Section 1: Applying On Behalf Of Someone Else
IF YOU ARE COMPLETING THIS REGISTRATION OF INTEREST ON BEHALF OF SOMEONE, PLEASE COMPLETE SECTION 1 AND ALL OTHER SECTIONS. IF YOU ARE REGISTERING INTEREST FOR YOURSELF, PLEASE GO TO SECTION 2.
Section 3: Choice of Location
PLEASE INDICATE IN ORDER OF PREFERENCE, WITH 1 BEING YOUR FIRST PREFERENCE WHICH LOCATION WOULD BE SUITABLE TO YOU. IF ONLY ONE SITE WOULD BE SUITABLE TO MAINTAIN AN EXISTING SUPPORT NETWORK, CONSIDER THIS WHEN COMPLETING THIS SECTION, HOWEVER UP TO 7 BOXES CAN BE NUMBERED.
Section 5: Assets
THE ASSETS DISCLOSED IN THIS SECTION SHOULD BE CONSISTENT WITH THE ASSETS DISCLOSED TO CENTRELINK. IF YOU ARE APPLYING AS A COUPLE, PLEASE INCLUDE THE VALUE OF ASSETS FOR BOTH PEOPLE.
Please answer all sections below. Enter “0” where appropriate.