Form 03 application for registration as a co-operative

This publication is for: 
Not for profit

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 must be lodged within two months after the closure of the formation meeting, or within the extended period that the Registrar may allow. 

What do I need to complete an application

To complete the application the following must accompany this form:

  • two copies of the proposed rules, signed and certified by the chairperson and secretary of the formation meeting
  • a copy of the disclosure statement signed and certified by the chairperson and secretary of the formation meeting (distributing co-operative only)
  • a statement listing the particulars of each director elected at the formation meeting, signed and certified by the chairperson and secretary (Form 04)
  • a statement listing the particulars of the secretary and chief executive officer;
  • any other supporting documents if required
  • complete all of the relevant sections of the application form
  • sign the authorisation / declaration 

Fees

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

In person 

Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Locked Bag 14
CLOISTERS SQUARE WA 6850

Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Level 2, Gordon Stephenson House
140 William Street
PERTH

Consumer Protection
Form – registration
Last updated 24 Oct 2017

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