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Information you provide in this declaration will allow us to work out how much tax to withhold from payments made to you.

Tax File Declaration

What is your tax file number (TFN)?(Required)

What is your name?(Required)

Title First given name Middle Surname or family name

What is your address in Australia?(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your primary e-mail address?(Required)

What is your date of birth?(Required)

On what basis are you paid?(Required)

Are you:(Required)

Do you want to claim the tax free threshold from Cemoh?(Required)

Only claim the tax‑free threshold from one payer at a time, unless your total income from all sources for the financial year will be less than the tax‑free threshold.
Answer no here if you are a foreign resident or working holiday maker, except if you are a foreign resident in receipt of an Australian Government pension or allowance.

Do you have a Higher Education Loan Program (HELP), VET Student Loan (VSL), Financial Supplement (FS), Student Start-up Loan (SSL) or Trade Support Loan (TSL) debt?(Required)

If yes Cemoh will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.

Declaration(Required)

I declare that the information I have given is true and correct. (Please sign)

Payment Information

Bank Account Name(Required)

Bank Account BSB(Required)

Bank Account Number(Required)

Superannuation Details

Fund Name(Required)

Fund USI(Required)

Unique Superannuation Identifier (USI)

Employee Number(Required)

This is your super fund member ID or employee number.

Welcome to the
Cemoh Team!

Tax File Declaration

Payment Information

Superannuation Details

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Welcome to theCemoh Team!

Tax File Declaration

Payment Information

Superannuation Details

Welcome to the
Cemoh Team!