Let's get some information

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Your date of birth
Block (Mandatory)

Looking good...

{{Form.getSectionNumber(Form.getItemFromPath("data.sectionLookingGood"))}}

{{data.subTitle_2}}

{{data.additionalText_1}}
Please select how you would like to receive the One Time Passcode.
If you don’t have access to the above, please call us on 13 1905 to chat about your request.

One Time Passcode

{{Form.getSectionNumber(Form.getItemFromPath("data.sectionAuthenticationCode"))}}

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{{data.additionalText_2}}
Please enter the Passcode you have just received
Note: The Passcode is only active for 10 minutes.