ACMA Registration Form - Loop Mobility

Australia – SenderID Registration Form

Please complete all sections below to register your SenderID with Loop Mobility in accordance with ACMA requirements.

0. Who is submitting this registration?

Who is submitting this registration? *

1. Submitting Party Details (Your Details)

Submitting Company Name * Submitting Contact Name * Submitting Contact Email * Submitting Contact Phone *

2. End‑Client Business Details that will use this SenderID

Legal Entity Name * Trading Name ABN / ACN / BRN * Industry / Sector * Registered Business Address * Website * Primary Contact Email * Primary Contact Name * Primary Contact Phone *

3. End‑Client Authorised Representative

Authorised Representative Name * Position / Title * Email * Phone *

4. SenderID Details

Requested SenderID * Is this SenderID already in use elsewhere? Countries / Regions * SenderID Use Case * SenderID Category *

5. Message Templates

Template 1 * Template 2 Template 3

6. Consent

Consent Method * Consent Description

7. Opt‑Out

Opt-Out Method * Opt-Out Description

8. Declaration

Please review all information entered above to ensure it is accurate and complete. The final confirmation below must be completed by the person submitting this registration.

9. Final Confirmation & Submission Date

I confirm the information provided is accurate and complete. Name * Date *

Australia – SenderID Registration Form

Submission Successful