Supplier: University of New South Wales

Customer:

Date of Contract:

Description of supply:

I [insert name of authorised signatory of the customer] of [insert customer name] confirm that [insert customer name]:

Is not a resident of Australia; and

Was not/will not be in Australia at the time of the supply; and

Has no presence in Australia, that is [insert customer entity name]:

Does not have a fixed or definite place in Australia for a sufficiently substantial period of time; and

Does not have an agent or representative through which it has a fixed and definite place for a sufficiently substantial period of time; and

Is not registered with ASIC; and

Does not have a permanent establishment in Australia for income tax purposes.

Is not registered for Australian GST; and

Is not required to be registered for Australian GST; and

Acquired the above listed supply in the course of carrying on its enterprise outside of Australia.

I [insert name of authorised signatory of the customer] confirm that the above statement is true and correct at the time of signing and can be relied upon by UNSW.

Signature:

Signed by:

Date: