Please complete the form below to register as a new client.
Your basic personal information
Title —Please choose an option—MrMrsMissMsDr
Tax File Number
Date of Birth
Last Name *
First Name *
Middle Name
Tell us where you currently live
Residential Address *
Suburb
State —Please choose an option—ACTNSWNTQLDSATASVICWA
Postcode
My postal address is the same as my residential address
Postal Address
Complete this section if applicable
Spouse Last Name
Spouse First Name
Complete this section if you would like refunds paid directly into your bank account
Refund Information
If you would like to receive any refund directly into your bank account, please provide your bank details below.
BSB
Account Number
Account Name
How can we contact you?
Email Address *
Home Phone Preferred contact number
Phone Number
Preferred Time
AM / PM —Please choose an option—AMPM
Mobile Preferred contact number
Mobile Number
Work Preferred contact number
Work Number
If you are a new client, how did you hear about us?
Are you happy to be contacted by SMS? We may use SMS for appointment reminders and important updates.
YesNo
06
Please read and confirm the following declaration
Client Authorisation
I authorise Dauters Accounting Services to register me as a client and access my information from the Australian Taxation Office website / ATO Portal.
Additional Comments
Signature * Sign inside the box using your mouse or finger.
Required
Clear Signature
Date
I confirm that the information provided in this form is true and correct, and I authorise Dauters Accounting Services to use this information for accounting and taxation services.
Your information is secure Your details are submitted securely.
