764-Department of Health Voter Roll for Proposed Enterprise Agreement 2015-2018
Work Email 
Alternate Email 
Key Group Label
Group Label 2   Group Label 3  AGS Number
First Name
Last Name
Date Of Birth
Address Line 1
Suburb
State
Postcode
Dispatch
Address
Address
Required:
Required
Required in case of  Optional (required for those 
Required: Email and/or 
Division
Branch
Classification
Must be 
Required
Required
Required
Optional Optional Optional
Format:dd/mm/yyyy
leave
we contact by post)
Post
unique
 
UNDER 
1982  
ACT 
RELEASED 
BEEN  HEALTH
HAS INFORMATION 
OF 
OF 
DOCUMENT 
FREEDOM 
DEPARTMENT 
THIS 
THE  THE 
BY 
FOI 206-1617
DOCUMENT 1 
Page 1 of 1 

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Document Outline

• 764-Voter Roll Template

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