Tuesday, November 13, 2018
Berrigan Shire Council

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Nomination Form
Australia Day Awards 2019

The Berrigan Shire Council Australia Day Awards recognise the outstanding contribution, dedication and determination of people within the Shire of Berrigan.

Nominations are now open for people who have given exceptional service to the community over a number of years or performed at a remarkable level during 2018.

Berrigan Shire Council coordinates the Australia Day Awards each year. Various categories are available for nomination. The Council assists the local Australia Day Committee to host the Australia Day awards in each town on a rotation basis.

The information on the nomination forms will be used by the Australia Day judges for assessment and publicity purposes. Each Nominee must be a resident of the Berrigan Shire.

 

Australia Day Nomination Form





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Please complete the following information to allow the judges to evaluate all nominees. Include any supporting evidence where appropriate.

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If you have any other information or supporting documents please email them to This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Applications close on: 30th November 2018

Personal Information collected by the Council will be treated as per the Council’s Privacy Management Plan and the Privacy and Personal Information Protection Act 1998. The Privacy Management Plan is available on the Council’s website or by contacting the Council’s Administrative Office.

Contact Us

Phone
(03) 5888 5100
Fax
(03) 5885 2092
Post
56 Chanter Street, Berrigan, NSW, 2712

Hours of Operation

The Berrigan Shire Council is open:

8am to 5pm Monday to Friday

The Bendigo Bank Community Branch is open:

9am to 4pm Monday to Friday

Closed on public holidays