Gross Net Dividend Withholding Tax Dividend in Withholding Received in in Foreign Foreign Tax Rate Australian Dollars Company Dollars Dollars % $ $ $ PLEASE ATTACH ALL DIVIDEND ADVICE SLIPS Did you derive any other foreign sourced income? If so, please detail below:
Company Gross Dividend in Foreign Dollars $ Withholding Tax Rate % Withholding Tax in Foreign Dollars $ Net Dividend Received in Australian Dollars $ PLEASE ATTACH ALL DIVIDEND ADVICE SLIPS Did you derive any other foreign sourced income? If so, please detail below: