Industry Investment Program Application — Peak Body

Application

  • 1 Organisation and contact details
  • 2 Website and bank details

Note that all fields are required to be completed unless stated otherwise. You will need to provide a copy of your Certificate of Incorporation and Public Liability Certificate of Currency.

If you have changed your bank details or you have not provided your bank details previously, you will need to include evidence of your bank details also (for example bank statement header).

 

 

Organisation details

Postal and street address are the same

ABN must contain 11 numbers with no spaces for example 12345678901.

GST registered

Please attach a copy of your Certificate of Incorporation

This field is required

 

 

Please provide a copy of your Certificate of Currency

Certificate of Currency must be attached

 

Contacts

Please enter all relevant contacts. At least 2 contacts are mandatory. The salutation is optional.
An email confirming your submission, including the details you entered, will be sent to the primary grant contact only.

 

Primary grant contact (mandatory)

 

 

CEO/EO/GM/administrator or similar (mandatory)

 

 



 

 

Chair/president (optional)

 

 

Other organisation contact (optional)

 

Note: if a response is missing, you will be unable to progress to the next step. 

DLGSC website details

Please review your website details. If you wish to make changes, please fill out the below details.

Do the details on the DLGSC website match your current contact details?

Add social media handles or links.

Bank details

Enter BSB as six numbers separated by a dash, for example 633-000.

Numbers only, do not include space or dash.

Disclaimer: By submitting this form with your bank details, you understand and agree that this account will be used for all future payments from the Department of Local Government, Sport and Cultural Industries (DLGSC) (for example KidSport vouchers).
DLGSC requires supporting evidence to establish accuracy of bank account details for new organisations or if bank account details have changed.

This field is required

For example bank statement header showing account name, BSB and account number.

Add another
Bank account evidence

Applicant authorisation

I certify that the information supplied is to the best of my knowledge, true and correct.

I certify that I have the authority, as vested by the board/committee/council/CEO, to submit this application by electronic transmission.

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Page reviewed 28 February 2024