Member - Postal address - line 1 Member - Postal address - line 2 Member - Postal address - Suburb/Town Member - Postal address - postcode Member - Postal address - State/Territory Contact - Email address Contact - Daytime Fax Number - area code Contact - Daytime Fax Number Contact - Daytime Phone Number - area code Member - Phone number - area code Contact - Daytime Phone Number Member - Phone number Fund Name Date of Death Contact - Family name Member - Family Name Contact - First given name Member - First given name Contact - Other given name Member - Other given name Contact - Title Member - Title Trustee, director or authorised officer's name Authorised Agent's declaration name Trustee, director or authorised officer's declaration signatory identifier text Authorised Agent's declaration signatory identifier text Trustee, director or authorised officer's declaration date Authorised Agent's declaration date Trustee, director or authorised officer's statement declaration accepted indicator Authorised Agent's officer's statement declaration accepted indicator Superannuation fund tax file number Member - Account number Member - Birth Day Member - Birth Month Member - Birth Year Death benefit indicator: Set the field to TRUE if the benefit is a death benefit. Otherwise set the field to FALSE. Death benefit paid indicator Benefit cap amount: Enter the value of the end benefit cap amount. End benefit cap amount Date of member request for benefit payment: Enter the date (day, month, year) on which the member made the request. Date member request for the benefit to be paid Member request indicator: Set the field to TRUE if the member has initiated the request for the benefit to be paid. Otherwise set the field to FALSE. Member request for benefit to be paid indicator Date the benefit became payable: Enter the date (day, month, year) on which the benefit became payable. Date benefit is payable Benefit payable indicator: Set the field to TRUE if the benefit has become payable. Otherwise set the field to FALSE. Has the benefit become payable indicator Date the benefit is or will be paid: Enter the date (day, month, year) on which the benefit has or will be paid to the member. Date benefit is paid or intended to be paid EBNLodgeRequest [Abstract] RP Primary Items [Abstract] INT Primary Items [Abstract] SuperFundMember Primary Items [Abstract]