Board of Directors Application Form

The information is to be included in the Directors Register and to be used for the legal Director requirements.

Full Name

Area/s of Expertise

Current Company

Current Title

Date of Birth

Current Address

City, State, and Country of Birth

Directors Identification Number (DIN) (Australian Directors only)

If you do not have a DIN, you are required to make an application for before your appointment as a Director. Applications can be made through the Australian Business Registry Service.

Director confirmations according to Corporations Act 2001 (Cth) (Corporations Act)

I have not been convicted of various offences such as fraud or offences under the Corporations Act

I have not had an undischarged bankrupt or executed a personal insolvency agreement.

I am not the subject of a court disqualification order.

Please provide further information if required on above items

Are there any conflicts of interests or other restrictions that would prevent you from acting as a Director for Charity Bounce?

Please upload a certified drivers licence or other form of photo ID (i.e. passport):

Upload File

Upload Headshot Photo

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Please include a short bio:

Thank you for your application!
We will get back to you as soon as possible.

Board of Directors Application Form

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