ARTCProcurement FPRFM048VendorRequestForm Rev518Jun2020
VENDORREQUESTFORM
AustralianRailTrackCorporationLtdABN:75081455754
COMPANYDETAILS
ABN
ENTITYTYPE
TheEntityTypemustmatchABN.
Tocheckvisit
www.abr.business.gov.auand
enterABNnumber
Refertosecondcolumnfor
additionalchecksanddocuments
tobesuppliedasaseparate
attachment
Individual/SoleTrader
CompleteformandARTC’sContractorQuestionnaire
International Completeform(noABN)onlyifanAustralianbank
accountissupplied.Foroverseasbankaccounts,
contactARTCforalternatearrangements
Trust Completeform andsupplythebelowpagesoftrust
deed:
1) Front/Coverpageoftrust
2) Thesettler’snominationofthetrustees(schedule
pages)
3) Thesignaturepageandanytrusteeamendments
Company,Partnershipor
Other
Completeform
TRADINGNAME
ASICsitewww.asic.gov.au
ENTITYNAME
ABRsitewww.abr.business.gov.au
REGISTEREDFORGST? DOYOUEMPLOYSUBCONTRACTORS?
Ifyes,asubcontractorstatementmustbe
suppliedwitheachinvoice
DOYOU
ACCEPTCREDIT
CARD?
AREYOUREGISTEREDIN
AVETTA?
Ifyes,enteryourAvettaID
AREYOUREQUIREDTOSUPPLYA
LABOURHIRELICENCE?
Ifyes,enteryourLHLnumberforeachstate
CONTACTDETAILS
ADDRESS
Includesuburb,state,postcode
POSTALADDRESS
Includesuburb,state,postcode
CONTACTNAME POSITION
PHONE EMAIL
OTHERDETAILS
ACCOUNTDETAILS
EFTPAYMENTMETHODdefaulttermsare30daysfrominvoicedateona30daypaymentcycle
PAYEENAME
Ifdifferentfromabove
BANK
ACCOUNTCONTACT BSB
PHONE ACCOUNTNO
EMAIL ADDITIONAL
COMMENTS
Iagreethatallinformationstatedaboveandanyattacheddocumentsaretrueandaccuratetobeestablishedin
ARTC’spurchasingsystem
Name&Date
IagreetoARTC’spurchaseorderterms&conditions ifgoodsandservicesaresuppliedagainstaPurchase
Order.Ifengagedunderanexecutedcontract,theexecutedContractterms&conditionswillapply,disregard
thepurchaseordertermsandconditions
ClickonbuttonaftercompletontolockandemailformbacktoyourARTCRepresentative
SUBMIT
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome