Your application to register as a Active and Creative Kids provider

This is a record of the details you’ve provided in your application. If you have questions, please contact a Business
Concierge on 13 77 88

Application details

Reference number SFB-42f8-AKCK

Application Register as a Active and Creative Kids provider

Submission date 14 March 2024

Applicant details

First name Ingrid

Last name Castaneda

Email address vasudha.parpati@service.nsw.gov.au

Phone number +61 400000000

Business eligibility

Business name (ABN) YAM PRASAD SHARMA (ABN 43096957628)

Business address 1111 ALEMEIN AV, NORTH ALBURY NSW 2640

Child Safe declaration Yes

Select type of WWCC I am a sole trader (with no employees and volunteers)

WWCC number WWC2433245E

Affiliated with SSO or peak body? No

Business locations

1 location

Business name test

Location address 1111 ALEMEIN AV, NORTH ALBURY NSW 2640

Activities Advertising

Online activity No

Activity structure Free

Fee structure Free

Visibility in finder Yes

Bank details

Business account name bank

BSB 456456

Account number 345678765

Insurance details

Name of insurer TestInsu

Policy number P657657

Expiry date 03/01/2028

Upload documents

Evidence of business BigBrainNSW_1 copy.png

Insurance policy BigBrainNSW_1 copy.png

Letter of authority BigBrainNSW_1 copy.png

Review and declaration

I confirm the following: I have read and accept the Terms and Conditions.
I consent to Service NSW and other NSW government
agencies who may be involved in assessing my application
making enquiries of any third parties, which may include the
Office of the Children's Guardian. I understand that
information collected from these third parties is for the
purposes of assessing my application and providing the
requested services and support.