Grant Agreement betweenGrant Agreement • April 21st, 2023
Contract Type FiledApril 21st, 2023Practice name Practice address Street no. and name: Suburb: State: Postcode: Postal address (if different from above) Practice email Fax (if applicable) Practice phone number (including area code) Full legal name of Grantee Trading name or business name Australian Business Number (ABN) Australian Company Number (ACN) Registered for Goods and Services Tax (GST) ☐ Yes; Date from which GST registration was effective: DD/MM/YYYY☐ No Legal entity type (e.g. individual, incorporated association, company, partnership etc) Current Accreditation Status(practice accreditation against Royal Australian College of General Practitioners Standards for General Practices (5th edition)) ☐ Unaccredited; or☐ Registered for accreditation; or☐ Accredited Practice’s bank account detailsAccount where the grant money is to be paid to.The Grantee must ensure that the Grant is held in an account in the Grantee’s (i.e. practice) name and which the Grantee controls, with an authorised deposit-t