Effective Date: 14/07/17

QFES PRIVATE PURCHASE OF SES APPAREL – FBMR 8.1.1 For SES staff and volunteers use only. SES Group Name Membership No. Contact No. Gender: Male Female Address for delivery of order: Email address for receipt and delivery confirmations: The dress uniform is to be worn in strict accordance with doctrine BMP 2.0 Uniform Code. When ordering items of uniform it is important to note the approved uniform combinations, outlined in the doctrine. Price Item Description Stock Code* Size* Qty. Order Total (incl. GST) Shirt Dress L/S (Male) S352- $58.60 Shirt Dress S/S (Male) S353- $53.29 Shirt Dress L/S (Female) S350- $53.29 Shirt Dress S/S (Female) S351- $50.49 Trousers Executive (Male) S983- $59.35 Trousers Executive (Female) L985 Skirt Executive (Female) L985 Belt Executive (Male) S916- $22.27 Belt Executive (Female) S915- $22.27 Jacket Executive (Unisex) S765- $78.76 Hat Broad Brim (Blue) w/Metal Badge (Unisex) S1035- $79.72 Tie (Male) S982 N/A $9.90 Tie (Female) S981 N/A $7.92 Polo Shirt (SES) S769 $27.55 Kit Bag Navy S997 N/A $24.86 Life Jacket – PFD Type 1 S1044- $115.66 Hat - Broad Brim S944- $32.45 Chaps Chainsaw S874- $181.64 Harness (WSaH) – Hi Safe (Standard) S1019 NA $174.35 Harness (WSaH) – Hi Safe (Small) S1019-S NA $174.35 Name Badge – First and last name for badge: $6.80 L094 N/A ______(Magnetic) $5.95 (Pin) *Sizing charts and stock codes are provided in the SES Clothing and Equipment Catalogue Total

Please note following submission of the order form an invoice will be issued outlining your payment options. Your order will be despatched once payment confirmation has been received by your SES Regional/Area Office. In signing this form, the member provides a commitment to wear the dress uniform in strict accordance with doctrine BMP 2.0 Uniform Code. SES member’s signature Date / / SES Local Controller acknowledges that the member is active in the Queensland SES. Name Signature Date / /

Queensland Fire and Emergency Services is collecting the personal information on this form for the following purposes: - to process orders for the private purchase of SES apparel; and - for the Department to discharge its legislative, accountability, administrative, reporting, management, personnel and financial functions. Collection of this information is authorised/required by the Fire and Emergency Services Act 1990. For further information about privacy and other uses and disclosures of your personal information, refer to the Department’s Privacy Plan as amended from time to time, available on the Department’s website.

SES REGIONAL/AREA OFFICE USE 1. Membership currency confirmed. 2. Manual Stores Requisition completed and emailed to SES Logistics. 3. Invoice raised and issued to SES member. 4. Payment confirmation received and items sent to SES member. 5. Documentation relating to the purchase maintained.

FBMR 8.1.1 UNCLASSIFIED Page 1 of 1 This document is maintained in electronic form. The approved version of this document is located on the QFES Intranet and is uncontrolled when printed. It is the responsibility of the user to verify that this copy is the latest version.