Form 12 Co-operatives application for extenstion or adbridgement of time

This publication is for: 
Cooperative

Should you require assistance with completing this form please contact Charities branch by telephone on 1300 304 064 (within Australia) or email

What do I need to complete an application

To complete the application the following must accompany this form:

  • complete all of the relevant sections of the application form
  • sign the authorisation and 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 – application
Last updated 24 Oct 2017

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