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Application for person and organisation information from the ...

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3 Type of search<br />

Select <strong>the</strong> type of search.<br />

Some in<strong>for</strong>mation on <strong>the</strong><br />

business names register may<br />

be available <strong>for</strong> free. Check<br />

ASIC Connect be<strong>for</strong>e paying<br />

<strong>for</strong> a search. You can also<br />

find out what in<strong>for</strong>mation you<br />

get in a search result <strong>and</strong> see<br />

a sample extract.<br />

Some of <strong>the</strong>se searches can<br />

also be purchased through an<br />

ASIC–approved in<strong>for</strong>mation<br />

broker<br />

(www.asic.gov.au/<br />

in<strong>for</strong>mationbrokers)<br />

The fees shown below include <strong>the</strong> additional $3 fee that applies <strong>for</strong> completing this search in paper,<br />

or through a Service Centre.<br />

Full payment must accompany this application.<br />

Business name holder—<strong>person</strong> extract<br />

Current. Fee—$21 per extract.<br />

Current <strong>and</strong> historical. Fee—$38 per extract.<br />

Business name holder—<strong>organisation</strong> extract<br />

Current. Fee—$21 per extract.<br />

Current <strong>and</strong> historical. Fee—$38 per extract.<br />

4 Persons or <strong>organisation</strong>s <strong>for</strong> which you are searching<br />

Provide <strong>the</strong> following in<strong>for</strong>mation so that we can identify <strong>the</strong> correct <strong>person</strong> or <strong>organisation</strong> on <strong>the</strong> business names register:<br />

• <strong>for</strong> a <strong>person</strong>—family name, given name <strong>and</strong> o<strong>the</strong>r given names<br />

• <strong>for</strong> an <strong>organisation</strong>—<strong>organisation</strong> name <strong>and</strong> ACN, ARBN or ABN if available.<br />

List no more than 10 <strong>person</strong>s or <strong>organisation</strong>s <strong>for</strong> this application.<br />

Identifying in<strong>for</strong>mation<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

7.<br />

8.<br />

9.<br />

10.<br />

<strong>Application</strong> <strong>for</strong> <strong>person</strong> or <strong>organisation</strong> in<strong>for</strong>mation <strong>from</strong> <strong>the</strong> business names register 1 July 2013 Page 2 of 2

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