Common use of Certification Clause in Contracts

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 4 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 4 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - 4 Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 4 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Independent audit report Background Background‌‌ These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Modern Manufacturing Initiative - Manufacturing Translation Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - 4 Building Better Regions Fund – Community Investment Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [contributions and and in-kind] contributions kind support for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Xxxxxxxx 0 Xxxxxxxx Xxxxxxxxx’s Defence Industry Grants Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Environment Restoration Fund – Save Xxxxxx Grants - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 National Radioactive Waste Management Facility New Community Benefit Program 2019-22 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 4 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Automotive Innovation Lab Access Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 2 Remote Airstrip Upgrade Program - Independent audit report (for grants over $500,000 or where we request one) Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 XXXXX Xxxxx 00 COVID-19 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Xxxxxxxx 0 Xxxxxxxx Xxxxxxxxx’s Defence Industry Grants Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 National Radioactive Waste Management Facility New Community Benefit Program 2019-22 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Empowering Business To Go Digital - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Building Resilient Regional Leaders Initiative (Pilot) - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Maker Projects: Community STEM Engagement grants 2020 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] National Product Stewardship Investment Fund - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - US Australia International Multidisciplinary University Research Initiative (AUSMURI) – Independent audit report Background These templates assist Grantees grant recipients (and their auditors) to understand the audit requirements under a Commonwealth an AUSMURI grant agreement administered by the Department of Industry, Science, Energy and Resourcesagreement. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When All AUSMURI grant recipients enter into a grant agreement with the Commonwealth. Under this grant agreement, when an independent audit report is required under our the grant agreements the Grantee recipient must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant AUSMURI at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity AUSMURI can be found in grant opportunity the AUSMURI program guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The For AUSMURI grant recipients, the relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees grant recipients and their auditors understand the AUSMURI eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Granteegrant recipient’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee grant recipient is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee grant recipient may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] AUSMURI Project number [project number] Grantee Grant recipient [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee grant recipient and contain the following: Statement of funds, Grantee grant recipient contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee grant recipient *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee grant recipient contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the AUSMURI grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant AUSMURI grant $[enter amount] $[enter amount] $[enter amount] Grantee Grant recipient $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure. Eligible expenditure The eligible expenditure as reported in the statement of eligible expenditure is in accordance with the AUSMURI program guidelines. Basis of compilation This statement of eligible expenditure has been prepared to meet the requirements of the grant agreement between [enter grant recipient name] and the Commonwealth represented by the Department of Industry, Science, Energy and Resources. Significant accounting policies applied in the compilation of the statement of grant income and expenditure include the following: [enter details] Certification by directors [if not director, replace with appropriate equivalent] [Grant recipient name] [Project number] For the period [dd/ mm/yyyy] to [dd/ mm/yyyy] We confirm that, to the best of our knowledge and believe, having made such enquiries as we considered necessary for the purpose of appropriately informing ourselves: Statement of grant income and expenditure We have fulfilled our responsibilities for the preparation of the statement of grant income and expenditure in accordance with the cash basis of accounting and the terms of the grant agreement with the Commonwealth, represented by the Department of Industry, Science, Energy and Resources dated [enter date]; in particular, the statement of grant income and expenditure presents fairly in accordance therewith. All events subsequent to the date of the statement of grant income and expenditure which require adjustment or disclosure so as to present fairly the statement of grant income and expenditure, have been adjusted or disclosed. [Where applicable] The effects of uncorrected misstatements are immaterial, both individually and in the aggregate, to the statement of grant income and expenditure as a whole. A list of the uncorrected misstatements is attached to this representation letter. That all grant recipient contributions and other financial assistance were spent for the purpose of the project and in accordance with the grant agreement and that the grant recipient has complied with the grant agreement and relevant accounting