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1 - APPLICATION DETAILS


I'M APPLYING AS *

NAME OF APPLICANT

TITLE
FIRST NAME *
MIDDLE NAME
LAST NAME *

AUSTRALIAN BUSINESS NUMBER (ABN)   

DO YOU HAVE AN ABN?
Yes      No
TRADING OR BUSINESS NAME
ARE YOU REGISTERED FOR GST?
Yes      No
ARE YOU AN AUSTRALIAN RESIDENT FOR TAX PURPOSES?
Yes      No


YEAR OF BIRTH *
ARE YOU THE EXECUTOR/BENEFICIARY OF AN ESTATE?
Yes      No
ARE YOU AN AGENT FOR AN AUTHOR?
Yes      No