JOB KEEPER APPLICATION – BUSINESS APPLICANT April 25, 2020by Proven Accountants JOB KEEPER APPLICATION / AUTHORISATION FORM Company/Organisation Name* Tax File Number* Australian Business Number Registered Address Post Code AUTHORISED PERSON DETAILS Full Name* Email* Telephone/ Mobile* OTHER INFORMATION - For which month have you experienced or are likely to experience a reduction in turnover of 30% or more?* MarchAprilMayJuneJulyAugustSeptember Do not include yourself in the count of eligible employees. You may apply as business Participant below. Number of eligible employees who have been or will be remunerated $1,500 or more (this may include wages, tax and salary-sacrificed super) for each JobKeeper fortnight. if No employees put 0* Are you intending to register an eligible business participant*? YesNo BANK DETAILS FOR JOB KEEPER PAYMENTS Account Name* BSB* Account Number* Other details (if any) DECLARATION: Do you meet all of the following? * 1. Does the entity’s business participant meet all of the following?* - relevant individual is not employed by the entity at any time in the fortnight - relevant individual actively engaged in the entity’s business - relevant individual aged 16 or over (or 18 year if beneficiary in the case of the Trust) - relevant individual is not currently receiving parental leave pay, dad and partner pay - relevant individual is not currently totally incapacitated for work and receiving payments under an Australian workers’ compensation law in respect of their total incapacity to work - relevant individual is an Australian resident (within the meaning of section 7 of the Social Security Act 1991), or a resident for income tax purposes and was the holder of a special category (Subclass 444) visa. - relevant individual is not an employee (other than a casual employee) of another entity "I hereby authorise Proven Associated Services Pty Ltd & Mr Aman Nagpal T/A Proven Accountants, Tax agents to add me in their tax portal, represent me before various organisations and to provide related services including lodgement of documents required by tax office & other departments (based on information provided by me) from time to time." "Penalties apply for making a false or misleading statement." Consent/approval provided * compulsory "Liability Limited by a scheme approved under Professional Standards Legislation"