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Expression of Interest to register form

Yes
No
Aboriginal and Torres Strait Islander Community Controlled Organisation
Prescribed body corporate
Native Title Holder
Other
*
*
*
*
*
0-4
5-19
20-199
200 or more
Public Liability insurance to a minimum $10 million in respect of any claim or series of related claims?
Professional indemnity insurance to a minimum $10 million in respect of any claim or series of related claims?
Worker’s Compensation insurance for all employees and sub-contractors involved in delivery of the services?
*
*
Yes
No
If yes, please describe
Yes
No
If yes please name researcher in Expression of interest - Nomination of Participants.
Yes
No

Expression of Interest - Nomination of Participants

Please nominate who your organisation would like to attend the Research Ceremony. A maximum of:
- Two representatives from organisations, and
- One research partner

Organisation Representative 1

Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
No

Organisation representative 2

Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
No

Nominated research partner

Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
No
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