Business details

Nominated Representative

Complete this section to appoint a Nominated Representative. Provide their full legal name, date of birth and email address. Note: Email address must be unique to the individual being nominated.

AGL Authorised Contact

This section must be completed with the authorised contact’s full legal name, date of birth and email address.

By submitting this form, you acknowledge and agree that the appointed Nominated Representative will be authorised to approve and manage data sharing arrangements with accredited third parties for the business' eligible AGL electricity account(s). If the Nominated Representative is not currently an authorised contact, they will also be added as an authorised contact and will be able to maintain the business' AGL energy account(s). Any personal information will be collected and handled in accordance with our Privacy Policy.