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Primary Contact Information




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Business Address






Postal Address





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About the Professional Development Course








Including likely delivery locations



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General Statement *

Any person who knowingly and with intent to defraud the NSW Rural Assistance Authority (RAA) or another person, files an application for assistance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent act, which is a crime under the Crimes Act 1900 and subjects the person to criminal penalties.

 
Privacy statement *
The information in this form is provided voluntarily and is being collected by the RAA for purposes related to the administration of the program of assistance applied, including the assessment of the effectiveness of the program. This may involve disclosing the information in this form to contractors engaged by the RAA or to either State or Commonwealth government agencies. We will supply you with details of those that we have disclosed information to, if you apply to us in writing.


Not providing the information requested in this form or providing false or misleading or incomplete information may impact on the ability of the RAA to accurately assess the student’s application.


The RAA agrees to take all reasonable measures to ensure that the personal information collected by it is stored securely. You may access or correct your information by contacting the RAA by telephone on 1800 678 593 (toll free) or by writing to: Manager Administration, NSW Rural Assistance Authority, Locked Bag 23, ORANGE, NSW, 2800. Calls to “1800” numbers from your home phone are free. Calls from public phones and mobiles may be timed and attract charges. 

 

Your statement *

  • I/We understand that in any one financial year a limited number of places will be allocated to program funding recipients. 
  • I/We will advise applicants when these places have been fully subscribed. 
  • I/We will provide certificates of completion to all successful applicants. 
  • I/We understand that funding outside of the agreement is subject to available funding and assessed on a case by case basis.
  • I/We agree to complete annual returns requested by the RAA to review our course uptake.
  • I/We understand that the NSW Rural Assistance Authority reserves the right to reallocate training places away from courses that have low uptake.       

 
Thank you for completing the Farm Business Skills - Service Provider Registration
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