policies. That salaries and allowances paid to persons involved in the project are in accordance with any applicable award or agreement in force under any relevant law on industrial or workplace relations. Signature Name [enter name] Director Date [dd/mm/yyyy] Signature Name [enter name] Director Date [dd/mm/yyyy] For Auditor use only I certify that this statement of grant income and expenditure is the one used to prepare my independent audit report dated [enter date] for the Department of Industry, Science, Energy and Resources. Signature Name [enter name] Position [enter position] Auditor’s employer [enter employer name] Date [dd/mm/yyyy] Attachment B - Independent audit report Background for auditors The purpose of the independent audit report is to provide us with an auditor's opinion on the grant recipient’s statement of grant income and expenditure. The statement of grant income and expenditure is prepared by the grant recipient to correspond with the expenditure reported to the Department of Industry, Science, Energy and Resources (the Department) by the grant recipient for the same period, in the process of claiming grant payments. The independent audit report must be prepared by a person who is an approved auditor. An approved auditor is a person who is: registered as a company auditor under the Corporations Xxx 0000 or an appropriately qualified member of Chartered Accountants Australia and New Zealand, or of CPA Australia or the Institute of Public Accountants; and not a principal, member, shareholder, officer, agent, subcontractor or employee of the grant recipient or of a related body corporate or a Connected Entity. The audit should be undertaken and reported in accordance with Australian Auditing Standards. The independent audit report must follow the required format and include any qualification regarding the matters on which the auditor provides an opinion. We may follow up any qualifications with the grant recipient or auditor. The independent audit report must be submitted on the auditor's letterhead. Auditors must comply with the professional requirements of Chartered Accountants Australia and New Zealand, CPA Australia and the Institute of Public Accountants in the conduct of their audit. If the auditor forms an opinion that the statement of grant income and expenditure does not give a true and fair view of the eligible expenditure for the period, the independent audit report should be qualified and the error quantified in the qualification section of the independent audit report. The required independent audit report format follows. Auditor’s report Independent audit report in relation to [grant recipient name]’s statement of grant income and expenditure to the Commonwealth, represented by the Department. We have audited: the accompanying statement of grant income and expenditure of [grant recipient name] for the period [dd/mm/yyyy] to [dd/mm/yyyy], a summary of significant accounting policies and other explanatory information, and management’s attestation statement thereon (together “the financial statement”). The financial statement has been prepared by management using the cash basis of accounting described in note 3.2 to the financial statement; and [grant recipient name]'s compliance with the terms of the grant agreement between [grant recipient name] and the Commonwealth dated [date of agreement] for the period [dd/mm/yyyy] to [dd/mm/yyyy] (the grant agreement). We have: reviewed [grant recipient name]’s statement of labour costs in support of its claim of eligible expenditure[; and performed limited assurance procedures on [grant recipient name]’s statement of employee numbers under the grant agreement]. Management’s responsibility Management is responsible for: the preparation and fair presentation of the financial statement in accordance with the basis of accounting described in note 3.2, this includes determining that the cash basis of accounting is an acceptable basis for the preparation of the financial statement in accordance with the grant agreement; compliance with the terms of the grant agreement; the preparation of the statement of employee numbers and labour costs in support of eligible expenditure; and such internal control as management determines is necessary to: enable the preparation of the financial statement and the statement of [employee numbers and ]labour costs that are free from material misstatement, whether due to fraud or error; and enable compliance with the terms of the grant agreement. Auditor’s responsibility Our responsibilities are: To express an opinion, based on our audit, on: the financial statement; and [Grant recipient name]’s compliance, in all material respects, with the terms of the grant agreement; and To conclude based on: our review procedures, on the statement of labour costs; and our limited assurance procedures on the statement of employee numbers. We conducted our audit of the financial statement in accordance with Australian Auditing Standards; our audit of compliance with the grant agreement in accordance with ASAE 3100, our review of the statement of labour costs in accordance with ASRE 2405[; and our limited assurance procedures on employee numbers in accordance with ASAE 3000]. The applicable Standards require that we comply with relevant ethical requirements and plan and perform our work to: obtain reasonable assurance about whether the financial statement is free from material misstatement and that [grant recipient name] has complied, in all material respects, with the terms of the grant agreement; and obtain limited assurance as to whether anything has come to our attention that causes us to believe that the statements of employee numbers and labour costs are materially misstated. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statement and about the grant recipient’s compliance with the grant agreement. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statement, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the grant recipient’s preparation and fair presentation of the financial statement, and to the grant recipient’s compliance with the grant agreement, in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the grant recipient’s internal control. An audit also includes evaluating the appropriateness of accounting policies used by management, as well as evaluating the overall presentation of the financial statement.