.com.au Domain Name Application Form

If you have any problems or questions, please phone +61 8 895 22 559
1. Application Information
1.1 Domain Name  

Domain Name

 www. .com.au
1.2 Billing Information  
Invoice Email Address:
(must be current)		   
Postal Address:
Service Level
All prices include GST.
2. Commercial Entity (licensee details)

This section is used to describe the applicants name & legal status.

The domain name must be directly derived from the Legal Name of the Trading Name lodged below.

If you are using:

  1. Your Australian Business Number (ABN) - your domain name must be derived from the Trading or legal name that you lodge.
  2. Your Australian Company Number (ACN) - your domain name must be derived from the Australian Company Name that you lodge.
  3. Your State Registered Business Name - your domain must be derived directly from the Registered Business Name.
  4. For all other Entities - Section 2.3 is provided below. Please ensure that all details are correct and the domain name is directly derived.
 
2.1 State Registered Business Name
Business Name
State Registered Business Number
State of registration
Owner Type
2.2 Australian Company Name / ABN Legal Name / ABN Trading Name
Name of Company ABN Legal Name / ABN Trading Name
A.C.N. / A.B.N
2.3 Other Commercial Entity
Name of Organisation
Type of Organisation
Registration Number
Explain "Other" organisation type in the box provided
 
3. Licensee Contact Person
Name
Street Address
Suburb/City
State
Postcode
 

Before you submit your application
Please make sure that the information that you have submitted is accurate, and your spelling is correct.

NOTE: Submitting this form does not guarantee that your choice of domain is registered. This form is only the first step in the registration process.
      

 

 

 
     
       
 
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