1.Name (indicate if you wish this to be kept confidential)

*2.Organisation(Required.)

*3.Role (select from list below)(Required.)

Individual

Spokesperson (i.e. for dangerous goods operator)

Representative (i.e. for industry representative or union body)

Employee of dangerous goods operator

*4.Organisation type(Required.)

Industry representative body

Union body

Dangerous Goods licensee

Major hazard facility

Dangerous goods transport

Accredited Dangerous Goods Consultant

None of the above

7 / 40

18%