IEOI INTERNATIONAL BROADCAST & DISTRIBUTION

INVITATION FOR EXPRESSION OF INTEREST (IEOI)

APPLICATION REGISTRATION

This completed IEOI Application Registration must be returned by email to GRNSW’s EOI Officer listed below no later than 5:00pm (AEST) on Friday 1 July 2022:

GRNSW EOI OFFICER CONTACT DETAILS:

Mr Elias Kheir

General Counsel

Greyhound Racing New South Wales

Level 23, 1 Oxford Street

DARLINGHURST NSW 2010

E-mail: legalcounsel@grnsw.com.au

CLICK HERE FOR IEOI FORM

Please complete all fields. If the field is not relevant, please insert “N/A”.

APPLICANT ORGANISATION DETAILS

Organisation/Company Legal Name:

Organisation/Company Trading or Business Name (if different to above):

Organisation/Company primary website (must be url):

Organisation/Company ABN and/or ACN (if relevant):

Organisation/Company City/Country Headquarters:

Organisation/Company Principal Place of Business – Address:

Primary Organisation/Company Activities:

Current Staff Numbers (directly employed):

EOI APPLICATION CONTACT PERSON DETAILS

Title:

First Name:

Last Name:

Title/Role within Organisation/Company:

Primary Email Address:

Contact Phone/Mobile (including country/area code if outside Australia):

Postal Address:

APPLICANT INFORMATION

International Jurisdictions of Interest:

Organisation/Company Conflict of Interest Disclosures:

Findings or Penalties Recorded against Organisation/Company Directors:

ORGANISATION/COMPANY AUTHORISED PERSON