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TAMIL CULTURAL EMPOWERMENT

ORGANISATION AUSTRALIA INCORPORATED


ABN: 84 258 828 795

Small business applica.on for Pongal Event on 20th of January

Owner’s name: _____________________________________________________________________________

Business name: _______________________________ ABN:(if applicable) ____________________________

Address ___________________________________________________________________________________

Ph No: ______________________________________ Mbl No: _____________________________________

Email: ____________________________________________________________________________________

Website (if applicable): ______________________________________________________________________

Instagram: ___________________________________ Facebook: ___________________________________

Emergency contact details: ___________________________________________________________________

Insurance details (if applicable)


Insurance company: ___________________________ Policy No: ___________________________________

CerGficate of Currency/coverage summary Policy expiry Date: ____________________________


provided (please aKach a copy)

Stall details:
Size of the stall (if Applicable): _________________________________________________________________

Products sold (explain in details):______________________________________________________________


_________________________________________________________________________________________
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_________________________________________________________________________________________
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ApplicaGon fees: minimum $50.


BANK ACCOUNT DETAILS
Name: TCEOA
BSB: 063-994
Acc no: 1029 9882
Please send your receipt of transacGon with the applicaGon form.
Terms and CondiGons:
- ApplicaGon must be submiKed before 13th of January 2024.
- Advise our event team if any incident happens in the event.
- Must clean the area of use and need to have waste bins (if applicable).
- Must not cause any damage to the public property.
- Agree to follow safety regulaGons in Pongal event.

By signing this form, you are agreeing to out terms and condiGons to follow in Pongal event.

SubmiKed by Approved By:


Name: Name:
Date: Date:
Signature: Signature:

**Please send your filled form with any applicable documents to our email address**
tamilculturalempowermentoa@gmail.com

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