RA-04 | Registered Agent Contact & Signatory Update | Neves Licensing Authority
Registered Agent forms

RA-04 — Registered Agent Contact & Signatory Update

For Registered Agents notifying changes in authorised signatories, addresses or contact persons.

Form code
RA-04
Applies to
Update notice
Form purpose
Contact and signatory update
Submission type
HTML fillable form
Use of this form: Use this form to notify changes to contact details, correspondence addresses, authorised signatories, or named contact persons for a Registered Agent.

Registered Agent details

Update details

Declaration

Submission

Review the completed form carefully before submission. Where supporting documents are required, they may be uploaded or requested separately through the relevant NLA submission channel or secure follow-up process.