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01 NDIS Code of Conduct (MC-DOC-NDIS-001)

Mayim Group Pty Ltd trading as Mayim Care · MC-DOC-NDIS-001 · Version 3.2 · August 2026

Read the NDIS Code of Conduct in your welcome pack before you complete this form. This form is the record that you have done so — it is not a summary and it does not replace reading the document.

Questions before you sign: your manager on 0400 494 102 or admin@mayimcare.com.au.

Your full name (as shown on your photo ID)

Your email address

NDIS Worker Screening Check number

Clearance expiry date

Declaration

I have read the NDIS Code of Conduct (MC-DOC-NDIS-001, version 3.2) in full, I understand it, and I agree to comply with it. I understand this form and my signature are a legal record kept on my personnel file. I understand the Code binds me personally under Commonwealth law and that the NDIS Commission can act against me directly, including by banning me from working in the sector.

Your signature

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01 NDIS Code of Conduct (MC-DOC-NDIS-001)

Your full name (as shown on your photo ID)

Your email address

NDIS Worker Screening Check number

Clearance expiry date

Declaration

Your signature

Date signed