Acknowledgement Of Independent
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out and fax back to Australia on ( 61+7 ) 3290 2481 or fill in details and
This document remains the property of Celestial Industries
Pty ltd for its own personal & business use.
Legal documents by R.P Emery & Associates Updates: www.rpemery.com
The undersigned acknowledges that it has been retained
for purposes of: (Describe)
In consideration of the foregoing, the Company agrees to pay the undersigned payment as
follows: (Describe amount)
(Describe method of payment)
It is further acknowledged that:
1. The undersigned shall be deemed an independent contractor and is not an employee,
partner, agent, or engaged in a joint venture with Company.
2. Consistent with the foregoing, the Company shall not deduct withholding taxes or any
other taxes required to be deducted by an employer as I acknowledge my responsibility to pay same as an independent
3. I further acknowledge that I shall not be entitled to any fringe benefits,
superannuation, retirement, profit sharing or any other benefits accruing to employees.
Signed under seal this day of , .
Name of Signature
STD & ISD Numbers :