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We collect and handle personal data in accordance with our Privacy Policy ( We'll use personal data submitted through this form to manage your account or respond to your query. If you agree, check box to continue. [ ] I understand

Please choose from the list the ID type you submit. Please choose and then attach one of the following as a photograph JPEG/PDF/PNG

Please attach something as evidence of your residential address such as utility bill, mobile phone bill, tax form, bank statement, government issued document, rates notice etc Must be issued within the past 3 months to be accepted.

By sending Clearpay this information, I confirm that these are my personal details, I am the rightful owner of the Clearpay account and that I am responsible for any payments owing as per Clearpay Terms. I consent to having my identifying information checked with the issuer or official record holder in accordance with the Terms and Privacy Policy, and I consent to the data being used to assess my suitability for Clearpay's services.

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