I declare that the information I have supplied on this application form, and/or in my supporting documents, is true and correct.
I accept that should my application be successful, the above information will form part of my appointment to the Regional Forum and that falsification of information, or suppression of material facts on this form or on any other document, is grounds for termination of membership of the Regional Forum. I understand that if I am invited for an interview I may be required to provide additional personal information, and if I am offered an appointment to the Regional Forum, that information will form part of my application and as such must also be true and correct.
Privacy Act 1993
Your signature on this application form confirms your permission for a member of the selection panel to contact the referees you have listed on the application form. The referee’s reports will be kept confidential to the selection panel unless their disclosure is authorised by the referee.
In accordance with the Act we are unable to hold your application ‘longer than is required for the purposes for which the information may lawfully be used’ and, therefore, unsuccessful applications and supporting documents will be destroyed after three months.