ApplyEasy - We're taking credit applications online

Business Details
Contact Details
Business Profile
Director/Principal Details
Business Addresses
Trade reference
Media Trade References
Documents
Confirm

Introduction
1. 1. Thank you for applying for a credit account with Nine.
    
    This online application service has been provided so we can process your application as quickly as possible.
    
    To complete your application, we will ask for the following information to be provided:
    
    Your ABN and/or ACN
    
    The Director’s/Public Officer’s/Owner’s information, which may include their DOB and private address
    
    The businesses accounts payable contact details including their email address
    
    The name and contact details of three businesses who will provide a trade reference.
    
    References in this credit application to “Nine” means Nine Entertainment Co Pty Ltd ACN 122 203 892 and its related coporate bodies being that of:
    Nine Network Australia Pty Ltd; Territory Television Pty Ltd, Nine Digital, Mi9 New Zealand Limited, Future Women & NBN Enterprises Pty Ltd
    
    Nine may accept applications for placing advertising on credit subject to undertaking a credit check on the terms and conditions set out in this credit application. As an alternative of supplying information relating to trade debtors, trade references and the directors guarantee and indemnity Nine will consider proposals to provide bank guarantees, letters of credit or other forms of collateral to secure payments due. Should the applicant wish to consider providing such forms of collateral, this matter should be discussed with the Credit Manager at Nine.
    
    Please direct any enquiries regarding this application to the Nine Credit Team on 02 9965 2144 or Email: nnareceivables@nine.com.au
    
    In order for Nine to complete the relevant credit checks, this application must be completed, executed and provided to Nine for consideration along with the other documentation listed at the end of this application.
    
    ALL contents of the form must be completed or the application will be rejected.
    
    Trade References will not be accepted from financial institutions or utility companies.
    
    If you require any assistance with your application, please contact our credit department on 02 9965 2144.
  2. View ApplyEasy Privacy Policy
    
    x
    ApplyEasy Privacy Policy
    
    CreditorWatch Privacy Policy
    At CreditorWatch, we take privacy very seriously. We have updated our privacy policy (Policy) to ensure that we communicate to You, in the clearest way possible, how we treat personal information. We encourage You to read this Policy carefully. It will help You make informed decisions about sharing Your personal information with us.
    The defined terms in this Policy have the same meaning as in our Terms of Use, which You should read together with this Policy. By accessing our Website and using our Service, You consent to the terms of this Policy and agree to be bound by it and our Terms of Use.
    CreditorWatch collects Your personal information
    CreditorWatch is a provider of credit reporting services.
    The Service involves the storage of Data about a company or individual. That Data can include personal information. “Personal information” is information about an identifiable individual, and may include information such as the individual’s name, email address, telephone number, bank account details, taxation details, and accounting and financial information.
    CreditorWatch may collect personal information directly from You when You:
    
    register to use the Service,
    
    use the Service,
    
    post to the CreditorWatch Community forum or on our blog,
    
    contact the CreditorWatch support team, and
    
    visit our Website.
    
    You can always choose not to provide Your personal information to CreditorWatch, but it may mean that we are unable to provide You with the Service.
    
    CreditorWatch may receive personal information from You about others
    Through Your use of the Service, CreditorWatch may also collect information from You about someone else. If You provide CreditorWatch with personal information about someone else, You must ensure that You are authorised to disclose that information to CreditorWatch and that, without CreditorWatch taking any further steps required by applicable data protection or privacy laws, CreditorWatch may collect, use and disclose such information for the purposes described in this Policy.
    This means that You must take reasonable steps to ensure the individual concerned is aware of and/or consents to the various matters detailed in this Policy, including the fact that their personal information is being collected, the purposes for which that information is being collected, the intended recipients of that information, the individual’s right to obtain access to that information, CreditorWatch’s identity, and how to contact CreditorWatch.
    Where requested to do so by CreditorWatch, You must also assist CreditorWatch with any requests by the individual to access or update the personal information You have collected from them and entered into the Service.
    CreditorWatch collects, holds, and uses Your personal information for limited purposes
    CreditorWatch collects Your personal information so that we can provide You with the Service and any related services You may request. In doing so, CreditorWatch may use the personal information we have collected from You for purposes related to the Services including to:
    
    verify Your identity,
    
    administer the Service,
    
    notify You of new or changed services offered in relation to the Service,
    
    carry out marketing or training relating to the Service,
    
    assist with the resolution of technical support issues or other issues relating to the Service,
    
    comply with laws and regulations in applicable jurisdictions, and
    
    communicate with You.
    
