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Click ‘Get Form’ to open the Personal Information Declaration in the editor.
Begin with Part A, providing details about the licensed premises if applicable. Fill in the premises license number, name of premises, and address.
Move to Part B, where you will enter your personal details. Include your title, full name, gender, current residential address, and contact information.
In this section, also provide your date and place of birth. If born outside Australia, indicate your citizenship status and provide relevant identification numbers.
Continue to disclose any previous names and any past applications for approvals under relevant legislation.
Part C requires you to detail your address history and any offence history. Be thorough as this is crucial for processing your application.
Finally, complete Part D by signing in the presence of a witness. Ensure all information is accurate before submitting.
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Personal information declaration templatePersonal information declaration samplePersonal information declaration formPersonal information declaration examplePersonal information declaration pdfPersonal information declaration onlineFreedom of Information recordPrivacy Act Statement pdf
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All personal information that you provide to us must be true, complete, and accurate, and you must notify us of any changes to such personal information.Read more
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