Tell us about your organisation, service model and current registration position.

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Section 01 of 04 · §

Provider Profile

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Public organisation details and operating context. Do not enter participant or worker information.

01.01

Provider organisation name

Trading name or legal entity name of the provider organisation. Do not enter participant or worker identifiers.

01.02

ABN

11-digit Australian Business Number. Numbers only — spaces are allowed during entry.

01.03

Which statement best describes your current NDIS registration position?

Currently registered NDIS providerUnregistered, considering registrationUnregistered, not planning to registerIn an active registration or audit processUnclear or unsure

01.04

Does the organisation currently hold registration group 0115?

YesNo

01.05

Current registration groups (optional)Optional

Comma-separated list of NDIS registration groups currently held — e.g. 0115, 0107, 0125.

01.06

Which service description best matches your primary delivery model?

SIL — Support Independent Living (0115) onlySpecialised supports under 0138 onlyA mix of 0115 and 0138 supportsOther community supports onlyUnclear or unsure

01.07

Approximately how many participants does your organisation support?

1 – 56 – 2021 – 5051 +Prefer not to indicate

01.08

How long has the organisation been operating in its current service model?

Less than 12 months1 – 3 years4 – 7 years8 + years

Answer all required items to continue