    By using the Service, You consent to Your personal information being collected, held and used in this way and for any other use You authorise. CreditorWatch will only use Your personal information for the purposes described in this Policy or with Your express permission.
    It is Your responsibility to keep Your password to the Service safe. You should notify us as soon as possible if You become aware of any misuse of Your password, and immediately change your password within the Service or via the forgot password process.
    
    CreditorWatch can aggregate Your non-personally identifiable data
    By using the Service, You agree that CreditorWatch can access, aggregate and use non-personally identifiable data CreditorWatch has collected from You. This data will in no way identify You or any other individual.
    CreditorWatch may use this aggregated non-personally identifiable data to:
    
    assist us to better understand how our customers are using the Service,
    
    provide our customers with further information regarding the uses and benefits of the Service,
    
    enhance small business productivity, including by creating useful business insights from that aggregated data and allowing You to benchmark Your business’ performance against that aggregated data, and
    
    otherwise to improve the Service.
    
    CreditorWatch holds your personal information on servers located in Australia
    All Data, including personal and non-personal information, that is entered into the Service by You, or automatically imported on Your instruction, is transferred to CreditorWatch’s servers as a function of transmission across the Internet. By using the Service, You consent to Your personal information being transferred to our servers as set out in this Policy.
    Currently our servers are located in Australia, primarily by Global Switch Pty Ltd. (Global Switch), and Your personal information will be routed through, and stored on, those servers as part of the Service. Global Switch complies with relevant aspects of the U.S.-EU Safe Harbor Framework and has certified that it adheres to relevant Safe Harbor Privacy Principles. If the location of our servers change in the future, we will update this Policy. You should review our Policy regularly to keep informed of any updates.
    By providing Your personal information to CreditorWatch, You consent to CreditorWatch storing Your personal information on servers hosted in Australia. While Your personal information will be stored on servers located in the Australia, it will remain within CreditorWatch’s effective control at all times. The server host’s role is limited to providing a hosting and storage service to CreditorWatch, and we’ve taken steps to ensure that our server hosts do not have access to, and use the necessary level of protection for, Your personal information.
    
    CreditorWatch takes steps to protect your personal information
    CreditorWatch is committed to protecting the security of Your personal information and we take all reasonable precautions to protect it from unauthorised access, modification or disclosure. Your personal information is stored on secure servers that have SSL Certificates issued by leading certificate authorities Symantec Corporation, and all Data transferred between You and the Service is encrypted.
    However, the Internet is not in itself a secure environment and we cannot give an absolute assurance that Your information will be secure at all times. Transmission of personal information over the Internet is at Your own risk and You should only enter, or instruct the entering of, personal information to the Service within a secure environment.
    We will advise You at the first reasonable opportunity upon discovering or being advised of a security breach where Your personal information is lost, stolen, accessed, used, disclosed, copied, modified, or disposed of by any unauthorised persons or in any unauthorised manner.
    
    CreditorWatch only discloses Your Personal Information in limited circumstances
    CreditorWatch will only disclose the personal information You have provided to us to entities outside the CreditorWatch group of companies if it is necessary and appropriate to facilitate the purpose for which Your personal information was collected pursuant to this Policy, including the provision of the Service.
    CreditorWatch will not otherwise disclose Your personal information to a third party unless You have provided Your express consent. However, You should be aware that CreditorWatch may be required to disclose Your personal information without Your consent in order to comply with any court orders, subpoenas, or other legal process or investigation including by tax authorities, if such disclosure is required by law. Where possible and appropriate, we will notify You if we are required by law to disclose Your personal information.
    The third parties who host our servers do not control, and are not permitted to access or use Your personal information except for the limited purpose of storing the information. This means that, for the purposes of Australian privacy legislation and Australian users of the Service, CreditorWatch does not currently “disclose” personal information to third parties located overseas.
    
