ROADS AND MARITIME SERVICES APPLICATION FOR REGISTRATION FOR CONSTRUCTION INDUSTRY CONTRACTORS Information to Applicants: The conditions and guidelines are to be read by the Applicant prior to completing this Application Form, and form the basis of acceptance of this Application. All items on this Application Form relevant to the Applicant's submission are to be completed, and all the relevant documents requested by the Roads and Maritime Services are to be attached to this Form. Applicants may submit relevant documentation additional to that requested by the Roads and Maritime Services to support their application. Where a option is provided, tick the appropriate box and proceed to the next item. “yes/no” Items not relevant to an Applicant's submission are to be marked "NA" (not applicable). Failure to provide information requested in this Application Form will delay processing and may result in the application being returned to the Applicant. Applicants must submit the application form in electronic format, not hard copy. Business name of Applicant in full (as used on tender submissions) Applicant's office address in full Applicant's postal address for correspondence (if different to item 2) Applicant's contact person (include designation) Telephone Facsimile Mobile E-mail Address Web Site Address Registration Class/es Applied Current Roads and Maritime Services’ Registration For Class/es CCF or VicRoads Registration ABN Class/es (Attach copies of approvals) Registered name of Applicant in full (if different to item 1) Registered address of Applicant in full (if different to item 2) Is the Applicant lodging this Application a Trustee? Yes No☐ ☐ ATTACH an organisation trial showing the relationships between the Applicant and parent and/or subsidiary companies, including names of principals, directors and partners.
ROADS AND MARITIME SERVICES APPLICATION FOR REGISTRATION FOR CONSTRUCTION INDUSTRY CONTRACTORS Information to Applicants: The conditions and guidelines are to be read by the Applicant prior to completing this Application Form, and form the basis of acceptance of this Application. All items on this Application Form relevant to the Applicant's submission are to be completed, and all the relevant documents requested by the Roads and Maritime Services are to be attached to this Form. Applicants may submit relevant documentation additional to that requested by the Roads and Maritime Services to support their application. Where a “yes/no” option is provided, tick the appropriate box and proceed to the next item. Items not relevant to an Applicant's submission are to be marked "NA" (not applicable). Failure to provide information requested in this Application Form will delay processing and may result in the application being returned to the Applicant. Applicants must submit the application form in electronic format, not hard copy. Business name of Applicant in full (as used on tender submissions) Applicant's office address in full Applicant's postal address for correspondence (if different to item 2) Applicant's contact person (include designation) Telephone Facsimile Mobile E-mail Address Web Site Address Registration Class/es Applied For Current Roads and Maritime Services’ Registration Class/es CCF or VicRoads Registration Class/es (Attach copies of approvals) ABN Registered name of Applicant in full (if different to item 1) Registered address of Applicant in full (if different to item 2) Is the Applicant lodging this Application a Trustee? Yes ☐ No☐ ATTACH an organisation showing the relationships between the Applicant and parent and/or subsidiary companies, including names of principals, directors and partners. trial