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SF113 – New Supplier Details
Type of Supplier:
(Required)
Business (with ABN)
Business (without ABN)
Individual
Supplier Details
Business / Trading Name:
(Required)
Individual’s Name:
(Required)
Australian Business Number (ABN):
(Required)
Statement by Supplier:
(Required)
As you are a Business and do not have an Australian Business Number (ABN), please complete a
Statement by Supplier form (available at this link)
, then upload here
Drop files here or
Select files
Max. file size: 5 MB.
Registered for GST?
(Required)
Yes
No
Physical Address:
(Required)
Street Address
Town
State
Post Code
Phone Number:
(Required)
Email Address:
(Required)
Electronic Funds Transfer (EFT) Details
Bank Account Name:
(Required)
The name the bank account is held in (for example, your name or your business name). This must match the bank’s records.
BSB Number:
(Required)
6 digits
Bank Account Number:
(Required)
No more than 10 digits
Bank Account Verification:
(Required)
Please upload a bank statement or deposit slip that clearly shows the
account name, account number, and BSB
. You may black out all transactions and any financial balances, including those in the header, or crop the statement to exclude this information to protect your privacy.
Drop files here or
Select files
Max. file size: 5 MB.
Declaration
Consent
(Required)
I/We hereby agree for all payments from Yorke Peninsula Council to be made by way of Electronic Funds Transfer to the above bank account.
Name
First
Last
Signature
(Required)
