BOARDING HOUSE REGISTRATION FORM

Legislation requires that all boarding houses operating within the Canterbury-Bankstown Local Government Area be registered with City of Canterbury Bankstown Council. This registration form is to be used by boarding house operators in order to register their boarding house or to change any registration details.

If you have any questions in regards to this form, please contact Council’s Public Health Unit on 9707 9000.

Property details

Business/trading name *

Address *

Business details

Company name *

ABN *

Contact person *

Contact number *

Postal address *

Email *

Boarding house details

Type *

GeneralAssisted

Development Consent obtained? *

YesNo

Registered with Fair Trading? *

YesNo

Note: registration of your business does not imply development consent nor does it imply approval of the construction or fit out of the premises for proposed/additional/alternate uses.

Privacy statement

In submitting this form, you consent to Council:

1. Collecting your personal information as contained in the form; and

2. Using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process yourapplication/request.

You may access any of your personal information that Council holds upon request.

Applicant declaration

I declare that to the best of my knowledge, the information provided in this registration form is accurate and correct.

Owner name *

Date *

Signature

Draw signature|Type signatureClear