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NDIS Entity Engagement Form
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NDIS ENTITY ENGAGEMENT LETTER
Are you a registered NDIS service provider?
—Please choose an option—
Yes
No
Current number of NDIS participants
Name of the Firm
Name of Director/ Secretory
Previous
Next
Type of Entity: (Company)
Trust
Partnership
Others
Legal Name
Tax File number
Company ABN or ACN
Do you have a Trading Name
Yes
No
Trading Name:
Registered Address
State
WA
VIC
SA
QLD
TAS
NSW
ACT
Postcode
Phone number
Email
Name of Trustee
