Security Registration Form - Business

This form is to be used when registering a new business with Darwin International Airport and/or Alice Springs Airport. All businesses must be registered before employees of the company are authorised to submit any security or operations related application forms.

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SECTION A - DOCUMENTATION

In order to register your business with us you are required to attach a copy of your Business Registration Certificate. Contractors also require Public Liability Insurance and Workers Compensation Insurance. Alternatively, if you are a Sole trader then evidence of your ABN registration must be attached. If you are contracted to work for other companies based at the airport, we may ask you for evidence of this in the form of supporting letters from the contracting companies.

Business Registration Certificate / ABN upload *

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Public Liability Insurance

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Workers Compensation Insurance

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SECTION B - BUSINESS DETAILS

Company Name *

ABN *

Email Address *

Business Address *

Postal Address *

Same as Business AddressDifferent to Business Address

Postal Address

City

State

Postcode

Are you contracted to work for another company? *

YesNo

Please state which company (Supporting Documentation must be supplied) *

Supporting Documentation *

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Description of Business *

Areas of Airport where access may be required and why *

PLEASE NOTE:

• Any business required to operate a vehicle airside are required to complete and submit an Airside Indemnity and Release Form and provide evidence of Public Liability Insurance for an amount not less than AUD $20 million before applying for an Authority to Use Airside (AUA) Permit.

SECTION C - CONTACT DETAILS

Please note that the persons listed here may be contacted for all security and operations related matters, including non-returned ASICs / VICs / Access Cards and all Security Infractions or Incidents. At least one of the below contacts must be based in the Northern Territory, and at least one of the below contacts must be included on the authorised signatory list in Section D.

Primary Contact Name *

Primary Contact Position *

Primary Contact Number *

Primary Contact Email Address *

Primary Contact Postal Address

City

State

Postcode

Would you like to add a secondary company contact? *

YesNo

Secondary Contact Name

Secondary Contact Position

Secondary Contact Number

Secondary Contact Email Address

Secondary

Secondary Contact Postal Address

City

State

Postcode

SECTION D - AUTHORISED SIGNATORIES

The persons listed below will become authorised signatories for the business named in Section B for all security and operations related forms. To add or remove persons from the below list once your business has been registered we will require a letter from an existing authorised signatory detailing the changes to be made.

Authorised Signatory Name

Authorised Signatory Position

Authorised Signatory Contact Number

Authorised Signatory Email Address

SECTION E - LISTED EMPLOYEES

The below listed employees will be authorised to conduct works, and will be added into our Authorised Contractor Register. All listed employees will be required to download theWho's On Location (WOL) app and complete inductions prior to commencing works. WOL application links and Inductions will be sent via Email/ SMS notification.

Name

Email Address

Contact Number

Section F - Administration

Application Approved *

YesNoMore Information Required

Application Not Approved ReasonThis information will be notified to the applicant.

Detail what further info is required *This will be returned to the applicant for review along with the application link to edit and resubmit to you.

Processed By *

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Email *

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