Apra Form 701 - Australia Page 3

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A form, or document, lodged with APRA in writing by, or on behalf of, an entity in an item of the following table, must be
signed by the person specified in the item.
Item
Entity
Person
1
A body that is not a foreign company
A director or secretary
2
A body that is a foreign company
(a)
a local agent; or
(b)
if the local agent is a company — a director or secretary of the company
3
An individual
An individual
4
A partnership
(a)
a partner; or
(b)
if the partner is a company — a director or secretary of the company
5
A trust
(a)
a trustee; or
(b)
if the trustee is a body — a director or secretary of the body
Note: A body includes a body corporate or an unincorporated body, for example, a society or association — see the definition of body in section
9 of the Act.
The following table must be completed. In the table, the person’s name must be printed next to the person’s signature.
Lodgement details (for the person who physically completes the form)
Firm/organisation
Contact name/position description
ASIC registered agent number (if applicable)
Telephone number
Postal address or DX address
Signature block
Name
Signature
Capacity
Entity name (if entity acting as local agent)
Date signed
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