If you are not the business name holder, you must be authorised by the business name holder to make each of the declarations on behalf of the business name holder and to submit this transaction.

This transaction is submitted under, and is compliant with, the terms and conditions of the ASIC Electronic Lodgement Protocol.

To the best of my knowledge, the information supplied in this transaction is complete and accurate (it is an offence to provide false or misleading information to ASIC).

I declare that:

I am lodging this transaction on behalf of the business name holder and am authorised to:

• Submit this transaction for lodgement on behalf of the business name holder under the terms and conditions of the ASIC Electronic Lodgement Protocol; and
• Make each of the above declarations on behalf of the applicant after making all due and proper enquiries.

ASIC may contact the business name holder or the lodging party (if any) if there are any questions regarding this transaction.