SCHEDULE Regulation 9
STATEMENT OF TRUST ACCOUNT FUNDS HELD ON BEHALF OF OVERSEAS STUDENTS FOR THE REPORTING PERIOD BEGINNING ON [ INSERT DATE ] AND ENDING ON [ INSERT DATE ]
Name of private provider:
[ if a business or company—the registered name ]
ACN No. [ if the provider is a company ]:
Provider code: Names:
Registered business address of provider:
INFORMATION ABOUT TRUST ACCOUNTS MAINTAINED BY PROVIDER
(a) Name of each bank and bank branch at which a trust account is maintained:
(b) Number of bank accounts which are trust accounts:
(c) Name of each signatory of each bank account to which paragraph (b) relates:
(d) Total amount held in all trust accounts maintained by the provider on [ date of beginning of reporting period ]: $
(e) Number of course enrolments to which (d) relates:
(f) Total amount held in all trust accounts maintained by the provider on [ date of end of reporting period ]: $
(g) Number of course enrolments to which (f) relates:
(h) Total amount deposited into all trust accounts maintained by the provider during the reporting period: $
(j) Number of course enrolments to which (h) relates:
I declare that the information set out in this statement is correct to the best of my knowledge.
Dated:
[ Name of principal executive officer of provider ]
[ Signature of principal executive officer of provider ]
I/We certify that I/we have audited, to the extent required for the purposes of this certificate, the accounts and records of [ insert name of provider ] for the reporting period ending [ insert date ] in accordance with the Australian Auditing Standards. To the best of my/our knowledge, the particulars set out in this statement are/are not correct and [ insert name of provider ]:
• complies with sections 16, 24 and 26 of the Act
• does not comply with sections 16, 24 and 26 of the Act
• complies with sections 16, 24 and 26 of the Act, subject to the following qualifications:
[ insert any qualifications ]
Dated:
[ Name and address of registered company auditor(s) ]
[ Signature(s) of registered company auditor(s) ]