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Application Form

 

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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:
*Surname:
*Date Of Birth:
*Gender:
*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?

Number: 

*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?

Comments:
   
How did you hear about us? (If you were referred to our business, please specify the name of that person/organisation)
   
Comments:
If you have a promo code, please enter it here

Promo Code:
 
Conclusion
Authorised by:

     
* Name:
* Todays Date:
 
   



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