Local History & Family History Enquiry Form
Name
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Member Number
Address
Suburb
Contact Number
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Email Address
Date Required By (minimum 2 weeks)
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Enquiry Type
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Family History (Genealogy)
Local History
Photographic
Enquiry Level
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Primary
Secondary
Tertiary
Private research
Government / Council
Local Newspaper
Enquiry
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Date submitted
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Privacy Statement
In submitting this form, you consent to Council:
1. Collecting your personal information as contained in the form; and
2. Using the information for the purposes outlined in the form and for any other Council function.
Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.
You may access any of your personal information that Council holds upon request.
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