    CreditorWatch does not store Your credit card details
    If you choose to pay for the Service by credit card, Your credit card details are not stored by the Service and cannot be accessed by CreditorWatch staff. Your credit card details are encrypted and securely stored by Data Vault provided by Commonwealth Bank Of Australia to enable CreditorWatch to automatically bill your credit card on a recurring basis. You should review Data Vault by Commonwealth Bank of Australia to ensure you are happy with it.
    
    You may request access to Your personal information
    It is Your responsibility to ensure that the personal information You provide to us is accurate, complete and up-to-date. You may request access to the information we hold about You, or request that we update or correct any personal information we hold about You, by setting out Your request in writing and sending it to us at privacy@creditorwatch.com.au
    CreditorWatch will process Your request as soon as reasonably practicable, provided we are not otherwise prevented from doing so on legal grounds. If we are unable to meet Your request, we will let you know why. For example, it may be necessary for us to deny Your request if it would have an unreasonable impact on the privacy or affairs of other individuals, or if it is not reasonable and practicable for us to process Your request in the manner You have requested. In some circumstances, it may be necessary for us to seek to arrange access to Your personal information through a mutually agreed intermediary (for example, the Subscriber).
    We’ll only keep Your personal information for as long as we require it for the purposes of providing You with the Service. However, we may also be required to keep some of Your personal information for specified periods of time, for example under certain laws relating to corporations, money laundering, and financial reporting legislation.
    
    CreditorWatch uses cookies
    In providing the Service, CreditorWatch utilises "cookies". A cookie is a small text file that is stored on Your computer for record-keeping purposes. A cookie does not identify You personally or contain any other information about You but it does identify Your computer.
    We and some of our affiliates and third-party service providers may use a combination of “persistent cookies” (cookies that remain on Your hard drive for an extended period of time) and “session ID cookies” (cookies that expire when You close Your browser) on the Website to, for example, track overall site usage, and track and report on Your use and interaction with ad impressions and ad services.
    You can set your browser to notify You when You receive a cookie so that You will have an opportunity to either accept or reject it in each instance. However, You should note that refusing cookies may have a negative impact on the functionality and usability of the Website.
    We do not respond to or honour “Do Not Track” requests at this time.
    
    You can opt-out of any email communications
    CreditorWatch sends billing information, product information, Service updates and Service notifications to You via email. Our emails will contain clear and obvious instructions describing how You can choose to be removed from any mailing list not essential to the Service. CreditorWatch will remove You at Your request.
    
    You are responsible for transfer of Your data to third-party applications
    
    CreditorWatch has a privacy complaints process
    If You wish to complain about how we have handled Your personal information, please provide our Privacy Officer with full details of Your complaint and any supporting documentation:
    
    by e-mail at privacy@creditorwatch.com.au or
    
    by letter to The Privacy Officer, CreditorWatch Limited, GPO Box 276, Sydney NSW 2001
    
    Our Privacy Officer will endeavour to:
    
    provide an initial response to Your query or complaint within 10 business days, and
    
    investigate and attempt to resolve Your query or complaint within 30 business days or such longer period as is necessary and notified to you by our Privacy Officer.
    
    This policy may be updated from time to time
    CreditorWatch reserves the right to change this Policy at any time, and any amended Policy is effective upon posting to this Website. CreditorWatch will make every effort to communicate any significant changes to You via email or notification via the Service. Your continued use of the Service will be deemed acceptance of any amended Policy.
    
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  3. View Nine Privacy Policy
    
    x
    Nine Privacy Policy
    About Nine Entertainment Co.
    
    Nine Entertainment Co. Pty Limited and its related bodies corporate (the Nine Entertainment Co. group of companies, “we”) provide a commercial free to air television network (the content of which includes a combination of locally produced programs including news, current affairs, sporting events, entertainment and lifestyle programs, as well as exclusive international content), video on demand content, various websites and digital properties, and a range of products and brands across online publishing, data strategies, consumer insights and advertising technologies.
    
