Part 1 - Membership Type *Full MemberCorporate MemberAffiliate MemberSupplier MemberPart 2 - Business StructureLegal Entity Ownership DetailsName Registered AddressRegistered for ACNNoYesACN Registered for ABNNoYesABN Affiliated Companies If you have any affiliated companies, please list them below, including their: Full Name Trading Name (if different) Address Contact Name Contact Phone Number I hereby certify that all above entities:* meet all NFDA codes and standards meet all required Federal / State Government Regulations have current copies of all required local Government Permits I AgreePart 3 - Facilities If you own / operate any of the following facilities, please check the item in the list and supply the appropriate details, i.e., name, location etc.Chapel(s)DetailsOffice(s) / Shopfront(s)DetailsMortuary(ies)DetailsCrematorium(s)DetailsCemetery(ies)DetailsOtherDetails I hereby certify that all above facilities:* meet all NFDA codes and standards meet all required Federal / State Government Regulations have current copies of all required local Government Permits I Agree I hereby certify that all facilities remain largely as previously inspected and that they are maintained to appropriate standards to meet current legal requirements.* I AgreeOne Of The Following Renovations or improvement requiring council permits have been made New construction requiring council permits has been undertaken New mortuary facilities requiring council permits have been put in place Renovations or improvement requiring council permits have been madeDetailsNew construction requiring council permits has been undertakenUpload copy of construction permit(s)Upload Upload copy of construction permit(s) UploadNew mortuary facilities requiring council permits have been put in placeA new mortuary should be inspected, but many other facilities do not require this, although the NFDA would welcome photos of any new facilities for our records, with permissions attached if you would be happy for us to mention or show such upgrades on our website and / or marketing material.DetailsUpload copy of council / other permit(s)Upload Upload copy of council / other permit(s) UploadTraditionally the NFDA re-inspects existing facilities at least once every decade where possible. In light of recent industry events, this process is under review and we are looking to make inspections a more frequent occurance. If you would like to have new premises and facilities inspected and certified by the NFDA as soon as possible, please check this option.Part 4 - Copyright Licenses *We will require copyright licencing through the NFDAWe will NOT require copyright licensing through the NFDAIf you choose this option you will be directed to a payment screen after registration to select the appropriate package.By selecting this option I hereby declare that I already have the appropriate copyright license coverage in place to satisfy requirements for all entities and facilities.Part 5 - Insurance, Compliance and Disclosure Providing the details is OPTIONALInsuranceDoes your organisation hold any of the following insurances?Public Liability InsuranceInsurer Policy Number Expiry Date Professional Indemnity InsuranceInsurer Policy Number Expiry Date Workers' Compensation InsuranceInsurer Policy Number Expiry Date Business PackageInsurer Policy Number Expiry Date Prior Criminal Convictions*Do you, or any organisation executive / business owner(s) hold any prior criminal convictions?NoYesDetailsMy organisation maintains all necessary registrations and insurances under Local, State and Federal legislationI AgreePart 6 - Occupational Health and Safety training & Professional Development Providing the below details is OPTIONALWhen considering your organisation's Training and Professional Development activities over the last year, approximately how many staff attended:The Annual NFDA Conference Local NFDA Meetings Other Professional Association Training Days (AFDA, FDA, QFDA) Courses provided by Registered Training Organisations (RTOs) Training Days / Sessions organised by Industry Supplier(s) Other trainingHow many of your organisation's staff have had First Aid Training? When considering your organisation's Training and Professional Development activities over the last year, approximately how many sessions / courses related to:Professional Development Legal Obligations Marketing Preneed Planning & Bonds Technology & Media Mortuary Embalming Occupational Health & Safety First Aid Safe Driving Celebrancy / Public Speaking Counselling Training - Topics - Other I hereby certify that all employees of our organisation have received appropriate levels of training for their individual roles and for the duties expected of them.I AgreePart 7 - Nominated NFDA Representative A representative from your organisation will need to be selected to liaise with the NFDA. Please enter their details below:First Name Last Name Position E-mail Address Contact Phone Number Accounts Contact Please note the details of the appropriate contact with regards to accounting matters.Contact Name (Accounts) Email Address (Accounts) Part 8 - Request For Documentation Our organisation requires the following documents (please also enter quantities where required):New Membership CertificatesQuantity New Code of Ethics Certificates (Standard)Quantity New Copyright Certificates (Customised)Quantity NFDA Code of Conduct BrochuresQuantity NFDA Window DecalsQuantity Part 9 - Further Information or EnquiriesYou are invited to list any business news, acquisitions, changes of staff, deaths in the owning family, or other information about your company that might be of interest to NFDA members.You are invited to list any concerns that you would like addressed by the NFDAAre there any specific issues that you would like the NFDA board to follow up for / with you? Please check that parts 1 to 5 have been completed before submission. Accounts for membership will be generated and sent according to the options you have chosen. Memberships will be considered renewed on receipt of payment. The NFDA does its best to keep State and Federal authorities as well as copyright and other licence providers up to date with the current membership. Other than the changing of fees, there should be minimal changes annually to the above requirements. Only fill in if you are not human NextPrevious