Replacement or Renewal of a Digital Certificate by njw73786

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									                                                                                                   Replacement or Renewal
                                                                                                    of a Digital Certificate
To replace or renew your digital certificate you will need to complete this form and send to:

Postal Address                                                          Courier Address
Attention: Cargo Support                                                Attention: Cargo Support
Australian Customs Service                                              Australian Customs Service
Customs House                                                           Ground Floor, Customs House
Locked Bag 3000                                                         10 Cooks River Drive
Sydney International Airport NSW 2020                                   Sydney International Airport NSW 2020

Fax:      02 8339 6713

For advice regarding replacing, renewing or revoking your certificate please contact Verisign Australia:
Phone: (03) 9674 5500 Fax: (03) 9699 5532 Email: support @verisign.com.au Web: www.verisign.com.au
  Client details
Client Type (check appropriate box):
             Australian Business Number (ABN) entity

             Organisation (non-ABN)

             Individual

Company name (if applicable):

Organisation name (if applicable):

Individual name (if applicable):

Postal address:

Business address:

Contact person and title:                                                                Telephone Number:

                                                                                         Email address:

 Old certificate details (replaced certificate)
Digital Certificate holders name (as detailed in certificate):                                          Certificate serial number:



Certificate Type (select the appropriate certificate for this form):
             Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)

             Type 1 - grade 2 individual certificates

             Type 2 - grade 2 non-individual certificates

             Type 3 (device) certificates

E-mail Address (contained in your certificate):


Signature:                                                                                      Date:


  New certificate details
 Digital Certificate holders name (as detailed in certificate):                                         Certificate serial number:


Certificate Type (select the appropriate certificate for this form):

             Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)

             Type 1 - grade 2 individual certificates

              Type 2 - grade 2 non-individual certificates

             Type 3 (device) certificates

E-mail Address (contained in your certificate):


Signature:                                                                                      Date:


                                                                                                                                     B306 (OCT 2006)
  Old certificate details (replaced certificate)
                                                                                                                                   Certificate serial number:
Digital Certificate holders name (as detailed in certificate):.........................................................................................



Certificate Type (select the appropriate certificate for this form):
             Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)

             Type 1 - grade 2 individual certificates
             Type 2 - grade 2 non-individual certificates


             Type 3 (device) certificates

E-mail Address (contained in your certificate):


Signature:                                                                                                            Date:




  New certificate details
 Digital Certificate holders name (as detailed in certificate):



Certificate Type (select the appropriate certificate for this form):
             Type ABN-DSC grade 2 certificates (authorised officer or non-authorised officer)

             Type 1 - grade 2 individual certificates
              Type 2 - grade 2 non-individual certificates


             Type 3 (device) certificates

E-mail Address (contained in your certificate):


Signature:                                                                                                             Date:

								
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