Customer Service | 1300 292 872 | (02) 6670 2400 PO Box 816 Murwillumbah NSW 2484
Fax (02) 6670 2429 | ABN 90 178 732 496 [email protected] | www.tweed.nsw.gov.au
BeautySkinPenetrationPremisesRegistration.docx / Building and Environmental Health/ May-21 Page 1 of 3
Beauty and Skin Penetration Premises Registration Form
A1. Approval Type
Application is hereby made for:
New Business (not previously registered with Tweed Shire Council) New Owner/Applicant (existing business with new owner)
Current Applicant/Owner Change of Details (change of business name, address or similar)
NOTE! New businesses must complete an “Application for Approval of Skin Penetration Fit-out Plan”.
A2. Application Details
Surname/s Given
Name/s OR
Company/
Organisation
ABN
Applicants
Address Postal
Address
Contact No. Email
Driver Licence No. State of Issue
A3. Registered Details (Existing Business Only)
Business Trading Name Business
Address
ABN If mobile
Residential Address of Operator Operators Postal Address
Print Save Reset
Select >>
Skin Penetration and Hairdressing/Beauty Salon Businesses
Page 2 of 3 BeautySkinPenetrationPremisesRegistration.docx / Building and Environmental Health / May-21
A4. New Details
Business Trading Name Business
Address
ABN If mobile
Residential Address of Operator Operators Postal Address
A5. Fit-out Changes
Are changes to the fit-out of the business proposed?
Yes - specify below No
A6. Activities Undertaken on Premises
Microblading (semi-permanent) Tattooing
Body piercing (including ear) Colonic lavage or colonic irrigation
Hair removal (waxing, sugaring and electrolysis)
Any beauty treatment which involves the deliberate penetration or removal of the skin Nail spa (manicure and pedicure’s)
Hairdressing only (no inspection required) Other
Skin Penetration and Hairdressing/Beauty Salon Businesses
Page 3 of 3 BeautySkinPenetrationPremisesRegistration.docx / Building and Environmental Health / May-21
A7. Privacy and Personal Information Protection Notice
I declare that all the information in this application is true and correct.
Some information requested by Council for this form constitutes personal information under the Privacy and Personal Information Protection Act 1998 (NSW).
Purpose of Collection: This information is collected for the purpose of updating Council’s database/registers.
Intended Recipients: Council staff, Government agencies.
Supply: Legally required, Council may not be able to accept your application if information is not provided Right of Access / Correction: Contact Council (02) 6670 2400 or email [email protected]
Storage details: Tweed Shire Council, 10-14 Tumbulgum Road, Murwillumbah NSW 2484
Consequence of non-provision of information: Failure to provide correct business details is a breach of the Food Safety Standards.
Applicants Name Date
