Security Uplift for Muslim Communities in Australia Program - Registration of Interest
Your Organisation's details:
Organisation Name:
*
Registered business number (ABN / ACN etc):
Registered business number (ABN / ACN etc):
*
Is your organisation a registered charity with the ACNC? (If you are not registered with the ACNC, you will need to provide evidence of Non-for-Profit Status)
*
Yes
No
What type of facility do you manage?
*
Masjid (Mosque)
Islamic School
Islamic Centre
Other Community Facility
Which State is your facility located?
*
Do you have multiple facilities / locations / campuses?
*
No
Yes
Please provide details of each facility / location / campuses:
Your Organisation's Representative:
Full Name
*
First Name
Last Name
Position in organisation:
*
Contact Email (correspondence will be sent to this address):
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Register
Should be Empty: