GoEscrow Forms

BANK ACCOUNT

Bank Account

Submit or update the personal bank account GoEscrow used for future settlements and refunds.

Form Number: GOE-CBA-001

Publish Date: 1-APR-2026

A. Client Details

Confirm your existing GoEscrow client details before submitting new bank account details.

First Name

Last Name

Date of Birth

Mobile

B. New Bank Account Details

Provide the bank account details to be used for future GoEscrow settlements or refunds.

Account Name

Bank/Institution Name

BSB

Account Number

PayID (optional)

SWIFT (optional)

C. Authority and Execution

I am the person named above and I authorise GoEscrow to receive and process these bank account details for future settlement or refund payments. I have read, understood and agree to the Terms Of Use Agreement and have read and understood the Product Disclosure Statement and Financial Services Guide.

First Name

Last Name

I confirm I am the applicant.
I confirm the information supplied is true, accurate and complete.
Digital signature acknowledgement.