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
Record Keeping Requirements 37 Do you have adequate record keeping and accounting systems in place in respect of the goods that are the subject of your application? Yes No* You are not eligible for a Tradex Order. Do not send this application. 38 Will your records show if the goods imported under a Tradex order have been subjected to any of the following actions? Yes No N/A Incorporated with other goods Stored Incorporated in other goods consumed or used in Disposed of, or otherwise dealt with in Exported Subject to Tradex duty Declaration 39 Authorised person declaration. I declare that: I am the applicant (for applications from individuals) or an officer of the applicant who is duly authorised to make this application for the applicant (for incorporated applicants). I have read the Tradex Customer Information Guide and understand the obligations applying to holders of Tradex orders under the Tradex Scheme Act 1999 (“the Act”) and the Tradex Scheme Regulations 2008 (“the Regulations”). To the best of my knowledge the information provided in this application is true, correct and accurate in all material particulars. I understand that the giving of false or misleading information is a serious offence. I understand that the applicant may be required to provide further information in support of this application. Print name of signatory Mr,Ms,etc Given name/s Family name (surname) Signature Day Mth Year Date / / Declaration continued Signatory’s position Chief Executive Officer Financial Controller / Accountant Company Secretary Partner Managing Director Manager Director Other Specify below Send your application to your closest AusIndustry Office. Details of these offices are available at or call the Contact Centre on 13 28 46.