    Introduction
    
    We are committed to protecting and maintaining your privacy and we are bound by the Australian Privacy Principles (APPs) and Privacy Act 1988 (Privacy Act). As part of our business operations we | may collect your personal information. This Privacy Policy describes the type of personal information we may collect and how | we use, hold and disclose this personal information.
    
    This Privacy Policy is in addition to the general Terms of Use governing our websites and digital properties and should be read in conjunction with such Terms of Uses
    
    If your personal information is being collected via one of our websites the collecting entity will be Nine Digital Pty Ltd
    
    If your personal information is being collected offline e.g. by phone or in-person, the relevant collecting entity will be made known to you, including as part of any collection notice given to you as part of that activity.
    
    What Kind of Information Do We Collect and How Do We Collect It?
    
    The type of personal information we collect will vary depending on the nature of your dealings with us. We only collect personal information that we need for our business activities, or which is volunteered to us. In general, the type of personal information we collect and hold could include (but is not limited to) your name, address (postal and email), contact details, geographic location (including your suburb or post code), gender, date of birth, activity and transaction details relating to your use of our products and services and any preferences you tell us about. We may collect your personal information over the internet, over the phone, when you write to us, when you attend an event or program run by us or when you participate in a survey, questionnaire, competition or other marketing campaign run by us or our partners.
    
    In order to access some of our services and products, you will be asked to register with us by providing us with certain information about you which we refer to as your Nine Account. As part of creating your Nine Account, you may also be requested to provide questions and secret answers, which we use to help verify your identity and assist in resetting your password, as well as an alternate e-mail address. Currently, this may also be done using your log-in details to Facebook. By signing in on one of our websites, product or services, you may be automatically signed into other websites, products and services that use your Nine Account.
    
    Information we collect from other sources
    
    We may access information, including personal information, about you across the Nine Entertainment Co. group of companies and from third-party sources and platforms (such as social networking sites, databases, online marketing companies, Microsoft Products, third party websites and ad targeting companies) and supplement the information we collect with information obtained from those third party sources.
    
    When you connect with us through social networking services, you will be able to see the social sharing habits of your friends and connections and participate seamlessly in our social capabilities, including commenting, live blogging, reactions, ratings, gaming mechanics and sharing content. You can connect us to your third party social networking service by downloading an application and logging into the application. By connecting with us through these third-party social networking services, you are authorising us to access and use certain information from your social network profile.
    
    If we do not collect your personal information in the ways we have described above, we may not be able to provide you with our products and/or services that you have requested.
    
    How will we use or disclose your information?
    
    Generally, we only use or disclose personal information for the primary purpose for which we have collected it, or for another related secondary purpose, unless you have provided your consent for us to use it for another purpose. We may use or disclose your personal information for the following primary purposes:
    
    Contacting you because you have requested to be part of a studio audience/or have provided information about a news story;
    
    operating and improving our websites, products and services;
    
    providing you with news and information about our products and services (including newsletters, product surveys and special offers);
    
    providing you with more effective customer service;
    
    enabling us to conduct customer research;
    
    making our websites, services or products easier to use by eliminating the need for you to repeatedly enter the same information;
    
    performing research and analysis aimed at improving our products, services and technologies;
    
    displaying content and advertising that are customised to your interests, preferences and experiences, including by using aggregated information received from across the Nine Entertainment Co websites and other third parties;
    
    sending marketing and promotional material about our products and/or services that we believe you may be interested in;
    
    providing to entities whom we have a shareholding in;
    
    conducting competitions or promotions either ourselves or by selected third parties;
    
    verifying your identity;
    
    to allow you to log in or otherwise access products and/or services owned by us;
    
    communicating with you, including by email, mail or telephone.
    
    investigating any complaints about or made by you, or if we have reason to suspect that you are in breach of any of our Terms of Use or that you are or have been otherwise engaged in any unlawful activity; and/or
    
    using personal information as otherwise required or permitted by any law (including the Privacy Act).
    
