Single Status Certificate

Application for Single Status Certificate

AUTHORITY TO ACT
I hereby authorise Michael Twemlow, Solicitor, of Certificates Australia, Shop 5, 14-18 Lee Street, Sydney NSW 2000Shop 5, 14-18 Lee Street, Sydney NSW 2000 to act on my behalf to apply for and take delivery of my Single Status Certificate.

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CLIENT'S SIGNATURE

COST: $250.00 per Certificate inclusive government fees and GST plus postage/courier. Note: All the given fields are mandatory.

My details are as follows:-

Birth Certificate

Name

Street Address

Postal Address

Country

Telephone No

Mobile No

Email Address

Reason Why Certificate Required (e.g. getting married overseas)

Signature: ........................................................................................................

Applicant's details:-

Applicant's details

Family Name:

Given Names:

Place of Birth:

Date of Birth:

Present Age:

Date of Arrival in Australia:

Mother's Full Maiden Name:

Father's Full Name:

Payment details:-

Payment details

How do You Wish to Pay: Please make your Money Order, Bank or Cashier Cheque payable to Certificates Australia Service. Click continue and proceed to pay online SWIFT CODE: CTBAAU2S
Bank: Commonwealth Bank of Australia
BSB: 062267
Account No: 10094656
Account Name: First Law Promotions Pty Limited
Reference:

Procedure:-

and then sign at top of APPLICATION FORM
Please select your identity documents from the list below; After properly certifying, photocopy/scan to accompany your Application Form
PROOF OF IDENTITY DOCUMENTS REQUIRED BY REGISTRIES…
Please select your method of delivery of documents to us….

Email to:-

certificates@certificatesaustralia.com.au

Fax to:-

(02) 9387 6710

Post to:-

CERTIFICATES AUSTRALIA
PO Box K 1328
Haymarket NSW 1240
Australia
(We recommend Express Post postal delivery for tracking purposes)

Courier to:-

CERTIFICATES AUSTRALIA
Shop 5, 14-18 Lee Street
Sydney NSW 2000
Australia