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Adviser Application

By completing this form and submitting it to us, you will gain access to Policy Tracking, Policy Information, Quote system, E-application and the Adviser website.

Step One - Adviser Details

* Indicates mandatory fields
The security question and answer are required for security and privacy reasons. You will be asked to answer this question when making enquires, to ensure the privacy of the client's details is upheld.

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Step Two - Additional Advisers

I authorise the following to access Proposal Tracking, Policy Information, Quote System, E-application and the Adviser website referrable to the Asteron Life Adviser Number specified on my behalf.

 

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Step Three - Assistant Details

Should you wish to apply for access to Proposal Tracking, Policy Information, Quote System, E-application and the Adviser website for an assistant(s), please complete this section.

The security question and answer are required for security and privacy reasons. You will be asked to answer this question when making enquires, to ensure the privacy of the client's details is upheld.

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Step Four

I acknowledge that:

  • I have read and agree to be bound by the Terms and Conditions and Privacy Statement
  • If I am applying for access to the website for an assistant or to view additional advisers proposals, policy information, quote system and E-application, I warrant that the assistant or additional adviser has been informed of and agree to be bound by the Terms and Conditions and Privacy Statement. I am responsible for ensuring that the assistant or person(s) comply with the same obligations I owe to Asteron Life in respect of the use of the website and the information available from the website, however I also understand that Asteron Life will contact any additional Advisers nominated for verification.
  • I will promptly advise Asteron Life of any changes in details or circumstances that will affect the provision to me of the Adviser website, including Proposal Tracking, Policy Information, Quote System and E-application.
  • I understand that I may at any time notify Asteron Life that I no longer wish to receive marketing information from Asteron Life. However, I recognise that if I do so that this may affect the services that will be provided to me.
  • I understand that I, and any of the assistant(s) I have authorised to be given access, can only access Proposal Tracking, Policy Information, Quote System and E-application in respect of the Asteron Life Adviser Number specified on my behalf.
  • I understand that by submitting this form, I agree to all of the above.
 
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Asteron Life™ is committed to providing customers with long term financial security. We provide life insurance products including Income Protection Covers, Trauma Cover, Total & Permanent Disablement (TPD) Cover, Life Cover and Business Expenses Cover. To obtain a copy of our privacy statement, please contact us on 1800 221 727 or visit the following website www.asteronlife.com.au/privacy to view or download the policy.