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Click ‘Get Form’ to open it in the editor.
Begin with PART A if you are a body corporate. Enter the name of the body corporate and provide details of all businesses involving the sale of liquor, including business name, type, registered address, and ACN/ABN.
In PART A, list all individuals who are associates for each business. Include their names, residential addresses, dates of birth, and indicate if they are also directors.
If you are an individual or part of a partnership, proceed to PART B. Fill in your name and relationship to the applicant.
Provide details of all businesses you have an interest in that involve the sale of liquor in PART B. Include similar information as required in PART A.
Complete the declaration sections by listing associates related to your businesses and any relatives as defined in the form.
Finally, review your entries for accuracy before signing and submitting the form.

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