Previous School:………………………………………… Town: ………………………………………….........

From .…/..…/…… To .…/…../…… Most Recent Year Level: (previous school) ………..

(Please provide a copy of the most recent report and/or other reports.) Recent School Reports Yes/No

Contacts: (other than parents/guardians) Please give names, and phone numbers

of three (if possible) LOCAL PERSONS who could be contacted in case of an emergency. eg Grandparents, neighbors, close friends.

Name Phone Relationship

........................................................ ........................................... ...........................................................

....................................................... ........................................... ...........................................................

....................................................... ........................................... ...........................................................

Siblings attending this school: …………………………………………………………………………………………........

……………………………………………………………………………………………………………………………………............

Position in Family: …………………………………….. eg BBIS = Older brother, older brother, I (student), sister)

Has your child been tested by a Guidance Officer: (Yes/No)

If so, when: ………………………….. Where: ………………………………………

Has your child attended support lessons: (Yes/No)

If so, when: ………………………….. Where: ………………………………………

Has your child ever attended a special school or special education unit? (Yes/No)

Has your child received help from:

Speech Therapist

Teacher for the Hearing Impaired

Occupational Therapist

ESL Teacher

Communication Teacher

Teacher for the Physically Handicapped.

If so which one? ……………………………………………………………………………………………………………...........

Has your child been tested for any Autism Spectrum Disorders (ASD): (Yes/No)

If so, when .............................................. Where: ………………………………………

**If any ASD diagnosed, please provide copy of report & recommendations.

Child’s Doctor: …………………………………………………………………….…… Phone: ………………………….........

Surname: ………………………………………... Given Name(s)…………………………………….................

Preferred Name: …………………………….. Date of birth: …………………………………………..............

Male: Female: (please tick)

ENROLMENT FORM

St Philomena School 61 Koplick Road, Park Ridge 4125

Reg. 1557 Tel: (07) 3802 0088, Fax: (07) 3802 0360

www.stphilomena.qld.edu.au

COURT ORDERS: Yes NoAre there any current Family Court or other court orders concerning the welfare, safety or parenting arrangements of your child/children?. Please provide a copy of any relevant current court order.

How did you hear about the school ?.......................................................................................

What about the school appeals to you?.....................................................................................................................................................................................................................................................................................................................................................................................

FAMILY INFORMATION PERSONAL DETAILS Student Parent/Caregiver Parent/Caregiver

Surname

Given Name/s

Preferred First Name

Title (e.g. Mr, Mrs, Miss)

Gender Male Female Male Female Male Female

CULTURAL BACKGROUND

Interpreter Required? Yes No Yes No Yes No

Country of Birth

Country of Citizenship

Main Language Spoken At Home

Other Language Spoken

ReligionParishOCCUPATION

GENERAL DETAILS As required by the Ministerial Council for Education, Early Childhood Development and Youth Affairs

Occupation Type What is the occupation group of the parent/caregiver? (see Appendix 1)

Group 1 Group 2 Group 3 Group 4 Not in paid work in last 12 months

Group 1 Group 2 Group 3 Group 4 Not in paid work in last 12 months

Highest School Level What is the highest year of primary or secondary school the parent/caregiver has completed?

Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent or below - which includes never attended

Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent or below which includes never attended

Highest Qualification Completed What is the level of the highest qualification the parent/caregiver has completed?

Bachelor Degree or above Advanced diploma / Diploma Certificate I to IV – including trade certificate No non-school qualification

Bachelor Degree or above Advanced diploma / Diploma Certificate I to IV – including trade certificate No non-school qualification

RESIDENTIAL ADDRESS

Street Address

Suburb/Town

State & Postcode

Country

Date moved to address

Does the student reside at this address?

Yes No Yes No Yes No

MAILING ADDRESS If not different from Residential write ‘as above’

Post Box/Street

Suburb/Town

State & Postcode

Country

CONTACT DETAILS Indicate best contact order (1 -3) for phone numbers for each person (e.g. call work first 1, then mobile 2 etc)

Home Phone

Mobile Phone

Priority Contact Order Who to contact first (write 1st, 2nd,)

Home Email Address

Workplace Email Address

OTHER INFORMATION

Relationship to Student

Receive Communication? Yes No Yes No

Workplace Phone

Australia Other - Please complete next page Australia Other - Please

complete next page Australia Other - Please complete next page

Employer

APPENDIX 1 – List of Parental Occupation Groups Group 1: Senior management in large business organisation, government administration and defence, and

qualified professionals

Senior executive/manager/department head in industry, commerce, media or other large organisation. Public service manager (Section head or above), regional director, health/education/police/fire services administrator Other administrator [school principal, faculty head/dean, library/museum/gallery director, research facility director] Defence Forces Commissioned Officer Professionals generally have degree or higher qualifications and experience in applying this knowledge to design, develop or

operate complex systems; identify, treat and advise on problems; and teach others. Health, Education, Law, Social Welfare, Engineering, Science, Computing professional Business [management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer] Air/sea transport [aircraft/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller]

Group 2: Other business managers, arts/media/sportspersons and associate professionals

Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business Specialist manager [finance/engineering/production/personnel/industrial relations/sales/marketing] Financial services manager [bank branch manager, finance/investment/insurance broker, credit/loans officer] Retail sales/services manager [shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency] Arts/media/sports [musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer,

designer, illustrator, proof reader, sportsman/woman, coach, trainer, sports official] Associate professionals generally have diploma/technical qualifications and support managers and professionals.

Health, Education, Law, Social Welfare, Engineering, Science, Computing technician/associate professional Business/administration [recruitment/employment/industrial relations/training officer, marketing/advertising specialist,

market research analyst, technical sales representative, retail buyer, office/project manager] Defence Forces senior Non-Commissioned Officer

Group 3: Tradesmen/women, clerks and skilled office, sales and service staff

Tradesmen/women generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradesmen/women are

included in this group. Clerks [bookkeeper, bank/PO clerk, statistical/actuarial clerk, accounting/claims/audit clerk, payroll clerk, recording/registry/filing

clerk, betting clerk, stores/inventory clerk, purchasing/order clerk, freight/transport/shipping clerk, bond clerk, customs agent, customer services clerk, admissions clerk]

Skilled office, sales and service staff. Office [secretary, personal assistant, desktop publishing operator, switchboard operator] Sales [company sales representative, auctioneer, insurance agent/assessor/loss adjuster, market researcher] Service [aged/disabled/refuge/child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel

agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor]

Group 4: Machine operators, hospitality staff, assistants, labourers and related workers

Drivers, mobile plant, production/processing machinery and other machinery operators. Hospitality staff [hotel service supervisor, receptionist, waiter, bar attendant, kitchenhand, porter, housekeeper] Office assistants, sales assistants and other assistants.

Office [typist, word processing/data entry/business machine operator, receptionist, office assistant] Sales [sales assistant, motor vehicle/caravan/parts salesperson, checkout operator, cashier, bus/train conductor, ticket

seller, service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker] Assistant/aide [trades’ assistant, school/teacher's aide, dental assistant, veterinary nurse, nursing assistant,

museum/gallery attendant, usher, home helper, salon assistant, animal attendant] Labourers and related workers

Defence Forces ranks below senior NCO not included above Agriculture, horticulture, forestry, fishing, mining worker [farm overseer, shearer, wool/hide classer, farm hand,

horse trainer, nurseryman, greenkeeper, gardener, tree surgeon, forestry/logging worker, miner, seafarer/fishing hand]

Other worker [labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park

attendant, crossing supervisor]

If the person is not currently working

If the person is not currently in paid work but has had a job in the last 12 months or has retired in the last 12 months, please use the person’s last occupation.

If the person has not been in paid work in the last 12 months, select ‘Not in paid work in last 12 months’.

Appendix 1

STUDENT SURNAME: ______________CHRISTIAN NAMES: ________________________________

Has your child had a Tetanus Booster in the last 12 months? (Yes/No)

What has your child been immunised against since birth, other than the above?................................................

