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The document is a Personal Probity (Short) Form for Category 2 Gaming Licensees (Clubs) in Queensland, collected under the Gaming Machine Act 1991. It requires personal information and disclosures from executive officers or management committee members of clubs to assess their suitability for holding a gaming machine license. The form includes questions about criminal history, civil lawsuits, bankruptcy, and business affiliations, along with a privacy statement regarding the use of the provided information.

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