Apply - BAKKBONE Australia

Step 1 of 8

Welcome

We're excited to have you on board! We need a bit of information to get you set up - starting with the account type so we know what questions to ask.

Which type of account will you require?*

Residential

Business

Business Details

ABN*

Please click 'Check ABN' above before continuing

Entity Name*

Entity Type*

GST Registered*

Yes

ABN Status*

Entity Postcode*

Entity State/Territory*

Trading Name (if different from Entity Name)

Registered Address*

Address Address Line 2 Suburb State/Territory Postcode Country

Postal address is different

Postal Address*

Address Address Line 2 Suburb State/Territory Postcode Country

Website

Business Contacts

Billing Contact*

Billing Email*

Billing Phone*

Technical Contact*

Who do we get in touch with if your service is experiencing a technical issue?

Technical Email*

Technical Phone*

Who's completing this form?*

Billing Contact

Technical Contact

Other

Your Name*

First Last

Your Email*

Enter Email Confirm Email

Your Phone*

Director/Officeholder Details

Please include anyone who: holds more than 25% ownership of the business; and/or, holds primary decision-making responsibility

Name	Date of Birth	Role	Percentage Ownership	Actions

There are no Directors.

Trustee Details

If the trustee is a company, please list any directors who own 25% or more of that company.

Name	Date of Birth	Actions

There are no Trustees.

Officeholder Details

Please list your association's officeholders.

Name	Date of Birth	Role	Actions

There are no Officeholders.

Officeholder Details

Please list your organisation's officeholders.

Name	Date of Birth	Role	Actions

There are no Officeholders.

Annual Turnover*

Trade References

Please provide at least 2, preferably 3.

Business Name	Actions

There are no Referees.

Your Details

Name*

Prefix First Middle Last

Date of Birth*

Gender*

Residential Address*

Street Address Address Line 2 City State/Territory Postcode Country

Date Moved In*

Hidden

Submission Date

Hidden

Tenure

Previous Addresses

Please provide any other addresses within the last 5 years.

Address	Start Date	End Date	Actions

There are no Addresses.

Photo Identification*

Front and back. Motor Vehicle License is preferred.

Drop files here or

Accepted file types: jpg, jpeg, gif, png, tiff, pdf, Max. file size: 500 MB, Max. files: 3.

Consent*

Identity Verification Declaration

I confirm that I am authorised to provide the personal details presented and I consent to my/their information being checked with the document issuer or official record holder via third party systems for the purpose of confirming my/their identity. If this is not my document, I confirm that I have sought this consent from the owner of the document prior to submission.

Affordability

We want to make sure we're not committing you to a service that will place you in undue financial hardship.

Home Status*

Own/Mortgage

Rent/Lease

Board

Live with parents

Homeless

Income Source(s)

Business/Organisation Name	Income per month	Actions

There are no Sources.

Monthly Expenses

Please enter your share of monthly expenses. If you don't have the type of expense for any field, please enter 0.

Rent/Mortgage*

Groceries*

Fuel/Transport*

Insurance*

Loans/Credit Cards*

minimum monthly repayments - include BNPL payments such as Afterpay/Humm/Zip/Klarna

Utilities*

electricity, water, gas

Phone/Internet*

any accounts with providers other than BAKKBONE

Subscriptions*

gym, union membership, entertainment, etc.

Other Expenses*

anything else not covered above

Net Funds

calculated automatically

Please consider viewing the Critical Information Summary for your selected product before applying. Under the Telecommunications Consumer Protection Code, you have the right to decline the CIS, however, it does contain important information about your plan in a concise and easy to understand format. Click here to browse our library of CIS.

Service Selection

Service	Number of Services	Actions

There are no Services.

Service Selection

Service	Number of Services	Actions

There are no Services.

Your Monthly Committment:

This does not include any activation fees etc. - your first month's payment will be pro-rated, with a bill sent before activation.

Declaration

By signing below, I confirm I am authorised to execute this application on behalf of the business/organisation. I declare that the information I have provided is true and correct.

I have read, understood, and agree to the Standard Form of Agreement ('SFOA') and other related terms at www.bakkbone.com.au/terms.

I agree by submitting this application that BAKKBONE Australia may lodge a credit check in line with the SFOA, if BAKKBONE Australia deems it necessary or is required to do so by law.

By signing below, I confirm I am the person listed on the "Your Details" section of this application. I declare that the information I have provided is true and correct.

I have read, understood, and agree to the Standard Form of Agreement ('SFOA') and other related terms at www.bakkbone.com.au/terms.

I agree by submitting this application that BAKKBONE Australia may lodge a credit check in line with the SFOA, if BAKKBONE Australia deems it necessary or is required to do so by law. (Under the Telecommunications Consumer Protections Code, we must perform an external credit check for residential contracts totalling over $1,000.)

Signature*

Name*

First Last

Date*

Role/Title*

One last check before we go

We just want to make sure it's actually you.