Application to restrict access to data - Personal Property Securities ...

Application to restrict access to data - Personal Property Securities ... Application to Restrict Access to Data Note: This application form is for use by a person seeking to have access to data restricted. A successful application will not result in the removal of data. A successful application will restrict the data which is publically available in relation to the registration to the registration’s number and end time. Contact details of the person making the application Given names: Family name: Phone: Email: Mailing Address: City: State: Postcode: Country: Property Interest Does the applicant have an interest in the property? No Yes (if yes, describe how that interest arose) Registration details Registration number: 29(W)0112 Page 1 of 5 Additional information Select one of the following This application is made in relation to a court order a sealed copy of which is attached This application is to request the Registrar to exercise the discretion to restrict access to data (if this option is selected please complete all information below) i) Provide the reasons that in the applicant’s opinion it is in the public interest to restrict access to the data, including a reference to each of the four items listed for consideration in reg 5.7(2): ii) Provide evidence in support of the reasons above (attach any documentation that evidences the reasons stated above) Page 2 of 3 29(W)0112 Acknowledgement I acknowledge that access to and use of the Personal Property Securities register (PPSR) and all data, information and material of any kind (including data, information and material provided by a third party) contained in or made available via the PPSR is subject to me complying with the current versions of PPSR General Conditions of Use and (if applicable) the following further terms and conditions: ? PPSR Account Customer Terms and Conditions ? ITSA Credit Application - Terms and Conditions ? PPSR B2G Access Terms and Conditions and ? All terms and conditions relating to any relevant Third Party Facility. I understand and acknowledge that the PPSR General Conditions of Use and all other terms and conditions listed above may be downloaded from www.ppsr.gov.au and that hard copies may be obtained by telephoning 1300 007 777. I also understand and acknowledge that, except where the Personal Property Securities Act 2009 or the documents referred to above otherwise provide, I may be advised or notified of any matter on or via any relevant PPSR channel (including by general or hyperlinked advice or notice on the PPSR website, by telephone, SMS, email, mail or facsimile to any relevant address which I have provided). I understand and acknowledge that the "current versions" of any of the documents referred to above will include any changes to, or replacements of, those documents notified in accordance with any of these methods. By signing this form I accept and agree to all of the current versions of all of the above terms and conditions. Print name: Organisation (if applicable): Position/Capacity (if applicable): Signature: Date (dd/mm/yyyy): Completed form and attachments to be sent via post, fax or email. National Service Centre, GPO Box 1944, Adelaide SA 5001 TELEPHONE 1300 007 777 FAX (08) 7087 4405 EMAIL forms@ppsr.gov.au For further information on the PPSR concepts and definitions please go to the PPSR website at www.ppsr.gov.au or contact the National Service Centre Page 3 of 3 29(W)0112