Change of Details Form

First name(Required)

Last name(Required)

Date of birth(Required)

Family group

Registered home address

Current address*(Required)

Suburb*(Required)

State*(Required)

Postcode*(Required)

Phone(Required)

Email address(Required)

Would you like to change your bank details:

Yes

Please provide details of your bank account(Required)

BSB

Account number

Account name

Bank

Please kindly provide documentation confirming FULL NAME and account numbers.(Required)

Drop files here or

Max. file size: 100 MB.

Accepted file types: jpg, gif, pdf, jpeg, png, Max. file size: 8 MB.

Please provide details of each child in your care.

Full Name

Date of birth

Full Name

Date of birth

Full Name

Date of birth

Full Name

Date of birth

Full Name

Date of birth

Full Name

Date of birth

I declare that the above information is true and correct. I agree that this information may be made available to other Trusts, Native Title Services within Australia.

I declare that the above information is true and correct. I agree that this information may be made available to other Trusts, Native Title Services within Australia. *

Signature(Required)

Change of Details Form

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