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NewclientdetailsformHelen.docx

New Client Details Form – Individual/ Partnership

We would appreciate you taking the time to complete the following details. If you have any questions in relation to the form, please do not hesitate to ask for assistance.

Current Details

Names: Surname

James

First Names

Helen

Title:

Mrs

Tax File Number:

100000002

100000004

Individual TFN

Partnership TFN

ABN:

81 286 605 027

Residential Address:

20 Hay Street

West Perth WA 6000

Business Address:

200 Plain St

Perth WA 6000

Occupation:

Partnership

Business Name:

James Boat Hire

Business Telephone:

Mobile Telephone:

0401 321 126

Home Telephone:

Facsimile:

Email Address:

[email protected]

Web Site Address:

Date of Birth:

01/02/1973

Children’s Names And Dates Of Birth:

Are there any special instructions you would like us to note when contacting you?

In partnership with husband Matthew and daughter Lynn James

Thank you for taking the time to complete this form.

Client’s Signature/s: Helen James

New Client Details Form - Individual V1-01-11-04

New Client Details Form - Individual V1-01-11-04

New Client Details Form - Individual Page 1 of 1