    Other information, including anonymous data collected via your interaction with our websites and third party sites (where we provide website analytics tools or deliver advertisements) using technologies such as cookies and web beacons (described below) may be sold or otherwise provided by us to third parties including our partners, clients and service providers for purposes including (but not limited to) data-matching, campaign analysis, selling aggregated anonymous data via advertising exchanges, conducting launch surveys, and modelling.
    
    You acknowledge and agree that information including your personal information may be shared within the Nine Entertainment Co. group of companies and provided to third parties, and used by those organisations for any of the purposes disclosed in this Privacy Policy
    
    What Marketing Communications Will You Receive?
    
    Opting In
    
    In certain contexts when we collect information from you, you may be asked to “opt in” to consent to us using or disclosing your personal information. For example, you may be asked to opt-in to receive further information or communications from our advertisers and partners.
    
    Opting Out / Unsubscribing
    
    You will be given the opportunity to “opt out” from receiving communications from us or from third parties that send communications to you in accordance with this Privacy Policy. For example, you will be given the option to unsubscribe from newsletters, emails and other marketing or promotional material sent by us, and to opt-out from personalised targeted ads using the YourOnlineChoices tool referred to below.
    
    If you receive communications purporting to be connected with us or our services that you believe have been sent to you other than in accordance with this policy, or in breach of any law, please contact us.
    
    Security and Management of Your Information
    
    We understand that the security of your personal information is important. It is our policy to ensure that all employees understand and take reasonable steps to keep personal information secure.
    
    We also impose strict requirements of security and confidentiality on all third parties as to how they store, handle and deal with personal information.
    
    Personal information collected by us may be stored, disclosed and processed both in Australia and/or overseas in the United States and Singapore. Some of our third party contractors and service providers may perform some of their services overseas. In all instances where this occurs, we only disclose your personal information in accordance with the APPs and this Privacy Policy.
    
    Cookies and Other Devices
    
    Cookies contain information that can later be read by a web server in the domain that issued the cookie to you. We use cookies to enable you to sign in to our services and to help personalise your online experience. We also use cookies as described in Display of Advertisements below. You have the ability to accept or decline cookies. If you choose to decline cookies, you may not be able to sign in or use other interactive features of our websites and services, and some advertising preferences may not be able to be respected. If you choose to accept cookies, you also have the ability to later delete cookies that you have accepted.
    
    Our websites may also contain electronic images known as “web beacons” - sometimes called single-pixel gifs - that may be used to assist in delivering cookies on our sites and allow us to count users who have visited those pages and to deliver co-branded services. We may use web beacons to determine whether messages have been opened and acted upon, or from third parties in order to help us compile aggregated statistics regarding the effectiveness of our promotional campaigns or other operations. We prohibit web beacons on our websites from being used by third parties to collect or access your personal information. We may work with other companies that advertise with us to place their web beacons on our websites in order to allow us to gather statistics and better target advertisements.
    
    We utilise the Nielsen//Netratings Australia auditing system on our websites. Nielsen//Netratings Australia collects data and uses cookies and web beacons on our websites. For further information about Nielsen//Netratings Australia’s collection of data, use of cookies and web beacons or to access Nielsen//Netratings Australia’s opt-out tool, please visit http://www.nielsen.com/au/en/privacy-policy.html.
    
    Display of Advertisements
    
    Many of the websites and services we offer are supported by advertising. We may display advertisements on our websites and the sites of our advertising partners. When we display online advertisements to you, we will place cookies on your computer in order to recognise your computer each time we display an advertisement. The cookies we use for advertising have an expiry date of no more than two years. We are able to compile information over time about where you, or others who are using your computer, saw and/or clicked on the advertisements we display. We use this information to make predictions about your characteristics, interests or preferences and to display targeted advertisements that we believe may be of interest to you. We may also associate this information with your visit, purchase or other activity on participating advertiser’s websites in order to display targeted advertisements or to determine the effectiveness of the advertisements.
    
    Your advertising choices
    
    When we display personalised targeted ads, we take a number of steps designed to protect your privacy. Page views, clicks and search terms used for ad personalisation targeting are stored separately from your contact information or other data that directly identifies you. We also give you the ability to control your preferences to receive this type of advertising via an opt out tool. For more information or to use the opt-out tool, you may visit www.youronlinechoices.com.au which offers a single location to opt-out of ad targeting from member companies.
    
