Application to be a Beneficiary

You can either complete the online form below or download the PDF and email it to Ankamuthi@Mutualtrust.com.au
Application to be included on the Register of Ankamuthi Beneficiaries under Schedule 9 of the Ankamuthi Direct Benefits Trust Deed
BENEFICIARY INFORMATION
Title:
NAME:(Required)
Date of Birth
Suffix:
ADDRESS:
Address(Required)
POSTAL ADDRESS:(Required)
Are you a member of Seven Rivers Aboriginal Corporation RNTBC?
BANK ACCOUNT INFORMATION: (Account to receive payments)
Clear Signature
Consent(Required)
Consent2(Required)
ATTACH DOCUMENTS
Max. file size: 128 MB.
Please fill in the boxes below to show your connection to an apical ancestor listed in the Ankamuthi People #1 and #2 Native Title Determinations made on 26/07/2017.
APICAL ANCESTORS