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Digital Certificate and Client Registration Form - Australian Customs ...

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Additional<br />

Additional<br />

certificate details<br />

<strong>Digital</strong> <strong>Certificate</strong> holders name (as detailed in certificate):<br />

<strong>Certificate</strong> Type (select the appropriate certificate for this form):<br />

Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)<br />

Type 1 - grade 2 individual certificates<br />

Type 2 - grade 2 non-individual certificates<br />

Type 3 (device) certificates<br />

E-mail Address (contained in your certificate):<br />

Signature:<br />

Date:<br />

Additional<br />

certificate details<br />

<strong>Digital</strong> <strong>Certificate</strong> holders name (as detailed in certificate):<br />

<strong>Certificate</strong> Type (select the appropriate certificate for this form):<br />

Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)<br />

Type 1 - grade 2 individual certificates<br />

Type 2 - grade 2 non-individual certificates<br />

Type 3 (device) certificates<br />

E-mail Address (contained in your certificate):<br />

Signature:<br />

Date:<br />

Additional<br />

certificate details<br />

<strong>Digital</strong> <strong>Certificate</strong> holders name (as detailed in certificate):<br />

<strong>Certificate</strong> Type (select the appropriate certificate for this form):<br />

Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)<br />

Type 1 - grade 2 individual certificates<br />

Type 2 - grade 2 non-individual certificates<br />

Type 3 (device) certificates<br />

E-mail Address (contained in your certificate):<br />

Signature:<br />

Date:<br />

More information <strong>and</strong> assistance<br />

For enquiries relating to digital certificate <strong>and</strong> client registration processes go to www.customs.gov.au <strong>and</strong> follow the links to Cargo Support or phone<br />

1300 558 099.<br />

For enquiries relating to digital certificates purchases <strong>and</strong> installation go to www.verisign.com.au or phone (03) 9674 5500.

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