Organisation DetailsOrg-3.Organisation Prefix · Organisation Prefix version: 03/01/2018 (As...

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version: 03/01/2018 Organisation Prefix (As provided by the ID Centre) Full Organisation Name Date Received at the ID Centre Security ID Department Use Only Organisation Details Nature of Business Correspondence Address (If different to registered address) Post Code Company Registration N° Registered Address Post Code Country of Registration Estimated N°of ID cards required N°of Authorised Signatures required Names of Organisations that require your organisation to hold Security ID cards. Web Address Head Office Telephone N° Nominated Officer I am authorised to act as the Nominated Officer for the Security ID Scheme. CAUTION Under Section 21B Subsection (1) of the Aviation and Maritime Security Act 1990, It is an offence to:- give false information either for the purpose of or in connection with an application for an identity document (pass) or in connection with the continued holding of an identity document that has already been issued. Offenders may be prosecuted and fined. · All information given in this application is correct to the best of my knowledge and belief. · I have read and agree to the above caution and I understand it. Signature Date Name Org-3.1

Transcript of Organisation DetailsOrg-3.Organisation Prefix · Organisation Prefix version: 03/01/2018 (As...

Page 1: Organisation DetailsOrg-3.Organisation Prefix · Organisation Prefix version: 03/01/2018 (As provided by the ID Centre) Organisation DetailsCorrespondence Address Post CodeCompany

version: 03/01/2018

Organisation Prefix (As provided by the ID Centre)

Full Organisation Name

Date Received at the ID CentreSecurity ID Department Use Only

Organisation Details

Nature of Business

Correspondence Address (If different to registered address)

Post Code

Company Registration N°

Registered Address

Post Code

Country of Registration

Estimated N°of ID cards required

N°of Authorised Signatures required

Names of Organisations that require your organisation to hold Security ID cards.

Web Address

Head Office Telephone N°

Nominated OfficerI am authorised to act as the Nominated Officer for the Security ID Scheme. CAUTION Under Section 21B Subsection (1) of the Aviation and Maritime Security Act 1990, It is an offence to:- give false information either for the purpose of or in connection with an application for an identity document (pass) or in connection with the continued holding of an identity document that has already been issued. Offenders may be prosecuted and fined.

· All information given in this application is correct to the best of my knowledge and belief. · I have read and agree to the above caution and I understand it.

Signature

Date

Name

Org-3.1

Page 2: Organisation DetailsOrg-3.Organisation Prefix · Organisation Prefix version: 03/01/2018 (As provided by the ID Centre) Organisation DetailsCorrespondence Address Post CodeCompany

version: 03/01/2018

Full Organisation Name

Billing Address (If different to registered address)

Post Code

Company VAT N°

Contact Name (Acs Payable)

Position

Telephone N° (Acs Payable)

Fax N° (Acs Payable)

Email Address (Invoices & Statements)

Please note All Security ID cards applications are charged for in accordance with MAG Fees and charges as published and will be invoiced on a monthly basis. You are advised to notify your finance section to allow for the acceptance of these invoices that will not display any order numbers.

Nominated OfficerI am authorised to act as the Nominated Officer for the Security ID Scheme. CAUTION Under Section 21B Subsection (1) of the Aviation and Maritime Security Act 1990, It is an offence to:- give false information either for the purpose of or in connection with an application for an identity document (pass) or in connection with the continued holding of an identity document that has already been issued. Offenders may be prosecuted and fined.

· All information given in this application is correct to the best of my knowledge and belief. · I have read and agree to the above caution and I understand it.

Signature

Date

Name

Organisation DetailsOrg-3.2

Financial Details

Organisation Prefix