In this section
= Required Fields

Online Form - Application for Registration of a Lodging House

Health (Miscellaneous Provisions) Act 1911

Schedule 1

(Section 132) 

Details


Description of Lodging House


Number of Rooms for Lodgers


Lodging Classification


Number of Rooms for Private Use


Area of Rooms for Private Use

Please specify approximate square meters of area


Area of Rooms for Lodgers

please enter the approximate square metres of each area


Sanitary Conveniences for Male Lodgers

Please enter the number of sanitary conveniences for male lodgers


Sanitary Conveniences for Female Lodgers


Laundry Facilities


Additional Details

Will the keeper reside continuously on the premises?

Declaration

I/We declare that all details in this form are true and correct. Please be advised providing false information may be an offense.

An Application / registration fee of $250 is applicable to this application.