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Modern Manufacturing Initiative - Manufacturing Translation Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Boosting Female Founders Initiative Round 1 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Automotive Innovation Lab Access Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Strengthening Telecommunications Against Natural Disasters - Temporary Telecommunications Infrastructure Deployment - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Boosting Female Founders – Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [4 Moon to Mars Supply Chain Capability Improvement Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] National Product Stewardship Investment Fund - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Science, Energy and Resources - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Genomics Health Futures Mission – Flagships – Pathogen Genomics - Independent audit report Background These templates assist Grantees grant recipients (and their auditors) to understand the audit requirements under a Commonwealth [program name] grant agreement administered by the Department of Industry, Science, Energy and Resourcesagreement. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When All [program name] grant recipients enter into a grant agreement with the Commonwealth. Under this grant agreement, when an independent audit report is required under our the grant agreements the Grantee recipient must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant [program name] at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity [program name] can be found in grant opportunity [program name] program guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The For [program name] grant recipients, the relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees grant recipients and their auditors understand the [program name] eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Granteegrant recipient’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee grant recipient is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee grant recipient may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Genomics Health Futures Mission – Flagships – Pathogen Genomics Project number [project number] Grantee Grant recipient [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee grant recipient and contain the following: Statement of funds, Grantee grant recipient contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee grant recipient *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee grant recipient contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the Genomics Health Futures Mission – Flagships – Pathogen Genomics grant opportunity other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant [Program name] grant $[enter amount] $[enter amount] $[enter amount] Grantee Grant recipient $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure. Eligible expenditure The eligible expenditure as reported in the statement of eligible expenditure is in accordance with the [program name] program guidelines. Basis of compilation This statement of eligible expenditure has been prepared to meet the requirements of the grant agreement between [enter grant recipient name] and the Commonwealth represented by the Department of Industry, Innovation and Science. Significant accounting policies applied in the compilation of the statement of grant income and expenditure include the following: [enter details] Certification by directors [if not director, replace with appropriate equivalent] [Grant recipient name] [Project number] For the period [dd/ mm/yyyy] to [dd/ mm/yyyy] We confirm that, to the best of our knowledge and believe, having made such enquiries as we considered necessary for the purpose of appropriately informing ourselves: Statement of grant income and expenditure We have fulfilled our responsibilities for the preparation of the statement of grant income and expenditure in accordance with the cash basis of accounting and the terms of the grant agreement with the Commonwealth, represented by the Department of Industry, Innovation and Science dated [enter date]; in particular, the statement of grant income and expenditure presents fairly in accordance therewith. All events subsequent to the date of the statement of grant income and expenditure which require adjustment or disclosure so as to present fairly the statement of grant income and expenditure, have been adjusted or disclosed. [Where applicable] The effects of uncorrected misstatements are immaterial, both individually and in the aggregate, to the statement of grant income and expenditure as a whole. A list of the uncorrected misstatements is attached to this representation letter. That all grant recipient contributions and other financial assistance were spent for the purpose of the project and in accordance with the grant agreement and that the grant recipient has complied with the grant agreement and relevant accounting policies. That salaries and allowances paid to persons involved in the project are in accordance with any applicable award or agreement in force under any relevant law on industrial or workplace relations. Signature Name [enter name] Director Date [dd/mm/yyyy] Signature Name [enter name] Director Date [dd/mm/yyyy] For Auditor use only I certify that this statement of grant income and expenditure is the one used to prepare my independent audit report dated [enter date] for the Department of Industry, Innovation and Science. Signature Name [enter name] Position [enter position] Auditor’s employer [enter employer name] Date [dd/mm/yyyy] Attachment B - Independent audit report Background for auditors The purpose of the independent audit report is to provide us with an auditor's opinion on the grant recipient’s statement of grant income and expenditure. The