    Third party personalised advertising and YourOnlineChoices
    
    Online advertisements on our websites are served by ad serving networks. These companies may offer you a way to opt in or opt-out of ad targeting based on their cookies, and some of them are also signatories to the Australian Guidelines for Third Party Online Behavioural Advertising. You may find more information on these companies’ websites or by clicking here.
    
    Access To Personal Information
    
    Under the Privacy Act, you have the right to request access to the personal information which we hold about you. If you wish to exercise your right under the Privacy Act to seek access to the personal information that we hold about you, we ask that you contact us.
    
    We will endeavour to acknowledge your request for access within 7 days, and to provide you with access within 30 days of the date of receipt of your request. We will notify you if we consider it will take longer than 30 days to provide you with access. If you seek access to records held by us which are not current records, we will need to contact you to discuss your request, it may take a longer period of time to locate these records and that we may charge you a nominal administrative fee for the cost of providing access.
    
    Changes to your information
    
    We endeavour to ensure that the personal information we hold is accurate, complete and up-to-date. You have the right to ask us to correct information about you which is inaccurate, incomplete, out of date, not relevant or misleading.
    
    Privacy Standards for Journalists
    
    As we are in the media industry, the APPs do not apply to acts done or practices engaged in by us in the course of journalism as we are committed to other journalistic standards dealing with privacy. Specifically:
    
    in relation to our online journalism activities, we are committed to complying with the standards developed by the Australian Press Council in conjunction with its constituent members; and
    
    in relation to our broadcasting activities, our handling of personal information in the course of our journalism activities is governed by the ACMA Privacy Guidelines for Broadcasters which can be accessed here: http://acma.gov.au/theACMA/Library/Industry-library/Broadcasting/privacy-broadcasting.
    
    Changes to this Privacy Policy
    
    We may, from time to time, review and update this Privacy Policy to take account of new laws, technologies and changes to our operations. All personal information held by us will be governed by our most recent Privacy Policy which will always be available on our websites.
    
    Contact Us
    
    If you have any questions regarding this Privacy Policy, complaints regarding how we handle your personal information or would like to make an access request, please contact us by writing to:
    
    in the case of Nine.com.au, Privacy Officer, Nine Digital Pty Limited, Locked Bag H50, Australia Square Sydney NSW 1215 or via e-mail privacyofficer@mi9.com.au;
    
    in the case of any other member of the Nine Entertainment Co. group of companies, Privacy Officer, 24 Artarmon Road, Willoughby, NSW, 2068, privacyofficer@mi9.com.au.
    
    All complaints received will be assessed by the relevant Privacy Officer and all reasonable steps (if any) will be taken to remedy the complaint. We will endeavour to respond to your complaint within 30 days of receipt of the complaint by our Privacy Officer. If you are not satisfied with our response, you may contact the Office of the Australian Information Commissioner.
    
    Microsoft Products and Services
    
    Our websites allows users to access leading global Microsoft products and services such as Outlook and Bing (“Microsoft Products”). Personal information provided by you in connection with Microsoft Products may be collected and used by us (in which case this Privacy Policy will govern our use and collection of your personal information) and Microsoft Corporation (and its affiliates) (in which case the Microsoft Online Privacy Statement will apply to Microsoft’s collection and use of your personal information).
    Close
Business Details
1. Branch
  1. Country you are applying for:
  2. Sales Representative Name
2. Business
  1. ABN
  2. ACN
  3. NZBN
  4. NZ Company Number
  5. Business structure
  6. Year of inception
  7. Nature of Business
3. Names
  1. Legal Entity Name
  2. Main trading name
  3. Other trading names
Contact Details
1. Primary Contact
  1. Full name
  2. Email
  3. Phone
  4. Fax
  5. Mobile
2. Accounts Payable Contact
  1. Full name
  2. Email
  3. Phone
  4. Fax
  5. Mobile
Business Profile
1. Credit Limit Required (2 Months Purchases)
  1. TV Metro
    $
  2. TV Regional
    $
  3. Digital
    $
  4. Production
    $
  5. Are you applying for credit as a Media Agency?
2. Trade Debtors
  1. ***To be completed by Media Agencies only***
  2. Total of Trade Debtors amounts due two months and under
  3. ↳
    $
  4. Total of Trade Debtors amounts due two to three months
  5. ↳
    $
  6. Total of Trade Debtors amounts due over three months old
  7. ↳
    $
  8. Total as per Balance Sheet Classification
    $
  9. Does this applicant have trade debtors over 2 months old?
  10. ↳
  11. Please attach a listing of names and balance of those trade debtors over 2 months old with details of insurance cover per debtors and submission/s on the adequacy of the bad debt provision. (Files accepted CSV, PDF and word 5mb)
  12. ↳
    
