Applicant Information Full Name First Last Business Name (if applicable) ABN (if applicable) Address Address City/Town State/Province - None - ZIP/Postal Code Phone Number Email Address Referees The applicant should provide Referees that can speak to the applicant’s ability to manage and lead a project similar to this project’s requirements. Request Client Name Client Contact Number Client Email Commission Description Request Client Name Client Contact Number Client Email Commission Description Required Documentation The following documentation must be included when submitting this Response Form. Curriculum Vitae One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Examples of previous design work One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Public Liability Insurance Certificate of Currency One file only.256 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Applicants Declaration Select One Only I declare I am the Artist and the examples of design work, and the design brief submitted as my response to this EOI are my original design creation. I declare I am representing the artist whose design work and design brief has been provided in this submission, and I have provided written consent to work with them on this project. Leave this field blank