statement of grant income and expenditure is prepared by the grant recipient to correspond with the expenditure reported to the department by the grant recipient for the same period, in the process of claiming grant payments. The independent audit report must be prepared by a person who is an approved auditor. An approved auditor is a person who is: registered as a company auditor under the Corporations Act 2001 or an appropriately qualified member of Chartered Accountants Australia and New Zealand, or of CPA Australia or the Institute of Public Accountants; and not a principal, member, shareholder, officer, agent, subcontractor or employee of the grant recipient or of a related body corporate or a Connected Entity. The audit should be undertaken and reported in accordance with Australian Auditing Standards. The independent audit report must follow the required format and include any qualification regarding the matters on which the auditor provides an opinion. We may follow up any qualifications with the grant recipient or auditor. The independent audit report must be submitted on the auditor's letterhead. Auditors must comply with the professional requirements of Chartered Accountants Australia and New Zealand, CPA Australia and the Institute of Public Accountants in the conduct of their audit. If the auditor forms an opinion that the statement of grant income and expenditure does not give a true and fair view of the eligible expenditure for the period, the independent audit report should be qualified and the error quantified in the qualification section of the independent audit report. The required independent audit report format follows. Auditor’s report Independent audit report in relation to [grant recipient name]’s statement of grant income and expenditure to the Commonwealth, represented by the Department of Industry, Innovation and Science (the department). We have audited: the accompanying statement of grant income and expenditure of [grant recipient name] for the period [dd/mm/yyyy] to [dd/mm/yyyy], a summary of significant accounting policies and other explanatory information, and management’s attestation statement thereon (together “the financial statement”). The financial statement has been prepared by management using the cash basis of accounting described in note 3.2 to the financial statement; and [grant recipient name]'s compliance with the terms of the grant agreement between [grant recipient name] and the Commonwealth dated [date of agreement] for the period [dd/mm/yyyy] to [dd/mm/yyyy] (the grant agreement). We have: reviewed [grant recipient name]’s statement of labour costs in support of its claim of eligible expenditure[; and performed limited assurance procedures on [grant recipient name]’s statement of employee numbers under the grant agreement]. Management’s responsibility Management is responsible for: the preparation and fair presentation of the financial statement in accordance with the basis of accounting described in note 3.2, this includes determining that the cash basis of accounting is an acceptable basis for the preparation of the financial statement in accordance with the grant agreement; compliance with the terms of the grant agreement; the preparation of the statement of employee numbers and labour costs in support of eligible expenditure; and such internal control as management determines is necessary to: enable the preparation of the financial statement and the statement of [employee numbers and ]labour costs that are free from material misstatement, whether due to fraud or error; and enable compliance with the terms of the grant agreement. Auditor’s responsibility Our responsibilities are: To express an opinion, based on our audit, on: the financial statement; and [Grant recipient name]’s compliance, in all material respects, with the terms of the grant agreement; and To conclude based on: our review procedures, on the statement of labour costs; and our limited assurance procedures on the statement of employee numbers. We conducted our audit of the financial statement in accordance with Australian Auditing Standards; our audit of compliance with the grant agreement in accordance with ASAE 3100, our review of the statement of labour costs in accordance with ASRE 2405[; and our limited assurance procedures on employee numbers in accordance with ASAE 3000]. The applicable Standards require that we comply with relevant ethical requirements and plan and perform our work to: obtain reasonable assurance about whether the financial statement is free from material misstatement and that [grant recipient name] has complied, in all material respects, with the terms of the grant agreement; and obtain limited assurance as to whether anything has come to our attention that causes us to believe that the statements of employee numbers and labour costs are materially misstated. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statement and about the grant recipient’s compliance with the grant agreement. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statement, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the grant recipient’s preparation and fair presentation of the financial statement, and to the grant recipient’s compliance with the grant agreement, in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the grant recipient’s internal control. An audit also includes evaluating the appropriateness of accounting policies used by management, as well as evaluating the overall presentation of the financial statement.