APPLICATION FOR CERTIFICATION OF CO-APPROVAL

Please enter the Original Product File (Certificate) Number and Applicant Details (including Authorised Representative Details if you are making the application on behalf of the Applicant). The Applicant’s Details should be those as required to be shown on the new Certificate issued under the Co-approval. An authorisation letter from the Certificate Holder of the Original Product File, authorising the new Applicant to make application for Co-Approval is also required to be submitted with the application.

Original Certificate No.:

Applicant's Details
Business name:
(to appear on certificate)
Street address:
(to appear on certificate)
Postal address:
(if different to the above)
ABN, ACN or ARBN:
(if applicable)
Key Contact name:Name:Position:
Communication details:
(include country/area code)
Ph:
Mob:
Email:
Re-enter Email:

Authorised Representative's Details (as applicable)
Business name:
Postal address:
(for all correspondence)
ABN, ACN or ARBN:
(if applicable)
Contact name:Name:
Communication details:
(include country/area code)
Ph:
Mob:
Email:
Re-enter Email:



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