ADFC001 IN CONFIDENCE (after first entry) Page 1 of 3 Version 1.4 - Jan 14 Department of Defence Australian Navy Application to enrol as a in the Cadets (Tick the appropriate box) Australian Air Force Cadets The Cadets (ADFC) comprises of the , and Australian Air Force Cadets. Enrolment in an element of the ADFC does not involve any legal obligation to Note enlist in the Australian Defence Force (ADF) or any liability for service in the Military Forces at any earlier age than prescribed for the remainder of the community. Enrolment in an element of the ADFC does not guarantee enlistment in the Australian Defence Force, which is subject to separate requirements.

To be completed by the applicant Family Name Given Name(s) Sex (M or F) Date of Birth

Home Address Postal Address (if different from home address)

Postcode: Postcode: Home Telephone Number Mobile Telephone Number Work Telephone Number

Applicant Email Address

Current School/Institution Name and address of current or most recent employer Are you a Yes No Student? If No, applicant must have Permanent Australian Residency status with the Department of Immigration Are you an Australian Citizen? and Multicultural and Indigenous Affairs, please give details Yes No

Do you claim to be of Aboriginal or Torres Strait Islander descent? Family/Personal Doctor Yes No Medicare Number Doctor Emergency Contact Telephone Number Valid to: / Full Name of 1st Parent/Guardian Relationship to Applicant Full Name of 2nd Parent/Guardian Relationship to Applicant

Home Address Parent/Guardian Emergency Home Address Parent/Guardian Emergency Contact Phone Numbers: Contact Phone Numbers: Home: Home: Work: Work: Postcode: Postcode: Mobile: Mobile: Parent/Guardian Email Address Parent/Guardian Email Address

Legal custody of applicant rests with - 1st Parent/Guardian 2nd Parent/Guardian Both Parents/Guardians

I, the applicant whose signature appears hereunder, undertake to attend parades regularly to ensure training goals and progress in the organisation is achieved. I agree to abide by the Rules and Regulations that govern the conduct of the ADFC, to safeguard and care for any uniform, clothing, or equipment issued to me and return it on completion or termination of service. I agree to conduct myself at all times in such a manner as to reflect credit upon the Australian Defence Force Cadets. Signature of Applicant Date Signature of Parent/Guardian (if the applicant is under 18 Date years of age).

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Page 1 of 3 ADFC001 IN CONFIDENCE (after first entry) Page 2 of 3 Information Acknowledgment The ADFC Information Environment includes, but is not limited to, the restricted areas of the CADETNET web site (http://www.cadetnet.gov.au), the provided email services and online applications accessible through the internet. PART A I, the applicant whose signature appears hereunder, acknowledge that the personal information provided in the process of this enrolment application and subsequent service in the ADFC will be held in strict confidence and that such personal information may be used for the following purposes: S Recording of the Cadet Agreement to and conditions stated in the enrolment documentation; S Recording parental or guardian approval of any conditions stated in the enrolment documentation; S Recording of contact and medical details for emergency and other necessary contact; S Recording of current and future statistical data as part of my participation in the ADFC; S Recording of employment/school details; S Recording of qualifications and training results as they relate to my participation in the ADFC; S Letters of welcome and recognition of achievement; and S Other uses as may be agreed to in writing from time to time during my enrolment in the ADFC. I agree to the recording of my personal information for the purposes outlined above and understand that such information will be recorded in a database with restricted online access. I understand that the ADFC will not pass these personal details, other than statistical data, to any third party unless lawfully required to do so, or only with my written consent. PART B I, the applicant whose signature appears hereunder, declare that I require access to CadetNet for the purpose of performing my assigned tasks. I acknowledge that should my application for access to CadetNet be successful, the information contained therein is subject to the Information Privacy Principles (IPPs) contained in the Privacy Act (Commonwealth) 1988. Once I am issued with a Logon ID, I will not use personal information contained therein without the members' consent, except for the purpose for which it was given, or disclose it to another Agency, unless that disclosure or other use is authorised by the member or permitted in the IPPs. I understand that I am also obliged to protect my Logon details and declare that use of CadetNet will only be for ADFC business purposes. I agree to abide by the Rules and Regulations that govern the use of the ADFC Information Environment. I consent to both parts A & B above. Signature of Applicant Date Signature of Parent/Guardian (if the applicant is Date NOTE: DO NOT under 18 years of age). SIGN IF CONSENT NOT GIVEN

Permission to travel in Military or Defence approved vehicles, aircraft or watercraft I, the applicant whose signature appears hereunder, hereby authorise and permit the applicant to travel in Military or Defence approved vehicles, aircraft or watercraft should the need or opportunity arise during any period the applicant may be participating in an authorised ADFC activity. Signature of Applicant Date Signature of Parent/Guardian (if the applicant is Date NOTE: DO NOT under 18 years of age). SIGN IF CONSENT NOT GIVEN

Permission to publish recorded media I, the applicant whose signature appears hereunder, authorise and permit my photographic image, video images or recorded interviews to be used to enhance the reputation of the ADFC via the press and broadcast media, official ADFC and Defence publications and web sites. Signature of Applicant Date Signature of Parent/Guardian (if the applicant is Date NOTE: DO NOT under 18 years of age). SIGN IF CONSENT NOT GIVEN

Permission to permit medical treatment I, the applicant whose signature appears hereunder, authorise and permit the applicant to be given medical treatment including general anaesthetic, invasive surgery and blood transfusion in case of medical emergency if such treatment is considered necessary by a duly qualified medical practitioner during any period the applicant may be participating in an authorised ADFC activity. This permission is given providing that every effort will be made to contact the legal Parent/Guardian personally before any decision is taken to administer such treatment. Signature of Applicant Date Signature of Parent/Guardian (if the applicant is Date NOTE: DO NOT under 18 years of age). SIGN IF CONSENT NOT GIVEN

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Parent/Guardian Consent to enrol I consent to my *son/daughter/ward detailed herewith, enrolling as a Cadet in an element of the Australian Defence Force Cadets. To the best of my knowledge he/she is a normal, healthy person, able and willing to participate in ADFC activities. I acknowledge that he/she is obliged to return all uniform, clothing and equipment to which he/she is not entitled on termination of service, and to tender payment for any items which may be deficient. Signature of Parent or Guardian Printed Name of Parent or Guardian Date

NOTE: The witness must be responsible person over 21 years of age and NOT RELATED to the parent/guardian. Signature of Witness Printed Name of Witness Address of Witness Date

*Delete whichever not applicable

For Official Use Only

Enrolment Acceptance Health Declaration Sighted Proof of Age Sighted and accepted Yes No and accepted Yes No

Code of Conduct Signed Yes No ADF C adet AD Unit Signature of Unit CO Printed Name of Unit CO Date Commanding F Cadet Officer (CO)

Enrolment is deemed to be with effect from date of acceptance Cadet ID Number: signature by the ADF Cadet Unit Commanding Officer (CO)

End of Form

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