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Boosting Female Founders Initiative Round 1 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Building Resilient Regional Leaders Initiative (Pilot) - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - Australian 5G Innovation Initiative – Round 1- Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Citizen Science Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] Grantee $[enter amount] Grantee $[enter amount] [enter contributor] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Maker Projects: Community STEM Engagement grants 2020 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Automotive Innovation Lab Access Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Beetaloo Cooperative Drilling Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Science, Energy and Resources - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant <grant opportunity name] > - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Environment Restoration Fund – Save Xxxxxx Grants - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Empowering Business To Go Digital - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify certif y the following: The information inf ormation in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information inf ormation is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Safer Communities Fund Round 5 Infrastructure Grants - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find f ind additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from f rom time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated d eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial f inancial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Modern Manufacturing Initiative - Manufacturing Translation Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Citizen Science Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Maker Projects: Community STEM Engagement grants 2020 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Xxxxxxxx 0 Xxxxxxxx Xxxxxxxxx’s Defence Industry Grants Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 XXXXX Xxxxx 00 COVID-19 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Building Better Regions Fund – Infrastructure Projects Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Modern Manufacturing Initiative - Manufacturing Integration Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] National Product Stewardship Investment Fund - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [4 Moon to Mars Supply Chain Capability Improvement Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Space Infrastructure Fund: Robotics, Automation and Artificial Intelligence Command and Control Centre Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 5 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Remote Airstrip Upgrade Program Round 8 - Independent audit report (mandatory for grants over $500,000 or where we request one) Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] kind contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Citizen Science Grants Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Boosting Australia’s Diesel Storage Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Boosting Female Founders – Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant <grant opportunity name] > - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The  the information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The  the activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Industry 4.0 Testlabs for Australia - Independent audit report Background These templates assist Grantees grant recipients (and their auditors) to understand the audit requirements under a Commonwealth Industry 4.0 Testlabs for Australia grant agreement administered by the Department of Industry, Science, Energy and Resourcesagreement. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When All Industry 4.0 Testlabs for Australia grant recipients enter into a grant agreement with the Commonwealth. Under this grant agreement, when an independent audit report is required under our the grant agreements the Grantee recipient must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant Industry 4.0 Testlabs for Australia at xxxxxxxx.xxx.xx or by calling us on 13 28 4600 00 00. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity Industry 4.0 Testlabs for Australia can be found in Industry 4.0 Testlabs for Australia grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The For Industry 4.0 Testlabs for Australia grant recipients, the relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees grant recipients and their auditors understand the Industry 4.0 Testlabs for Australia eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Granteegrant recipient’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee grant recipient is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee grant recipient may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Industry 4.0 Testlabs for Australia Project number [project number] Grantee Grant recipient [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee grant recipient and contain the following:  Statement of funds, Grantee grant recipient contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee grant recipient *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Environment Restoration Fund – Save Xxxxxx Grants - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] kind contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [4 Moon to Mars Supply Chain Capability Improvement Grant opportunity name] - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Science, Energy and Resources - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Modern Manufacturing Initiative - Manufacturing Integration Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Boosting Female Founders – Round 2 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - – Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Space Infrastructure Fund: Mission Control - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Building Better Regions Fund – Infrastructure Projects Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Manufacturing Modernisation Fund Round Two - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Space Infrastructure Fund: Mission Control - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Empowering Business To Go Digital - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 National Radioactive Waste Management Facility New Community Benefit Program 2019-22 - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Boosting Australia’s Diesel Storage Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - Australian 5G Innovation