Medicare Number (Must be completed) __ __ __ __ __ __ __ __ __ Exp: __ __

Private Health cover Yes No Fund Name:___________________ Membership Number____________

NATURE OF PROBLEM ACTION NECESSARY

HEART PROBLEMS Yes/No

RESPIRATORY PROBLEMS Yes/No

Asthma Yes/No

Other Yes/No

ALLERGIES Yes/No

Food Yes/No

Medication Yes/No

Ointments Yes/No

Other [eg Bee Stings] Yes/No

SUGAR DIABETES Yes/No

BLOOD PRESSURE Yes/No

HEADACHES/MIGRAINES Yes/No

EPILEPSY Yes/No

PHOBIAS Yes/No

BED WETTING Yes/No

SPECIAL DIETARY REQUIREMENTS Yes/No

OTHERS (PLEASE LIST)

MEDICINES: Please give details of any regular medicines (LONG TERM ONLY) being taken by your child

including dosage and frecuency……………………………………………………………………………………………….. (An Authority for the administration of medication will need to be completed if your child needs to take any medication. Students Asthma form are also available if your child suffers from Asthma.

FURTHER INFORMATION: Are there any further details that would be useful for us to know concerning physical problems. a. Eyes ………………………………………………………………………………………………..………….............................................................

b. Ears ………………………………………………………………………………………………..……………….....................................................

c. Speech……………………………………………………………………………………..………………………....................................................

d. Physical disabilities / Motor Coordination/balance……………..……………………………………...........................................

e. Motor coordination/balance: ………………………………………………………………………………………................................

f. Other: …………………………………………………………………………………………………………….......................................................

…………………................ ……......…………………………………….

Date Signature of Parent/Guardian

HEALTH INFORMATION FORM

St Philomena School 61 Koplic Road, Park Ridge 4125

Reg. 1557 Tel: (07) 3802 0088, Fax: (07) 3802 0360

www.stphilomena.qld.edu.au

INDIGENOUS STATUS

Is the student of Aboriginal or Torres Strait Islander origin?

FAMILY ORIGIN DETAILS

St Philomena School 61 Koplick Road, Park Ridge 4125

Reg. 1557 Tel: (07) 3802 0088, Fax: (07) 3802 0360

www.stphilomena.qld.edu.au

( ) No ( ) Aboriginal ( ) Torres Strait Islander ( ) Both Aboriginal an Torres Strait Islander

COUNTRY OF BIRTH

In which country was the student born?

Australia Yes/No

Other (Please specify country) ………………………………………………….

Date of arrival in Australia ……../……../………..

EVIDENCE OF STUDENT’S IMMIGRATION STATUS (To be completed if student is NOT an Australian citizen)

Student Visa Holder: Date of arrival in Australia …./…./…. Date enrolment approved to:…/…./….

Permanent resident: ( ) Complete passport and visa details section below.

Temporary Visa Holder: ( ) Complete passport and visa details section below.

Other: ( ) Complete passport and visa details section below.

Passport and visa details (to be completed for a student who is NOT an Australian citizen)

NOTE: A permanent resident will have a passport with a permanent residency visa inside worded

‘Holder (s) permitted to remain in Australia indefinitely’. For students arriving in Australia as refugee or

humanitarian entrants, either PLO 56 immigration issued card or ‘Document to travel to Australia’ with ‘stay

indefinite recorded must be sighted by the school’

Passport number

Passport expiry date _____/______/_____

Visa Number

Visa expiry date (if applicable) _____/______/_____

Visa sub class

EVIDENCE OF PARENT 1 IMMIGRATION STATUS (To be completed if the parent is NOT an Australian citizen)

Permanent resident: ( ) Complete passport and visa details section below.

Temporary Visa Holder: ( ) Complete passport and visa details section below.

Other: ( ) Complete passport and visa details section below.

Passport number

Passport expiry date _____/______/_____

Visa Number

Visa expiry date (if applicable) _____/______/_____

Visa sub class

EVIDENCE OF PARENT 2 IMMIGRATION STATUS (To be completed if the parent is NOT an Australian citizen)

Permanent resident: ( ) Complete passport and visa details section below.

Temporary Visa Holder: ( ) Complete passport and visa details section below.

Other: ( ) Complete passport and visa details section below.

