INSTRUCTIONS Please check the information provided on the survey form for Questions 1 to 7. Where your details are different from those shown, please mark the box where indicated and write the correct details using BLOCK LETTERS in the space provided. Answer all Yes/No questions with an . More detailed explanations of each question are below. Note the time you start working on your application. At the end of the survey form you will be asked to record the time taken to complete your form. Q1 Legal or Main Name For Individuals, this is your entire name. Do not use initials, for example Ann J Citizen should be Ann Jane Citizen. For businesses or organisations, the name that appears on all official documents or legal papers. It may be different from your trading name. Do not use the name of the trustee if you are a trust or superannuation fund. Company names should be the same as they are registered with the Australian Securities and Investment Commission, for example AXY Pty. Limited. Q2 Main Trading Name The Main Trading Name is the name you trade under or is known by your suppliers or customers. It may be different from your Legal or Main Name. It may be a trading or business name you have registered with another government department. If you do not have a Trading Name or it is the same as your Legal or Main Name leave this question unanswered if a Trading Name is not pre printed on the survey form. If a Trading Name is present on the form and you do not have a Trading Name or it is the same as your Legal or Main Name, place a cross in the No box. Q3 Postal Address The address that you provide here will be used by government departments and agencies to contact you by mail. This may include important legal notices. This is the address that an Activity Statement may be sent to. Please make sure that the address you have nominated is the most appropriate address for receiving this type of mail. Q4 Business Address This is the physical street address where the main business activity takes place. It may be different from your postal address. This address cannot be a post office or post office box number. Q5 Contact E-mail Address An authorised person was nominated at time of registration, to deal with any issues that may arise regarding your Australian Business Number or your business accounts. You may not have had an E-mail Address or one was not provided at registration. This question on the survey form will be blank in this instance. If you wish to provide an E-mail Address for contact purposes, please place a cross in the No box and provide the details of your E-mail Address. Q6 Company Public Officer or Trustee Individuals and organisations associated with your business are recorded on the Australian Business Register. These associates are pre printed on the survey form if your entity type is a company, trust or superannuation fund. If your entity type is not a company, trust or superannuation fund, proceed to Question 7. Q7 Main Business Activity If your business activity has changed from the pre printed description on the survey form, place a cross in the no box and provide a description of your main business activity in the space provided. If you undertake a mixture of activities which contribute similar income and you have difficulty in determining your main activity, list all the main activities, for example, beef cattle and wheat farming, minor home repairs and lawn mowing. If you have any queries regarding the Survey please contact the Registry Division Quality Assurance Team on 02 4923 1768. If you are ringing from interstate, please contact us on 13 28 69 and quote extension 31768. Version Control Table D Daattee V Veerrssiioonn 15.2.02 15.2.02 1 1.1 B Byy Colleen Fraser Tracey Elliott& Colleen Fraser R Reeaassoonnss Original Document Fine tuning of document