Initiative – Round 1- Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] 4 Drought Communities Programme – Drought Community Support Initiative - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in the Drought Community Support Initiative grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Space Infrastructure Fund: Robotics, Automation and Artificial Intelligence Command and Control Centre Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Remote Airstrip Upgrade Program Round 8 - Independent audit report (mandatory for grants over $500,000 or where we request one) Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] - 4 Building Better Regions Fund – Community Investment Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - Australian 5G Innovation Initiative – Round 1- Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] Grantee $[enter amount] Grantee $[enter amount] [enter contributor] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Skilling Australia’s Defence Industry Grants Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Genomics Health Futures Mission – Flagships – Pathogen Genomics - Independent audit report Background These templates assist Grantees grant recipients (and their auditors) to understand the audit requirements under a Commonwealth [program name] grant agreement administered by the Department of Industry, Science, Energy and Resourcesagreement. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When All [program name] grant recipients enter into a grant agreement with the Commonwealth. Under this grant agreement, when an independent audit report is required under our the grant agreements the Grantee recipient must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant [program name] at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity [program name] can be found in grant opportunity [program name] program guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The For [program name] grant recipients, the relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees grant recipients and their auditors understand the [program name] eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Granteegrant recipient’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee grant recipient is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee grant recipient may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Genomics Health Futures Mission – Flagships – Pathogen Genomics Project number [project number] Grantee Grant recipient [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee grant recipient and contain the following: Statement of funds, Grantee grant recipient contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee grant recipient *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee grant recipient contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the Genomics Health Futures Mission – Flagships – Pathogen Genomics grant opportunity other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant [Program name] grant $[enter amount] $[enter amount] $[enter amount] Grantee Grant recipient $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure. Eligible expenditure The eligible expenditure as reported in the statement of eligible expenditure is in accordance with the [program name] program guidelines. Basis of compilation This statement of eligible expenditure has been prepared to meet the requirements of the grant agreement between [enter grant recipient name] and the Commonwealth represented by the Department of Industry, Innovation and Science. Significant accounting policies applied in the compilation of the statement of grant income and expenditure include the following: [enter details] Certification by directors [if not director, replace with appropriate equivalent] [Grant recipient name] [Project number] For the period [dd/ mm/yyyy] to [dd/ mm/yyyy] We confirm that, to the best of our knowledge and believe, having made such enquiries as we considered necessary for the purpose of appropriately informing ourselves: Statement of grant income and expenditure We have fulfilled our responsibilities for the preparation of the statement of grant income and expenditure in accordance with the cash basis of accounting and the terms of the grant agreement with the Commonwealth, represented by the Department of Industry, Innovation and Science dated [enter date]; in particular, the statement of grant income and expenditure presents fairly in accordance therewith. All events subsequent to the date of the statement of grant income and expenditure which require adjustment or disclosure so as to present fairly the statement of grant income and expenditure, have been adjusted or disclosed. [Where applicable] The effects of uncorrected misstatements are immaterial, both individually and in the aggregate, to the statement of grant income and expenditure as a whole. A list of the uncorrected misstatements is attached to this representation letter. That all grant recipient contributions and other financial assistance were spent for the purpose of the project and in accordance with the grant agreement and that the grant recipient has complied with the grant agreement and relevant accounting policies. That salaries and allowances paid to persons involved in the project are in accordance with any applicable award or agreement in force under any relevant law on industrial or workplace relations. Signature Name [enter name] Director Date [dd/mm/yyyy] Signature Name [enter name] Director Date [dd/mm/yyyy] For Auditor use only I certify that this statement of grant income and expenditure is the one used to prepare my independent audit report dated [enter date] for the Department of Industry, Innovation and Science. Signature Name [enter name] Position [enter position] Auditor’s employer [enter employer name] Date [dd/mm/yyyy] Attachment B - Independent audit report Background for auditors The purpose of the independent audit report is to provide us with an auditor's opinion on the grant recipient’s statement of grant income and expenditure. The statement of grant income and expenditure is prepared by the grant recipient to