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Application to be Treated as an 'Organisation' for the Purposes of the Privacy Act

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Ordinarily, small business operators that have an annual turnover of $3 million or less (and that are not health service providers or do not trade in personal information for benefit, service or advantage) are not covered by the Privacy Act 1988 (the Act). For more information on which small businesses are covered by the Privacy Act see Information Sheet 12-2001 Coverage of and Exemptions from the Private Sector Provisions or try out our small business checklist

By completing and submitting this application form you are choosing to have your small business regarded as an 'organisation' and therefore to be covered by the Privacy Act. The application form must be signed by an authorised person/s.

If at any time you decide to revoke your choice to be treated as an 'organisation' (that is, you no longer wish to be covered by the Act), you will need to write to the Commissioner informing him or her of your choice to opt-out.

For more information on what it means for your business to be treated as an organisation under the Privacy Act, please refer to relevant sections of this website, or contact the Office on 1300 363 992 during Sydney business hours.

 


Business details

Registered business name: ____________________________________________

Trading name(s): ______________________________________________________
(if different to the above)

Australian Business Number (ABN): ______________________________________

Primary business activity: ____________________________________________

Mailing address: ______________________________________________________

________________________State ______________ Post code _________________

Phone number: ___________________ Facsimile number: _____________________

Email address:_________________________________________________________

Web address (if any):____________________________________________________

 

DECLARATION
By completing and signing this application, I choose to allow the business described above to be treated as an 'organisation' for the purposes of the Privacy Act from the date of signature. I understand that the name(s) of the business and its ABN will be listed on a publicly available register of businesses that have made such a choice.
Name ____________________ Name ____________________
Position ___________________ Position ___________________
Date _____________________ Date _____________________
Signature __________________ Signature __________________


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