I authorise Registration to lodge the business name renewal and make all the necessary declarations to ASIC on my behalf. I accept the Registration Terms and Conditions including the automatic renewal terms.

I declare that I am the applicant, or I am authorised to lodge this application on behalf of the applicant and 1) submit this application under the terms and conditions of the ASIC Electronic Lodgement Protocol (further details regarding eligibility to hold a business name are available here ); and 2) make each of the declarations below on the applicants behalf after having made all due and proper enquiries.

I am not disqualified from managing corporations under section 206B(1) of the Corporations Act 2001; and within the last 5 years I have not been convicted of, or released from prison after being convicted of, and serving a term of imprisonment for, any of the criminal offences referred to in section 32(1) (c) or (d) of the Business Names Registration Act 2011.

This application is submitted under, and is compliant with the terms and conditions of the ASIC Electronic Lodgement Protocol. To the best of my knowledge, the information supplied in this application is complete and accurate (it is an offence to provide false or misleading information to ASIC). ASIC may contact the applicant or the lodging party (if any) if there are any questions regarding this renewal of a business name.

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​​​​​​​I give consent to be contacted in regards to related business services as per the privacy policy located here.