Application for renewal of accommodation (hotel, motel, bnb and hostel) approval

Registration number
Full name of applicant/s
Contact person if not an applicant
Applicant/s postal address
Name of business
Address of business
Rental property description (lot and plan)
Business phone (no spaces)
After hours phone (no spaces)
Email address
Nominee (If company)
Premises type	Holiday flat / unit Backpacker hostel Hotel / motel accommodation Bed and breakfast
Number of habitable rooms
Number of washing machines
Number of washing tubs
number of clothes dryers
Number of clothes lines
Do you use an outside service?
Will food be be sold or provided in conjunction with the accommodation	Yes No
Does the facilities have a swimming pool	Yes No

Applicant's agreement and signature*

Name of Individual/Organisation
Name of Signatory If applicant is Corporation/Association
Position Proprietor, Director, Manager
Signature	I acknowledge Queensland State Laws will accept this communication as containing my signature with the meaning of the electronic Transactions (Qld) Act 2001
Date Signed

*If you are supplying commercially sensitive or confidential information, please ensure you mark such information clearly.

If the application is made by a corporation or an incorporated association, the person signing this form must occupy a position that is legally entitled to make an application on behalf of the organisation.

I understand that the information provided in and with this application may be disclosed publicly under the Right to Information Act 2009 and the Evidence Act 1977.

I am aware that it is an offence to knowingly provide false or misleading information.