PPSA Registration Form PPSA Registration Form SECURED PARTYDo you have a Secured Party group?*YesNoSPG NumberART CENTRE DETAILSPlease complete full details of Art Centre for creation of a Secured Party Group (SPG)Art Centre Name:*ACNABN*Registered addressStreet*SuburbState*ACTNSWNTQLDSATAVICWAMailing address Same as above StreetSuburbState*ACTNSWNTQLDSATAVICWASecured Party Group DetailsSPG Name*This is a nickname of up to 25 characters allowing the SPG to be identified. It is not an official nameSPG Email*This email address will be the address for service. Once a security interest is registered, the Personal Property Securities Register will send this address a verification statement, verifying the registration has occurred, and a confidential token which will be the password required to discharge or amend the registered security interest.Contact DetailsContact Name*Contact Email:* Contact Telephone Number*ART GALLERY DETAILSArt Gallery Name*ACN*ABN*Is gallery owner a sole trader an individual not a company?*YesNoIf a trust or partnership is included as a contracting party for a gallery, additional registrations may be required. Please contact the Arts Law Centre for information on completing registration requests in such situations.PERSONAL PROPERTY SECURITIES REGISTERGiving of notice identifier:*This is a reference that allows you to easily identify your registrationAgreement with Art Gallery Please list each agreement separately and include dates where available.