Passport number

Passport expiry date _____/______/_____

Visa Number

Visa expiry date (if applicable) _____/______/_____

Visa sub class

St Philomena School 61 Koplick Rd,

Park Ridge QLD 4125 Reg. 1557

Tel.: (07) 3802 0088 Fax: (07) 3802 0360

www.stphilomena.qld.edu.au

SCHOOL FEES POLICY Last update 14 September 2016

Acceptance of enrolment at Saint Philomena School assumes that families are aware of

the schools schedule of fees and charges, have the ability and willingness to pay as an

when they fall due.

Invoices are issued by term and payment is due within 30 days, unless alternative

payment methods are agreed to. Alternative payment methods include recurring

weekly, fortnightly or monthly payments to the school which must be agreed to in

writing by the School Business Manager or Principal.

Families experiencing genuine financial hardship have the opportunity to apply for a

Hardship Discount in January and June of each year or any other time when

circumstances change.

I/we accept the responsibility to prioritize my/our personal finances to ensure that

school fees and charges are paid in full and on time. We recognise that late payment or

no payment may result in administration charges being levied, suspension of

enrolment until fees are paid and/or credit default being reported to a credit reporting

agency. Should fees continue to remain unpaid we acknowledge that appropriate

recovery action will be initiated through a Debt Recovery Agent appointed by the

School.

I/we will be paying: ☐By term by due date

☐weekly ☐ fortnightly ☐ monthly amounts which must be agreed to by the school Business Manager or Principal.

Please complete the Direct Debit Request form attached. The Business Manager is available to assist you in calculating repayment amounts.

…………………………………....... ………………………………….......

Signature of parent/ carer Signature of parent/ carer

responsible for payment responsible for payment

Name: ……………………………..... Name: …………………………….......

Date: ……………………………

We/I hereby apply for admission of the child whose details appear overleaf to the School on the following terms and conditions.

Conditions of Enrolment

1. We/I hereby undertake to be responsible and to pay punctually as they fall due allfees and expenses properly incurred in accordance with the terms set forth in theFees List and we/I acknowledge that we/I are/am liable to pay such fees andexpenses.

2. We/I undertake to give one term’s notice before the removal of our/my son/daughteror to pay one term’s fees in lieu. In order to be valid and binding such notice must bein writing signed by us/me and delivered to the Principal.

3. We/I undertake that every effort will be made to ensure that our/my son/daughter willnot be absent from School without leave of absence being granted by the School andthat the term dates, as advertised by the School, will be strictly adhered to. (Studentsabsent from School without leave having been granted may forfeit any credit forassessment missed during their absence.)

4. We/I agree to be bound by the terms and conditions as set out in this application andalso agree to cooperate with the School authoritiesin all matters of School discipline.

5. Saint Philomena School collects and records personal information, including sensitiveinformation about students and parents or guardians, before and during the course of astudent’s enrolment at our school. Laws governing or relating to the operation ofschools require that certain information is collected. These may include Public Healthand Child Protection laws. We may ask you to provide medical reports about studentsfrom time to time. Health information about students is sensitive information within theterms of the National Privacy principles under the Privacy Act (1998).

6. If we do not obtain the personal, sensitive or health information referred to above, wemay not be able to enrol or continue to enrol y our student. By completing andsubmitting this application for enrolment form you have confirmed your understandingof, and agreement with, the above.

…………………………………... ……. …………………………………. Signature of Father/Guardian Signature of Mother/Guardian

Date: …………………………… Date:………………………………

St Philomena School 61 Koplic Road, Park Ridge 4125

Reg. 1557 Tel: (07) 3802 0088, Fax: (07) 3802 0360

www.stphilomena.qld.edu.au

DECLARATION

ACN 096 902 813 AFSL 315388

DIRECT DEBIT REQUEST Ph: 0422 103 867

ABN/ACN: 93 091 023 906NEW CUSTOMER FORM

YOUR DETAILS Please complete this form using a BLACK PEN. * Indicates a MANDATORY FIELD

Business: St Philomena School Limited ABN/ACN: 93 091 023 906 100-428-819Customer Reference:

* Surname: * Given Name:

* Mobile #: I authorise Ezidebit to remind me of upcoming debits via SMS

* Email:

* Address:

* Suburb: * State: * Postcode:

DEBIT ARRANGEMENTIncluding payment details and associated fees/charges detailed below and/or the total amount billed for the specified period for this and any other subsequent agreements or amendments between me/us and the Business and/or Ezidebit

Once Only Debit On Date: / / D D M M Y Y

Debit this amount: $ .

Regular Debits Starting on Date: / / D D M M Y Y

Debit this amount: $ .

Frequency: Weekly Fortnightly Monthly 4 Weekly

Duration: Continue regular debits until further notice (Minimum of Debits)

Administration Fee(once only) up to: Paid By Business

Bank AccountTransaction Fee:

Paid By Business

Credit CardTransaction Fee:

VISA/Mastercard:AMEX/Diners:

2.20% (Min $0.99)4.40% (Min $0.99)

Optional SMSPayment Reminder

Paid By Business

CHOOSE YOUR PAYMENT METHOD

Debit from Credit Card

VISA MasterCard AMEX Diners

Card Number: Expiry Date: / M M Y Y

Name of Cardholder: By signing this form, I/we authorise Ezidebit, acting on behalf of the Business, to debit payments from my specified Credit Card above, and I/we acknowledge that Ezidebit will appear as the merchant

on my credit card statement. Furthermore, I/we agree to reimburse and indemnify Ezidebit for any successful claims made by the Card Holder through their financial institution against Ezidebit.

Debit from Bank, Building Society or Credit Union Account

Financial Institution: Branch:

BSB Number: - Account Number:

Account Holder Name: I/We authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969, 303909, 301203, 234040, 234072, 428198) to debit my/our account at the Financial Institution identified above through the Bulk

Electronic Clearing System (BECS) in accordance with the Debit Arrangement stated above and this Direct Debit Request and as per the Ezidebit DDR Service Agreement (Ver 1.8) provided.

This Authorisation is to remain in force in accordance with the terms and conditions on this Direct Debit Request, the provided Ezidebit DDR Service Agreement (Ver 1.8) and I/we have read and understand same. I/We acknowledge that our personal information will be collected, used, held and disclosed in accordance with the Ezidebit Privacy Policy found at http://www.ezidebit.com/au/privacy-policy/

Signature(s) of Nominated Account: Date: / /

D D M M Y Y

DDR Service Agreement (Ver 1.8)

ACN 096 902 813 AFSL 315388

DDR SERVICE AGREEMENT (Ver 1.8)

DDR Service Agreement (Ver 1.8)

I/We hereby authorise Ezidebit Pty Ltd ACN 096 902 813 (Direct Debit User ID number 165969, 303909, 301203, 234040, 234072, 428198) (herein referred to as "Ezidebit") to make periodic debits on behalf of the "Business" as indicated on the attached Direct Debit Request (herein referred to as "the Business").

I/We acknowledge that Ezidebit is acting as a Direct Debit Agent for the Business and that Ezidebit does not provide any goods or services (other than the direct debit collection services to me/us for the Business pursuant to the Direct Debit Request and this DDR Service Agreement) and has no express or implied liability in regards to the goods and services provided by the Business or the terms and conditions of any agreement that I/we have with the Business.

I/We acknowledge that the debit amount will be debited from my/our account according to the terms and conditions of my/our agreement with the Business and the terms and conditions of the Direct Debit Request (and specifically the Debit Arrangement and the Fees/Charges detailed in the Direct Debit Request) and this DDR Service Agreement.

I/We acknowledge that bank account and/or credit card details have been verified against a recent bank statement to ensure accuracy of the details provided and I/we will contact my/our financial institution if I/we are uncertain of the accuracy of these details.

I/We acknowledge that is my/our responsibility to ensure that there are sufficient cleared funds in the nominated account by the due date to enable the direct debit to be honoured on the debit date. Direct debits normally occur overnight, however transactions can take up to three (3) business days depending on the financial institution. Accordingly, I/we acknowledge and agree that sufficient funds will remain in the nominated account until the direct debit amount has been debited from the account and that if there are insufficient funds available, I/we agree that Ezidebit will not be held responsible for any fees and charges that may be charged by either my/our or its financial institution.

I/We acknowledge that there may be a delay in processing the debit if:-

1. there is a public or bank holiday on the day of the debit, or any day after the debit date;2. a payment request is received by Ezidebit on a day that is not a banking business day in Queensland;3. a payment request is received after normal Ezidebit cut off times, being 3:00pm Queensland time, Monday to Friday.

Any payments that fall due on any of the above will be processed on the next business day.

I/We authorise Ezidebit to vary the amount of the payments from time to time as may be agreed by me/us and the Business as provided for within my/our agreement with the Business. I/We authorise Ezidebit to vary the amount of the payments upon receiving instructions from the Business of the agreed variations. I/We do not require Ezidebit to notify me/us of such variations to the debit amount.

I/We acknowledge that Ezidebit is to provide at least 14 days' notice if it proposes to vary any of the terms and conditions of the Direct Debit Request or this DDR Service Agreement including varying any of the terms of the debit arrangements between us.

I/We acknowledge that I/we will contact the Business if I/we wish to alter or defer any of the debit arrangements.

I/We acknowledge that any request by me/us to stop or cancel the debit arrangements will be directed to the Business.

I/We acknowledge that any disputed debit payments will be directed to the Business and/or Ezidebit. If no resolution is forthcoming, I/we agree to contact my/our financial institution.

I/We acknowledge that if a debit is returned by my/our financial institution as unpaid, a failed payment fee of up to $11.90 is payable by me/us to Ezidebit. I/We will also be responsible for any fees and charges applied by my/our financial institution for each unsuccessful debit attempt together with any collection fees, including but not limited to any solicitor fees and/or collection agent fee as may be incurred by Ezidebit.

I/We authorise Ezidebit to attempt to re-process any unsuccessful payments as advised by the Business.

I/We acknowledge that certain fees and charges (including setup, variation, SMS or processing fees) may apply to the Direct Debit Request and may be payable to Ezidebit and subject to my/our agreement with the Business agree to pay those fees and charges to Ezidebit.

Credit Card PaymentsI/We acknowledge that "Ezidebit" will appear as the merchant for all payments from my/our credit card. I/We acknowledge and agree that Ezidebit will not be held liable for any disputed transactions resulting in the non supply of goods and/or services and that all disputes will be directed to the Business as Ezidebit is acting only as a Direct Debit Agent for the Business. I/We acknowledge and agree that in the event that a claim is made, Ezidebit will not be liable for the refund of any funds and agree to reimburse Ezidebit for any successful claims made by the Card Holder through their financial institution against Ezidebit.

I/We acknowledge that Credit Card Fees are a minimum of the Transaction Fee or the Credit Card Fee, whichever is greater as detailed on the Direct Debit Request.

I/We appoint Ezidebit as my/our exclusive agent with regard to the control, management and protection of my/our personal information (relating to the Business and contained in this DDR Service Agreement). I/We irrevocably authorise Ezidebit to take all necessary action (which Ezidebit deems necessary) to protect and/or correct, if required, my/our personal information, including (but not limited to) correcting account numbers and providing such information to relevant third parties and otherwise disclosing or allowing access to my/our personal information to third parties in accordance with the Ezidebit Privacy Policy.

Other than as provided in this Agreement or the Ezidebit Privacy Policy, Ezidebit will keep your information about your nominated account at the financial institution private and confidential unless this information is required to investigate a claim made relating to an alleged incorrect or wrongful debit, to be referred to a debt collection agency for the purposes of debt collection, or as otherwise required or permitted by law. Further information relating to Ezidebit's Privacy Policy can be found at http://www.ezidebit.com/au/privacy-policy/.

I/We hereby irrevocably authorise, direct and instruct any third party who holds/stores my/our personal information (relating to the Business and contained in this DDR Service Agreement) to release and provide such information to Ezidebit on my/our written request.

I/We authorise:

a. Ezidebit to verify and/or correct, if necessary, details of my/our account with my/our financial institution; andb. my/our financial institution to release information allowing Ezidebit to verify my/our account details.

PO Box 3327Newstead, QLD 4006

Ph: (07) 3124 5500 Fax: (07) 3124 5555