Upload
others
View
17
Download
0
Embed Size (px)
Citation preview
version: 03/01/2018
Organisation Prefix (As provided by the ID Centre)
Full Organisation Name
Date Received at the ID CentreSecurity ID Department Use Only
Organisation Details
Nature of Business
Correspondence Address (If different to registered address)
Post Code
Company Registration N°
Registered Address
Post Code
Country of Registration
Estimated N°of ID cards required
N°of Authorised Signatures required
Names of Organisations that require your organisation to hold Security ID cards.
Web Address
Head Office Telephone N°
Nominated OfficerI am authorised to act as the Nominated Officer for the Security ID Scheme. CAUTION Under Section 21B Subsection (1) of the Aviation and Maritime Security Act 1990, It is an offence to:- give false information either for the purpose of or in connection with an application for an identity document (pass) or in connection with the continued holding of an identity document that has already been issued. Offenders may be prosecuted and fined.
· All information given in this application is correct to the best of my knowledge and belief. · I have read and agree to the above caution and I understand it.
Signature
Date
Name
Org-3.1
version: 03/01/2018
Full Organisation Name
Billing Address (If different to registered address)
Post Code
Company VAT N°
Contact Name (Acs Payable)
Position
Telephone N° (Acs Payable)
Fax N° (Acs Payable)
Email Address (Invoices & Statements)
Please note All Security ID cards applications are charged for in accordance with MAG Fees and charges as published and will be invoiced on a monthly basis. You are advised to notify your finance section to allow for the acceptance of these invoices that will not display any order numbers.
Nominated OfficerI am authorised to act as the Nominated Officer for the Security ID Scheme. CAUTION Under Section 21B Subsection (1) of the Aviation and Maritime Security Act 1990, It is an offence to:- give false information either for the purpose of or in connection with an application for an identity document (pass) or in connection with the continued holding of an identity document that has already been issued. Offenders may be prosecuted and fined.
· All information given in this application is correct to the best of my knowledge and belief. · I have read and agree to the above caution and I understand it.
Signature
Date
Name
Organisation DetailsOrg-3.2
Financial Details
Organisation Prefix