Nsw Form 1354 – Fill Out and Use This PDF

Apprentice Registration Rebate Claim

Please print neatly in BLOCK LETTERS with black or blue ballpoint pen only.

Do not use correction fluid or tape.

Print one letter or number in each box. Print X in appropriate boxes.

Mail the completed form to:

Government Rebates and Refunds, Transport for NSW, Locked Bag 14, Dubbo NSW 2830

Section A Claimant details

Training Contract Number

(if known)

Surname

Given names

Postal address

Postcode

Day Month

Year

Business Hours Telephone Number or mobile number

Date of birth

Bank Account name

BSB

-

Account

Number

Section B Vehicle Registration details

Section C Declaration by Apprentice

My personal information is collected and held by Roads and Maritime Services 101 Miller Street, North Sydney NSW 2060. I understand that my personal information is being collected as part of my application for the Apprentice Registration Rebate. I voluntarily supply the information to claim the Apprentice Registration Rebate. Failure to supply full details and sign this declaration can result in the transaction not proceeding. My 'personal information' may be disclosed to the NSW Department of Education and Training (DET), Roads and Maritime's' Bank and my financial institution, for purpose of administering my rebate claim and to verify my claim. I have a right to access or correct my 'personal information' in accordance with the provisions of the Privacy and Personal Information Protection Act 1998.

I declare that the details in this application are true and complete.

Section D (Office Use Only)

Catalogue No. 45071135, Form No. 1354 (07/2014) ABN 76 236 371 088

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Apprentice Registration Rebate Claim

Guidelines

Eligibility

A registration rebate may be claimed subject to the following eligibility criteria:

You must be 1st or 2nd year apprentice registered with the NSW Department of Education and Training.

The vehicle for which a rebate is claimed must: be registered in NSW

be registered in the name of an eligible apprentice, or jointly with an eligible apprentice

be registered for general private or business general use

have been registered in the name of the apprentice, or jointly with an existing apprentice, at the time the registration fee and motor vehicle tax were last paid.

be due for renewal and paid after becoming an eligible apprentice

Only one rebate may be claimed in a financial year.

Payment

Rebates will be paid by electronic funds transfer (EFT) direct to a deposit account in your name at a bank, credit union or building society. Joint accounts are acceptable. Rebates cannot be paid to third parties or credit card accounts. Payment of the apprentice registration rebate will be made to your nominated bank account within 30 days of receipt at Government Rebates and Refunds (Transport for NSW) of this application. Remittance advice will be mailed to the applicant.

You will be advised in writing if you are not eligible for the rebate. In order to ensure your rebate claim is processed promptly please ensure that your application form is completed in full. Failure to supply full details and sign the declaration will delay the processing of your application.

Enquiries

If you require further information about your rebate please contact:

Government Rebates and Refunds

Phone:	02 6841 4804	(Monday to Friday: 8.30am - 4.00pm)
Fax:	02 6841 4816
Email:	DrivesRefunds@transport.nsw.gov.au
Mail:	Government Rebates and Refunds
	Transport for NSW
	Locked Bag 14
	DUBBO NSW 2830

Catalogue No. 45071135, Form No. 1354 (07/2014) ABN 76 236 371 088

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