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 names of entity to which UNSW provides its supply]:

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

Has no presence in Australia, that is [insert names of entity to which UNSW provides its supply]:

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.

Will use and/or enjoy the acquisition of the abovementioned supply 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: