Application Form South Australia Police Volunteer Page 4
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4South Australia Police
RF2139
APPLICATION FORM
SOUTH AUSTRALIA POLICE VOLUNTEER
OFFICE USE ONLY
IDENTIFICATION VERIFICATION BY A POLICE OFFICER or ADMINISTRATIVE SERVICES OFFICER
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1. Date of ID Verification:
ID Type:
Ref No.:
2. Verified by: Name:
ID:
Rank/Class:
Posting:
Internal P/Code:
3. Signature:
Telephone No.:
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Date Application forwarded to your Local Volunteer Coordinator:
LOCAL VOLUNTEER COORDINATORS USE ONLY
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1. Date Received:
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2. Date entered onto Local Database:
Entered by: Name:
ID:
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3. Date Application forwarded to Volunteers Unit (108):
Revised: 22/09/2016
Page 4 of 4
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