Flinders Street Station Design Competition - Registration Form

Registration FormFlinders Street Station Design CompetitionPART B – COMPANY/PARTNERSHIP/INCORPORATED ASSOCIATION/OTHER LEGAL PERSONInstructions:• If the entity has an Australian Company Number (ACN) or an Australian Business Number (ABN),this must be provided, but the entity need not provide any other registration number.• If the entity is not registered in Australia, it must provide its overseas / foreign registration numberor an Australian Registered Body Number (ARBN), but the entity need not provide any otherregistration number.Full name of entity(e.g. company/partnership/incorporatedassociation/ other legalperson):..........................................................................................................................................................................................................................................Details of entity type(e.g. incorporatedcompany limited byshares, etc.):...............................................................................................................................................................................................................................................................................................................................................................Authorisedrepresentative onbehalf of entity:.....................................................................................................................Surname.....................................................................................................................Given name(s).....................................................................................................................PositionAustralian driver’s licence (if applicable):........................................................ .......................................................State of issueNumberPhoto identification:(Note: Only one formof photo ID required.)Passport:........................................................ .......................................................Country of issueNumberTick box to represent ‘Yes’.I note that a colour copy of the photo identification noted above isrequired to be submitted with the Registration Form and confirmthat I have attached a copy.Email address (casesensitive) 7 : .....................................................................................................................7Refer footnote 5.26 June 2012 – Version 3.2Page 5 of 11