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I consent to NRFA collecting, using and disclosing my personal information as described in the “Your Privacy” section of the Notice. In particular, I consent to NRFA collecting my personal information from the OAIC and the Department of Home Affairs (and to those agencies sharing my personal information with NRFA) for the purpose of NRFA assessing my claim under Compensation Assessment Scheme.
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Yes
No
I understand that NRFA may provide a copy of my submission, or personal information, to the Department of Home Affairs and the Department of Finance as part of their role as administrator of the Scheme.
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Yes
No
Given Names
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Family Name
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Date of Birth
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Have you been known by a different name?
Have you been known by a different name?
No
Have you been known by a different name?
Yes
Other names you have been known by
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Email
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Client ID
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Boat ID
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Do you wish to participate in the Scheme?
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Yes
No
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