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Telco Access Registration
Are you registering for an individual or team account?
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Please note: Section 3 of this form is not applicable to individual registrations and is omitted when registering for that type of account.
1. Company Details
Please provide the complete details (full company name, including e.g. Pty, Ltd), along with the company ABN / ACN and appropriate registered company address.
Company Name:
ABN / ACN:
Registered Address:
2. Account Contact
Please provide the following details, for the person who will be responsible for managing this account.
First Name:
Last Name:
Email:
Phone:
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3. Team Details
Please provide appropriate details for ALL team members who may start a request. These team members will be able to select themselves upon starting a request, using the team login.
Division / Team Name (Optional):
Team Email:
Team Member(s): 0 None
4. Contractor Details
If applicable, please provide the details of those sub-contractors you intend to use as part of this process (e.g. installation of cables, equipment, etc.). The companies identified will still need to register separately, and we highly recommend that you contact the relevant representatives at each of the companies listed below and inform them to register on this system.
Do you have contractors working for you?
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Contractor(s): 0 None
5. Authorisation
If you are selecting more than one carrier, please ensure you provide a letter of authorisation from each carrier before submitting the registration form, in order to avoid any delays in registration.
If you are selecting more than one landlord, please ensure you provide a letter of authorisation from each landlord before submitting the registration form, in order to avoid any delays in registration.
Please provide letters of authorisation from entities mentioned below, in order to avoid any delays in registration.
Who are you representing?
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Carriers:
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Landlords:
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Contractor Name:
Letters of Authorisation: 0 files(s), 0.0k None
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6. Insurances
Please provide a copy of the Certificate of Currency for each of the insurance types shown below as required.
Please note: Failure to provide proof of insurance may delay the processing of your access request.
Please note: Failure to provide proof of insurance may delay the processing of your access request.
Work Cover: 0 files(s), 0.0k None
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Professional Indemnity: 0 files(s), 0.0k None
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Product & Public Liability: 0 files(s), 0.0k None
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