This Skin Penetration Notification form is designed for a single business location. Where a skin penetration business provides services from multiple locations a separate form must be completed for each location.

Business Ownership Details

Name of Proprietor or Company *

Business Contact Person same as Proprietor? *

Yes

No

Business Phone *

Mobile Phone

Email *

Fax

Business Location Information

Registered Business Name

Common Trading Name of Business *

ABN

Business Location Address *

Street Number

Lot

Number *

Street *

Suburb *

Mailing Address *

As Above

PO Box

Different Address

Business Information

Premise Type *

Retail

Residential/Home-based

Council’s Planning and Development Team should be contacted to discuss any planning requirements that may be applicable

Date Business Commenced *

Please provide a short description of the business and its operation *

Declaration *

I hereby declare that the information contained in this hairdresser, beauty and skin penetration notification form is accurate and complete.

I accept this Declaration *

Name *

Business Phone *

Mobile Phone

Please send all correspondence electronically? *

Yes

No

Council’s preferred method of communication is by email in line with reducing our impact on the environment

Privacy Policy *

By submitting this form, I consent to the City of Charles Sturt collecting, retaining and using my personal information provided in line with Council's Privacy Policy.

I accept this Privacy Policy *

Hairdresser, Beauty and Skin Penetration Notification Form