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Client Registration
Form-Business
Form 1.2 Version 1.1
Entity Name *
Entity Type *
Company
Partnership
Trust
SMSF
Main Business Activity *
Australian Business Number (ABN) *
Australian Company Number (ACN) *
Tax File Number (TFN) *
Street Address (Line 1) *
Street Address (Line 2) *
Suburb *
State *
ACT
NSW
NT
QLD
TAS
SA
VIC
WA
Post Code *
Email *
Contact Number *
Referral *
Bank Account Name *
BSB *
Account Number *
Title of the Primary Contact Person *
Mr
Mrs
Miss
Ms
Full Name of the Primary Contact Person *
Primary contact person in a business *
Contact Number of the Primary Person *
Email of the Primary Contact Person *
Address of the Primary Contact Person *
Full Name of Member 1 *
TFN of Member 1 *
Director ID of Member 1 *
Position of Member 1 *
Director
Secretary
Shareholder
Partner
Trustee
Member
Officeholder
Full Name of Member 2 *
TFN of Member 2 *
Director ID of Member 2 *
Position of Member 2 *
Director
Secretary
Shareholder
Partner
Trustee
Member
Officeholder
Full Name of Member 3 *
TFN of Member 3 *
Director ID of Member 3 *
Position of Member 3 *
Director
Secretary
Shareholder
Partner
Trustee
Member
Officeholder
Full Name of Member 4 *
TFN of Member 4 *
Director ID of Member 4 *
Position of Member 4 *
Director
Secretary
Shareholder
Partner
Trustee
Member
Officeholder
I declare the above details are true and correct and I am authorised to these details. I also authorise Accounting Mate to add this business in ATO and ASIC Portal to retrieve information.
Signature/Full Name *
Date *
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