Whoops. I don't know how this ended up being sent to this list, but it is very embarrassing.
Sorry for the noise. On Tue, Mar 31, 2009 at 04:35:12PM +1100, Cameron Horsburgh wrote: > Here 'tis! > -- > > Cameron Horsburgh > > Blog: http://spiritcry.wordpress.com/ > Application fee is $68.10 Refer to the back page for payment methods. > This form must be lodged within 28 days of the special resolution being > passed. > Please use a black pen to complete this form. Please print clearly using > block letters. 1. Registration number > P > > Application for Alteration of Rules or Purpose > Associations Incorporation Act 1981 Section 22(3) > Office use only Date received / Initials > > 0408 > > To be completed by public officer A > > / > > 2. Name of Incorporated Association > P > > P > > ABN > > 3. Registered address > P > > Inc. > State VIC > > 4. Type of alteration > P P > > Postcode > > Alteration to Statement of Purposes – you must attach a copy of new Statement > of Purposes / / > > 5. Date of meeting at which this > Name of public officer > > Alteration to rules - you must attach a consolidated copy of the new rules to > this application and include a summary of the amendments Copy of Special > Resolution and the minutes of the meeting are attached > > 6. Details of public officer making this application > Signature of public officer Contact email address > > special resolution was passed > > Date > > / > > / > > Daytime telephone number > > The Statutory Declaration on the back of this form must be completed and > signed by two committee members > Privacy – CAV is committed to responsible and fair handling of your personal > information, consistent with the laws we administer and the Information > Privacy Act 2000. The information marked with a ʻ P ʼ on this form will be > placed on the public register in accordance with the Associations > Incorporation Act 1981. We may be unable to process this form if you do not > provide the required information. You can contact us at any time to request > access to the personal information we hold about you. In exceptional > circumstances, you may apply to have public access to your personal > information restricted. Our privacy statement, and other privacy information > is available at www.consumer.vic.gov.au or on request. www.consumer.vic.gov.au > IA Form 6 (1/7/08) > > I, (print your full name and title) of, (print your address) > > This section to be completed by committee member 1 > > Statutory Declaration > > I, (print your full name and title) of, (print your address) > > This section to be completed by committee member 2 > > declare that: 1. I am a committee member of the Association named in this > form. 2. A special resolution was passed at a meeting of members held on the > date specified at point 5. in this form to alter the Association rules and/or > purpose. 3. The attached copy of the special resolution was passed in > accordance with section 22 of the Associations Incorporation Act 1981. 4. The > attached consolidated copy of the Association Rules and/or Statement of > Purposes is a true copy. I acknowledge this declaration is true and correct > and I make it in the knowledge that a person making a false declaration is > liable to the penalties of perjury. Signature of committee member > > Postcode > > Note:You must sign this declaration in the presence of the witness > > declare that: 1. I am a committee member of the Association named in this > form. 2. A special resolution was passed at a meeting of members held on the > date specified at point 5. in this form to alter the Association rules and/or > purpose. 3. The attached copy of the special resolution was passed in > accordance with section 22 of the Associations Incorporation Act 1981. 4. The > attached consolidated copy of the Association Rules and/or Statement of > Purposes is a true copy. I acknowledge this declaration is true and correct > and I make it in the knowledge that a person making a false declaration is > liable to the penalties of perjury. Signature of committee member > > Postcode > > Note:You must sign this declaration in the presence of the witness > > Authorised witness Declared at (print suburb or town) in the State of > Victoria, on the (month) (year) Before me, being a person authorised under > section 107A(1) of the Evidence Act 1958 to witness the signing of a > Statutory Declaration. Signature of witness Printed name, address and > qualification to witness this Statutory Declaration day of > > Authorised witness Declared at (print suburb or town) in the State of > Victoria, on the (month) (year) Before me, being a person authorised under > section 107A(1) of the Evidence Act 1958 to witness the signing of a > Statutory Declaration. Signature of witness Printed name, address and > qualification to witness this Statutory Declaration day of > > Statement of Purposes – If the Association has altered its Statement of > Purposes, you must attach a copy of the member approved Statement of Purposes. > > Rules – If the Association has altered its rules you must attach a full copy > of the rules to this application. > > I have attached a copy of the special resolution passing the alteration(s) > > Your application cannot be processed without the following documents > > Checklist > > Contact Consumer Affair Victoria: Telephone: 1300 36 16 73 Fax: (03) 8684 6210 > Visa Mastercard Amex > > Deliver in person to: Consumer Affairs Victoria 113 Exhibition Street > Melbourne Counter area is open 8.30am–5.00pm Monday to Friday (closed on > public holidays) > > The fee can be paid by cheque, money order or credit card. Do not send cash > through the mail. Cash will be accepted if paying in person. Cheques and > money orders are to be made payable to: ʻConsumer Affairs Victoriaʼ. Fax to: > 8684 6210 Send by post to: Consumer Affairs Victoria GPO Box 4567 Melbourne > 3001 (please use a large envelope and fold this form as little as possible) > > How to lodge and pay for this application > > If paying by credit card, fill in your credit card details below (all details > must be complete to process this form) > Card number Name of cardholder Card expiry date Amount $68.10 > > *Note on CCV numbers: Credit cards are now issued with a CCV number. This is > the last three numbers located on the signature strip on the back of the > card. If your credit card has been allocated this number enter the three > numbers in the space provided. > > CCV number *(see note below) > > Signature of cardholder > > / > > Daytime telephone number > > Date > > • • • • • > > • • • • • • • • • • • • • > > A member of the Police Force The Sheriff or a Deputy Sheriff A Justice of the > Peace A notary public A legally qualified medical practitioner A dentist A > veterinary surgeon A pharmacist A principal in the (State) teaching service > The Manager of a bank A barrister and solicitor of the Supreme Court A clerk > to the barrister and solicitor of the Supreme Court The Prothonotary or a > Deputy Prothonotary of the Supreme Court The Registrar or a Deputy Registrar > of the County Court The Principal Registrar of the Magistratesʼ Court The > Registrar or a Deputy Registrar of the Magistratesʼ Court The Registrar of > Probates or an Assistant Registrar of Probates The associate to a Judge of > the Supreme Court or of the County Court > > In accordance with the Evidence Act 1958, the following people may witness a > Statutory Declaration within Victoria > > / > > / > > • The secretary of a Master of the Supreme Court or of the County Court • A > person registered as a patent attorney under Part XV of the Patents Act 1952 > of the Commonwealth • A member or former member of either House of the > Parliament of Victoria • A member or former member of either House of the > Parliament of the Commonwealth • A councillor of a municipality • A senior > officer of a Council as defined in the Local Government Act 1989 • A member > of the Institute of Chartered Accountants in Australia or Australian Society > of Accountants or National Institute of Accountants • The secretary of a > building society • A minister of religion authorised to celebrate marriages • > A person who holds a prescribed office in the public service under Section > 107A of the Evidence Act 1958 • A fellow of the Institute of Legal Executives > (Victoria) > > -- Cameron Horsburgh Blog: http://spiritcry.wordpress.com/ _______________________________________________ bug-lilypond mailing list bug-lilypond@gnu.org http://lists.gnu.org/mailman/listinfo/bug-lilypond
