This is an HTML version of an attachment to the Freedom of Information request 'Procedures for processing itinerant or no-fixed-address enrolments'.


 
 
Request for Confirmation of Enrolment 
 
Please supply written confirmation of my enrolment details. Particulars of my request are 
as follows: 
 
 

Details: 
Family name 
 
 
Given Names 
 
 
Date of Birth 
           /         /          
 
 
Enrolled Address: 

 
Note: If you require confirmation of your 
enrolment at previous addresses, attach a   
list of these addresses and the dates you 
believe you were enrolled there. 
 
Locality/Suburb State/Territory 
Post 
Code 
 
Delivery Details: 
 
Confirmation of enrolment details will be mailed to your current enrolled address or 
provided in person on production of photographic proof of identity. If you wish to have the 
confirmation mailed to another address please provide details below. 
 
 
 
Mailing Address: 

 
(If different from your enrolled   
address) 
 
 
 
 
Locality/Suburb State/Territory 
Post 
Code 
 
 
 

........................................................   ........... / ........./ ...........   ............................................ 
Signature of person making request 
Date of request 
Contact phone number  
  
(where 
convenient) 
 
 

Office use only 
RMANS ID 
Signature 
POI Date 
of 
Enrolled 
Alternate 
In 
match 
response 
address 
address 
person 
 Y/N 
Y/N 
    /     /     
Y/N Y/N Y/N 
 
 
08/07