us with your best contact times.*

Contact Times

Your E-mail Address:*

• Please note, you will not be able to submit this form if you provide any of the following email address domains; Hotmail, Gmail, Yahoo mail, or any free email service. This requirement is to ensure that genuine inquires are submitted by persons with private or business domains with individual emails. Recent security breaches in the sector reveal that more than 97% emanate from Gmail, Hotmail, Yahoo Mail and other free email services. We trust you understand and provide email contact details appropriately.

Are you seeking Compliance Services?*

YesNo

What service can Compliance National assist you with? Please be exact in what you require or are seeking.*

Once you have completed this form in full and answered each question in full, complete the captcha question to ensure you’re not a robot and press the submit button below.

Enter the message as it's shown*

COMPLIANCE NATIONAL EXPRESS ONLINE ENQUIRY FORM - GENERAL ENQUIRIES