On this page Applicant details This application is lodged by: Entity's ABN * Entity name * (as per ABN) Approved provider number issued by the Education Standards Board (ESB) * PR- Street address Number and street name * Suburb * Postcode * Postal address is the same as residential Postal address Number and street name Suburb Postcode Details of contact person: Name * Email * Phone Mobile Service provider details Service approval number issued by the ESB * SE- Name of service * (as per Certificate of Service Approval) Street address Number and street name * Suburb * Postcode Phone * (business hour) Email * Estimated number of children that will be enrolled in your preschool program * Goods and Services Tax (GST) To enable the allocation of grant funds, the Department for Education will generate a tax invoice on behalf of the funding recipient and forward payment and copy of the tax invoice to the recipient. This process can only occur if the recipient has a current ABN and is registered for GST. Is your organisation registered for GST? * Yes No Certification The accuracy of information provided above must be certified below: I, * certify that, as far as I am reasonably aware, the information provided in the Application for Funding is true and correct and, that the applicant: will comply with terms and conditions of Funding Agreement and if requested by the department, will provide documentary evidence in relation to the Application for Funding. Position of authorised officer * Date * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 2024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099