correspond with the expenditure reported to the department by the grant recipient for the same period, in the process of claiming grant payments. The independent audit report must be prepared by a person who is an approved auditor. An approved auditor is a person who is: registered as a company auditor under the Corporations Xxx 0000 or an appropriately qualified member of Chartered Accountants Australia and New Zealand, or of CPA Australia or the Institute of Public Accountants; and not a principal, member, shareholder, officer, agent, subcontractor or employee of the grant recipient or of a related body corporate or a Connected Entity. The audit should be undertaken and reported in accordance with Australian Auditing Standards. The independent audit report must follow the required format and include any qualification regarding the matters on which the auditor provides an opinion. We may follow up any qualifications with the grant recipient or auditor. The independent audit report must be submitted on the auditor's letterhead. Auditors must comply with the professional requirements of Chartered Accountants Australia and New Zealand, CPA Australia and the Institute of Public Accountants in the conduct of their audit. If the auditor forms an opinion that the statement of grant income and expenditure does not give a true and fair view of the eligible expenditure for the period, the independent audit report should be qualified and the error quantified in the qualification section of the independent audit report. The required independent audit report format follows. Auditor’s report Independent audit report in relation to [grant recipient name]’s statement of grant income and expenditure to the Commonwealth, represented by the Department of Industry, Innovation and Science (the department). We have audited: the accompanying statement of grant income and expenditure of [grant recipient name] for the period [dd/mm/yyyy] to [dd/mm/yyyy], a summary of significant accounting policies and other explanatory information, and management’s attestation statement thereon (together “the financial statement”). The financial statement has been prepared by management using the cash basis of accounting described in note 3.2 to the financial statement; and [grant recipient name]'s compliance with the terms of the grant agreement between [grant recipient name] and the Commonwealth dated [date of agreement] for the period [dd/mm/yyyy] to [dd/mm/yyyy] (the grant agreement). We have: reviewed [grant recipient name]’s statement of labour costs in support of its claim of eligible expenditure[; and performed limited assurance procedures on [grant recipient name]’s statement of employee numbers under the grant agreement]. Management’s responsibility Management is responsible for: the preparation and fair presentation of the financial statement in accordance with the basis of accounting described in note 3.2, this includes determining that the cash basis of accounting is an acceptable basis for the preparation of the financial statement in accordance with the grant agreement; compliance with the terms of the grant agreement; the preparation of the statement of employee numbers and labour costs in support of eligible expenditure; and such internal control as management determines is necessary to: enable the preparation of the financial statement and the statement of [employee numbers and ]labour costs that are free from material misstatement, whether due to fraud or error; and enable compliance with the terms of the grant agreement. Auditor’s responsibility Our responsibilities are: To express an opinion, based on our audit, on: the financial statement; and [Grant recipient name]’s compliance, in all material respects, with the terms of the grant agreement; and To conclude based on: our review procedures, on the statement of labour costs; and our limited assurance procedures on the statement of employee numbers. We conducted our audit of the financial statement in accordance with Australian Auditing Standards; our audit of compliance with the grant agreement in accordance with ASAE 3100, our review of the statement of labour costs in accordance with ASRE 2405[; and our limited assurance procedures on employee numbers in accordance with ASAE 3000]. The applicable Standards require that we comply with relevant ethical requirements and plan and perform our work to: obtain reasonable assurance about whether the financial statement is free from material misstatement and that [grant recipient name] has complied, in all material respects, with the terms of the grant agreement; and obtain limited assurance as to whether anything has come to our attention that causes us to believe that the statements of employee numbers and labour costs are materially misstated. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statement and about the grant recipient’s compliance with the grant agreement. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statement, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the grant recipient’s preparation and fair presentation of the financial statement, and to the grant recipient’s compliance with the grant agreement, in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the grant recipient’s internal control. An audit also includes evaluating the appropriateness of accounting policies used by management, as well as evaluating the overall presentation of the financial statement.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] - 4 Building Better Regions Fund – Infrastructure Projects Stream Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [contributions and in-kind] contributions kind support for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following:  The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).  The activities undertaken and the expenditure incurred is in accordance with the grant agreement.  I am aware of the grantee’s obligations under their grant agreement.  I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] 4 Beetaloo Cooperative Drilling Program - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with:  a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A)  an independent audit report on the statement of grant income and expenditure (attachment B)  certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following:  Statement of funds, Grantee contributions and other financial assistance*  Statement of eligible expenditure*  Notes to the statement of eligible expenditure, explaining the basis of compilation  Certification by directors of the Grantee  *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.