    Drag & drop or click to upload one or more files
    (Upload multiple files - click to select your files or drag multiple files into this section)
  13. Does this applicant have trade debtors that form 20% or more of total trade debtors as at balance date?
  14. ↳
  15. Please attach a listing of names and provide aging analysis for all debtors that form more that 20% of total and provide details of credit arrangement and state level of debtor insurance cover. (Files accepted CSV, PDF and word 5mb)
  16. ↳
    
    Drag & drop or click to upload one or more files
    (Upload multiple files - click to select your files or drag multiple files into this section)
3. Insolvency Event
  Has the Applicant, and or its directors been the subject of any form of bankruptcy, official administration or scheme of arrangement?
  ↳
  When did that bankruptcy, official administration or scheme of arrangement occur?
  ↳
4. Advertising Expenditure
  Applicants Estimated annual expenditure on advertising classified by reference to different media (eg Television, Radio, Press)
  Television
  $
  Digital
  $
  Radio
  $
  Print
  $
  Other
  $
Directors
1. Director/Principal Details 1
  Name
  Date of Birth
  - -
  Drivers Licence
  Email Address
  Phone
  Mobile
  Home Address
  Home Address
  Address Line 1
  Address Line 2
  City
  Postcode
  Country
  State
2. Director/Principal Details 2
  Name
  Date of Birth
  - -
  Drivers Licence
  Email Address
  Phone
  Mobile
  Home Address
  Home Address
  Address Line 1
  Address Line 2
  City
  Postcode
  Country
  State
Addresses
1. Business Addresses
  Registered Address
  Registered Address
  Address Line 1
  Address Line 2
  City
  Postcode
  Country
  State
  Billing Address
  Billing Address
  Address Line 1
  Address Line 2
  City
  Postcode
  Country
  State
Trade References
1. Trade reference 1
  Trade Reference Full Name
  Trade Reference Company Name
  Trade Reference Phone
  Trade Reference Email
2. Trade reference 2
  Trade Reference Full Name
  Trade Reference Company Name
  Trade Reference Phone
  Trade Reference Email
3. Trade reference 3
  Trade Reference Full Name
  Trade Reference Company Name
  Trade Reference Phone
  Trade Reference Email
Media Trade References
1. Reference 1
  Full Name
  Company Name
  Telephone Number
  Email Address
2. Reference 2
  Full Name
  Company Name
  Phone
  Email Address
3. Reference 3
  Full Name
  Company Name
  Phone
  Email Address
Documents
1. Guarantee and Indemnity
  Please download Director's Guarantee and Indemnity, sign and upload below. (Files accepted CSV, PDF and word 5mb)
  ↳
  
  Drag & drop or click to upload one or more files
  (Upload multiple files - click to select your files or drag multiple files into this section)
2. Important information relating to credit reporting
  Please download Important information relating to credit reporting, sign and upload below. (Files accepted CSV, PDF and word 5mb)
  ↳
  
  Drag & drop or click to upload one or more files
  (Upload multiple files - click to select your files or drag multiple files into this section)
3. Media Agency documents
  Please upload a copy of the following:
  Audited Financial Statements- 3 years supply
  Annual Return- Lodged with Australians Securities Commission
  Client Register & Media Turnover by client
  Certificate of Currency
  ↳
  
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4. Directors Drivers Licence
  Please provide a copy of your Drivers Licence
  
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This policy may be updated from time to time

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