City of Joondalup Forms – A Global City: Bold | Creative

21:41:19

Health Local Laws 1999- application to register a Lodging House

Property Details
Address where lodging house is located*
Nominated Manager to live on site*
First Name Surname
Maximum number of lodgers to be accommodated at any one time*
Applicant Details
Applicant Name*
Given Name(s) Surname
Applicant Address*
Street Address Suburb Post Code
Email Address*
Contact Phone*
Required plans
File size limit 2MB each file. Acceptable file types : gif, jpg, jpeg, pdf, png.
Plans and specifications*
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.
Lodging house management plan*
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.
Payment Details
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payment_process_mode
NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
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Payment Type Code
Fee (GST Included)
Price:
Total (GST Included)
$ 0.00
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GST info
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Payment Type
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Property Details