Objection Lodged: Yes: No: Detail grounds/date Reason objection not lodged No: Unknown: Is any other investigative agency Yes: or the Police currently If Yes, please investigating the activities of the provide details. alleged offender? Has this referral been the subject Yes: No: of a Pre Referral Enquiry? REFERRER’S DETAILS (optional) Referrer’s Name: Referrer’s Contact Details: (include email) Contact for further enquiries: (include name, telephone number, email - if different to those of referrer) ALLEGED OFFENCE (Quote section(s), subsection(s), of the Bankruptcy Act 1966 - if known) Details of Alleged Offence:- (Set out (chronologically) the brief facts of the offence/s, include date(s), how alleged offence identified, any events leading to and surrounding alleged offence(s) etc…) Documentation Attached (include (if relevant) Statement of Affairs, Sequestration Order, correspondence relating to the alleged offence, f proof of service of correspondence, signed Warning Notice, Objection, and any other relevant documentation) Please list: Other comments:-
Objection Lodged: Yes: Detail grounds/date No: Reason objection not lodged Is any other investigative agency or the Police currently investigating the activities of the alleged offender? Yes: If Yes, please provide details. No: Unknown: Has this referral been the subject of a Pre Referral Enquiry? Yes: No: REFERRER’S DETAILS (optional) Referrer’s Name: Referrer’s Contact Details: (include email) Contact for further enquiries: (include name, telephone number, email - if different to those of referrer) ALLEGED OFFENCE (Quote section(s), subsection(s), of the Bankruptcy Act 1966 - if known) Details of Alleged Offence:- (Set out (chronologically) the brief facts of the offence/s, include date(s), how alleged offence identified, any events leading to and surrounding alleged offence(s) etc…) Documentation Attached (include (if relevant) Statement of Affairs, Sequestration Order, correspondence relating to the alleged offence, f proof of service of correspondence, signed Warning Notice, Objection, and any other relevant documentation) Please list: Other comments:-