Register as an adviser

Please complete the form below and your query will be forwarded to the appropriate business unit who will respond to you shortly. Alternately you can contact TAL Adviser Administration on (02) 9448 9459, Monday to Friday between 9am and 5pm EST.

Contact Details

Name *

Please enter valid name

Name is required

Contact Number *

Please enter valid contact number

Contact number is required

Email Address *

Email is required

Please enter a valid email address

Adviser Details

Title *

Please Select Dr Miss Mr Mrs Ms Prof

Title is required

First Name *

Please enter valid first name

First Name is required

Last Name *

Please enter valid last name

Last Name is required

Date of Birth

Please enter a valid date of birth

Trading Name

ASIC Rep No.

Dealer Group Name *

Dealer Group Name is required

Dealer Group AFSL No. *

Please enter a valid AFSL No.

Dealer Group AFSL No. is required

Business Phone Number *

Please enter valid business phone number

Business Phone Number is required

Fax Number

Please enter valid fax number

Mobile Number

Please enter valid mobile number

Email Address *

Please enter a valid email address

Email Address is required

Address

Address Line 1 *

Address Line 1 is required

Address Line 2

Suburb *

Suburb is required

State *

Please select NSW VIC QLD WA TAS NT ACT SA

State is required

Postcode *

Please enter valid postcode

Postcode is required

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Note: The way that TAL collects, uses and discloses your personal and sensitive information is outlined in our Privacy Policy.

Register

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