Consultant Application Form | Megaward Property Group

Section 1. Personal Details

Legal First Name

Preferred Name

Country of Passport

VISA Type

Mobile Phone

Legal Middle Name

Legal Last Name

Date of Birth

Passport Expiry Date

VISA Expiry Date

Residential Address

Section 2. ABN & Certificates Details (Property Stock and Business Agents Act 2002)

ABN

Type of Licence/Certificate

GST Registered Date

Licence/Certificate Number

Expiry Date of Licence/Certificte

Section 3. PTY LTD Details (If applicable)

Company Name

Company ABN

Company ACN

Company Address

Key Personnel of the Company

Full Name

Mobile

Address

Licence Type

Licence Number

Director

Shareholder

Full Name

Mobile

Address

Licence Type

Licence Number

Section 4. Bank Account Details

Bank

BSB

Account Name

Account Number

Section 5. Emergency Contact

Legal Name

Relationship

Mobile Number

Residential Address

Section 6. Medical Condition

Do yo have any known medical coditions?

Yes

If Yes, please specify

Section 7. Signature

I hereby declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in legal consequences or the termination of my contract.

Signature

Expiry Date of Licence/Certificte

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Please contact it@megaward.com.au