Contact: PIANZEA Secretariat
email: pianzea.secretariat@aec.gov.au
phone: +61 8 63638067

PIANZEA - Pacific Electoral Administrators and Pacific Elections

Personal Particulars Form
Gender (*)
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Title (*)
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First Name(s) as it appears on your passport (*)
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Last Name as it appears on your passport (*)
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Preferred Name
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Preferred name for a name badge if different from above
Full name of your organisation (*)
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You work/position title (*)
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Contact Work Telephone Number (*)
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Contact Home/After Hours Telephone Number
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Contact Email Address (*)
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Emergency Contact Details
Name and Relationship (*)
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Contact Telephone and/or Mobile (*)
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Travel Details
Location and name of your nearest International Airport (*)
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Do you with to twin share a hotel room with a colleague? (*)
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If yes, please nominate who you would like to share with
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Do you have any dietary requirements? (*)
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If yes, please details your requirements
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Passport Details Upload (*)
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Please provide a photocopy of your passport's photograph page. This must include the photo and full passport details.