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* Sub-Branch Name

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* Is your Sub-Branch Incorporated?

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* Mailing Address

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* Street Address

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* Sub-Branch Contact Details

COMMITTEE CONTACT DETAILS

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* President

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* Senior Vice President

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* Vice President

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* Secretary

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* Treasurer

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* Manager

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* Membership Officer

**Please note: only members listed in this form are authorised to access the IGT Member Database

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* Appeals Officer

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* ATDP Welfare Advocate

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* ATDP Compensation Advocate

DECLARATION

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* As Sub-Branch President and Secretary/Manager - we (as listed below) confirm the above named are financial members of the RSL and were eligible for election as officers and committee persons of the Sub-Branch. They were duly elected to the positions set out against their respective names at a duly constituted meeting of the Sub-Branch held on the date listed below.

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* President Name

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* Secretary/Manager Name

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* Date of Meeting

Date
IMPORTANT: Failure to submit this form may impact on the compliance of your Sub-Branch and ability to access your member data. Only persons listed in this 'Appendix A' form are authorised to access member data. This form MUST be completed and Declaration checked every year.

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* Other Office Bearers

T