Lodgement terms and conditions .pdf

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Lodgement terms and conditions
I, {INSERT NAME} hereby:
1. acknowledge that I have read the General Information sheet and understand that
Spent Convictions legislation (however described) in the Commonwealth and States
and Territories protects "spent convictions" from disclosure;
2. understand that the position/entitlement for which I am being considered may be in
a category for which exclusions from Spent Convictions legislation may apply;
3. have fully completed this Form, and the personal information I have provided in it
relates to me, contains my full name and all names previously used by me, and is
correct;
4. acknowledge that the provision of false or misleading information is a serious
offence;
5. acknowledge that the Accredited Organisation named in Section 3 above[1] is
collecting information in this Form to provide to CrimTrac (an Agency of the
Commonwealth of Australia) and the Australian Police Agencies;
6. consent to:
a. CrimTrac using and disclosing personal information about me to the
Australian Police Agencies;
b. the Australian Police Agencies disclosing to CrimTrac, from their records,
Police History information, that can be disclosed in accordance with the laws
of the Commonwealth, States and Territories and, in the absence of any
laws governing the disclosure of this information, disclosing in accordance
with the policies of the police agency concerned;
c. CrimTrac disclosing the information disclosed by the Australian Police
Agencies to the Accredited Organisation named in Section 3 above[1],
and
d. where applicable, the Accredited Organisation named in Section 3
above[1] disclosing to the employer/organisation named in Section 4 above
personal information about me to assess my suitability in relation to my
employment/entitlement
7. acknowledge that any information provided by me on this Form, relates specifically
to the purpose identified in Section 6 above[2];
8. acknowledge that any information provided by the Australian Police Agencies or
CrimTrac, relates specifically to the purpose identified in Section 6 above[2];

9. acknowledge that any personal information sent, by mail or electronically, in relation
to your form, including this form and any identity documents, is sent at your own risk
and are aware of the consequences of these methods of lodgement;
10. acknowledge that personal information that I provide in this Form may be disclosed
to the Accredited Organisation named in Section 3 above[1] (including contractors or
related bodies corporate) located in Australia or overseas. Refer to attached list if
applicable; and
11. acknowledge that it is usual practice for an Applicant's personal information to be
disclosed to Australian Police Agencies for them to use for their respective law
enforcement purposes including the investigation of any outstanding criminal
offences.
1. The Accredited Organisation is National Crime Check Pty Ltd, A.B.N. 60 139 183
145
2. The check purpose is {insert reason for check}

 


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