Should you require assistance with completing this form please contact Charities branch by telephone on 1300 304 064 (within Australia) or email.
This application form and Form 02 Application for Approval of Disclosure Statement (in the case of a distributing co-operative) must be submitted to the Registrar at least 35 days before the formation meeting is due to be held, or a shorter period as the Registrar may allow in a particular case.
Fees and Forms
Addititonal forms are available on our Fees and Forms page
What do I need to complete an application
To complete the application the following must accompany this form:
- a copy of the proposed rules of the co-operative
- a completed Annexure A
- any other supporting documents if required
- complete all of the relevant sections of the application form
- sign the authorisation and declaration
Fees
A fee is payable at the time of lodging this application. Please complete Form 99 with payment submission.
Lodging the application
You may lodge the application and pay the fee:
By post
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In person
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Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Locked Bag 14
CLOISTERS SQUARE WA 6850
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Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Level 2, Gordon Stephenson House
140 William Street
PERTH
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