Company/Organisation Name*

Tax File Number*

Australian Company Number

Registered Address

Post Code

AUTHORISED PERSON DETAILS

Full Name*

Email*

Telephone/ Mobile*

PREVIOUS ACCOUNTANT DETAILS(if any)

Firm Name

Email

Telephone/ Mobile

OTHER RELEVANT INFORMATION(if any)

ID DOCUMENTS - Driving License, Passport, etc*

OTHER DOCUMENTS, if any

DECLARATION:

"We hereby authorise Proven Associated Services Pty Ltd & Mr Aman Nagpal T/A Proven Accountants, Mr Behzad Ahmed, Tax agents to add us in their tax portal, represent us before various organisations and to provide Accounting & tax services including lodgement of Business Activity Statements(if any), tax returns and other documents required by tax office & other departments (based on information provided by us) from time to time."

Authorisation approval provided

* "Liability Limited by a scheme approved under Professional Standards Legislation""