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Alumni Network Registration Form


If you would like to be a member of the Tax Office Alumni Network please complete the following


AGS number
(if available)
Title
Surname
Given name
Preferred name
Date of birth (for verification of identity only) dd/mm/yy
Postal address
Suburb
State
Postcode
Country
E-mail address
Home phone number (please insert STD code)
Work phone number (please insert STD code)
Mobile phone number

Do you consent to your image appearing in photos to promote Alumni Network activities or the Alumni Network Program?

Yes   No

Photos may appear in Alumni Network newsletters that are published on the www.ato.gov.au website


Previous Tax Office employment details


Job title
Classification
Site
State/Territory

    The information you provide on this form will be used to:
  1. advise you about Alumni Network events happening locally and nationally; and
  2. where you would like to be involved, help establish an email network of Alumni Network members.

Would you like your name and email address made available to other Alumni Network members if this option is available in the future?

Yes   No

The information that you provide on this form is confidential and will only be used for the purposes stated above. Any statistical information about Alumni Network membership will be aggregated and will not identify individual members.

 


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