Business / Applicant Information 12 Business email address (if you have one) 1 Applicant's Tradex Order Number Order Number 13 Trading Name/s (if you trade under another name) 2 Name of Applicant If individual or sole trader Mr,Ms,etc Given name/s 14 Business Street Address Street Family name (surname) Suburb State Postcode Birth date 15 Business Postal Address (if different to above) Postal If company or other incorporated entity Legal/registered name Suburb State Postcode 16 Nominated contact person for Tradex matters Mr,Ms,etc Given name/s Date of Incorporation Family name (surname) Date commenced operations 17 Contact person’s position. 3 Australian Business Number (ABN) Chief Executive Financial Controller / (if you have one) Officer Accountant Company Secretary Partner 4 Australian Company Number (ACN) Managing Director Manager (if you have one) Director Other Specify below 5 If no ABN please quote CCID Preferred method of contact (Customs Client Identifier) (tick one only) Email Phone Letter 6 Which of the following accurately describes you or your business / organisation? 19 Contact Phone Tick ALL that apply. Contact Individual or Sole Any other unincorporated Trader association or body of Contact Fax persons Contact email address Registered Company Trustee apply on behalf of (if not same as business email) / Corporation a trust Partnership Other Specify below 20 Postal address of contact person (If not the same as the business postal address) all Tradex correspondence will be sent here 7 What is your ANZSIC code? Street Suburb State Postcode 8 What is your core business? Customs Broker details (if you have one) Broker Business Name 9 What are your details for the last financial year? Number of Year/s Annual Turnover Employees Broker’s Name Broker’s Phone 10 Last day and month of your financial year Is there any outstanding Tradex duty Day mth liability? / No Yes 11 Website address (if you have one) Is the applicant insolvent, under administration or an externally administered body corporate? No Yes
Business / Applicant Information 1 Applicant's Tradex Order Number Order Number 2 Name of Applicant If individual or sole trader Mr,Ms,etc Given name/s Family name (surname) Birth date If company or other incorporated entity Legal/registered name Date of Incorporation Date commenced operations 3 Australian Business Number (ABN) (if you have one) 4 Australian Company Number (ACN) (if you have one) 5 If no ABN please quote CCID (Customs Client Identifier) 6 Which of the following accurately describes you or your business / organisation? Tick ALL that apply. Individual or Sole Trader Any other unincorporated association or body of persons Registered Company / Corporation Trustee apply on behalf of a trust Partnership Other Specify below 7 What is your ANZSIC code? 8 What is your core business? 9 What are your details for the last financial year? Year/s Annual Turnover Number of Employees 10 Last day and month of your financial year Day mth / 11 Website address (if you have one) 12 Business email address (if you have one) 13 Trading Name/s (if you trade under another name) 14 Business Street Address Street Suburb State Postcode 15 Business Postal Address (if different to above) Postal Suburb State Postcode 16 Nominated contact person for Tradex matters Mr,Ms,etc Given name/s Family name (surname) 17 Contact person’s position. Chief Executive Officer Financial Controller / Accountant Company Secretary Partner Managing Director Manager Director Other Specify below Preferred method of contact (tick one only) Email Phone Letter 19 Contact Phone Contact Contact Fax Contact email address (if not same as business email) 20 Postal address of contact person (If not the same as the business postal address) all Tradex correspondence will be sent here Street Suburb State Postcode Customs Broker details (if you have one) Broker Business Name Broker’s Name Broker’s Phone Is there any outstanding Tradex duty liability? No Yes Is the applicant insolvent, under administration or an externally administered body corporate? No Yes
4e454df39b8731de038b8e89252bbd73_Application-Form-Variation-of-a-Tradex-Order-to-Include-or-Exclude-Particular-Goods-October-2015.docx