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Application Form


Please complete this application form and click on the Submit button at the bottom of the page. Our representative will then contact you to confirm receipt of your application.

* Required Fields

Your Contact Details
*First Name:
*Date Of Birth:
*Email Address:
Australian Mobile:
Overseas Mobile:

Country Code: Phone Number:
Australian Address Overseas Address
(Please note nothing will be mailed to this address)
* Address:
* Address:
* Suburb/City:
* Suburb/City:
* State:
* Postcode:
* Postcode:
* Country:

Other Information
* Tax File Number:
* Date Of Arrival:
* Departure Date:
* Have you already applied for this taxback?
*Passport - Country of Issue:
Main Occupation In Australia
* Job Title:

Refund Instructions
I would like to receive my refund to my:

* Account Holder Name:
* Bank Name:
* Account Number:
* Bsb Code:
Your Australian Employers
How many employers did you work for?


*Note - If you were paid through an agency, please enter the Agency Name for the ‘Company Name’ field

      Employer 1

* Company Name:
Phone Number:
Company Address:
* Employment Start Date:

* Emplyoment Finish Date

* Do you have your final payslips/PAYG?
* If not, do you wish us to chase it for you?


Expenses - Allowable for tax purposes

You may claim up to $300 of work related expenses without receipts. If you wish to claim above this amount you must have receipts to support your claim.

Uniform ($): 
eg. Overalls, work boots
Laundry ($): 
eg. Cleaning of Uniforms
Tools ($): 
eg. Carpentry Tools
Fees ($): 
eg. RSA, RCG, nurses registrations, union fees
Mobile ($): 
eg. For Business Mobile phones only
Other ($): 
Additional Feedback
Do you have any additional feedback on your application, our website or our service?

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* Name:
* Todays Date:

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