QLD Certificate Application Form Certificate Application Applicant Information Date * Applicant * Address * Contact Phone Number * Your File / Reference (if applicable) This information is subject to the Privacy Act The applicant must be the lot owner or be authorised to receive such information Building/Scheme Name * CTS Number * Lot Number * Plan Number Full Name of Lot Owner/s * Address of Lot Owner/s * If you are human, leave this field blank. Next