Certification. You must ensure an authorised person completes the report and can certify the following: The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). The activities undertaken and the expenditure incurred is in accordance with the grant agreement. I am aware of the grantee’s obligations under their grant agreement. I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. Appendix 3 [Grant opportunity name] Manufacturing Modernisation Fund Round Two - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) an independent audit report on the statement of grant income and expenditure (attachment B) certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: Statement of funds, Grantee contributions and other financial assistance* Statement of eligible expenditure* Notes to the statement of eligible expenditure, explaining the basis of compilation Certification by directors of the Grantee *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure

Certification. You must ensure an authorised person completes the report and can certify the following: ▪ The information in this report is accurate, complete and not misleading and that I understand the giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth). ▪ The activities undertaken and the expenditure incurred is in accordance with the grant agreement. ▪ I am aware of the grantee’s obligations under their grant agreement. ▪ I am aware that the grant agreement empowers the Commonwealth to terminate the grant agreement and to request repayment of funds paid to the grantee where the grantee is in breach of the grant agreement. For Official Use Only Appendix 3 [Grant opportunity name] Commonwealth grant agreement administered by Department of Industry, Innovation and Science - Independent audit report Background These templates assist Grantees (and their auditors) to understand the audit requirements under a Commonwealth grant agreement administered by the Department of Industry, Innovation and Science, Energy and Resources. For further information contact us on 13 28 46 or at xxxxxxxx.xxx.xx. When an independent audit report is required under our grant agreements the Grantee must provide us with: ▪ a statement of grant income and expenditure against the expenditure categories under the grant agreement (attachment A) ▪ an independent audit report on the statement of grant income and expenditure (attachment B) ▪ certification of certain matters by the auditor (attachment C). You can find additional information on the grant opportunity relevant to your grant at xxxxxxxx.xxx.xx or by calling us on 13 28 46. Eligible expenditure Advice on eligible expenditure for projects under the grant opportunity can be found in grant opportunity guidelines. These guidelines are revised from time to time and therefore more than one version of the document may exist. The relevant guidelines are those that were effective at the time the Grantee’s application was accepted. It is essential that Grantees and their auditors understand the eligible expenditure requirements because these determine whether, and the extent to which, certain costs are reportable and claimable. The amount of grant funding we approve is based on the Grantee’s estimated eligible expenditure, as provided in their application. However, the grant funding any Grantee is ultimately entitled to receive is determined against actual eligible expenditure incurred and paid for on the project. The grant amount specified in the grant agreement is the maximum amount the Grantee may be paid. The expenditure reported in the ’statement of grant income and expenditure’ at attachment A must represent actual ‘eligible expenditure’ paid on the project during that period. For Official Use Only Attachment A – Statement of grant income and expenditure Grant opportunity name [grant opportunity name] Project number [project number] Grantee [organisation] Project title [project title] Reporting period start date [project start date or other reporting period start date] Reporting period end date [project end date or other reporting period end date] This statement of grant income and expenditure must be prepared by the Grantee and contain the following: ▪ Statement of funds, Grantee contributions and other financial assistance* ▪ Statement of eligible expenditure* ▪ Notes to the statement of eligible expenditure, explaining the basis of compilation ▪ Certification by directors of the Grantee ▪ *We will compare this information to that detailed in the grant agreement. Statement of funds, Grantee contributions and other financial assistance Complete the following table for all cash [and in-kind] contributions for your project for the period in question, including the grant other government funding your own contributions partner or other third party contributions any additional private sector funding. Insert rows as required. Contributor Cash amount (GST excl) [Estimated in-kind amount (GST excl)] Total (GST excl) Grant $[enter amount] $[enter amount] $[enter amount] Grantee $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] [enter contributor] $[enter amount] $[enter amount] $[enter amount] Total $[enter amount] $[enter amount] $[enter amount] Statement of eligible expenditure You must provide detail of the eligible expenditure that has been incurred and paid for during the reporting period in the ‘Statement of eligible expenditure’ spreadsheet. Comment on any variance between the expenditure items and amounts detailed in the grant agreement and the actual items and amounts detailed in the attached statement of eligible expenditure. [enter details] Note to the statement of eligible expenditure.