Contact Details Fields marked with an asterisk (*) are mandatory and must be completed. DEDJTR cannot publish your submission unless this information is provided. Full Name * (Please enter your full name here. We will not publish any identifying information. Please refer to the Privacy Collection Notice for details) Name of Organisation * (If applicable) Email address (Your email address will only be used in accordance with our Privacy Collection Notice) Postcode* Knowing where you live in Victoria will help us understand your comments in the context of your community Privacy Options (Please select an option below) Please select an option* I am making this submission on behalf of an organisation, and understand that it may be published and will include the name of the organisation unless otherwise requested (your name will not be published). I am making this submission as an individual. I request my submission be published anonymously including only my postcode. I am making this submission as an individual. I request my submission remain confidential and not be published. Copyright and Third Party Information (Please complete) Please note your submission will be treated in accordance with the Privacy Collection Notice provided with this form. You should not include any other personal information in the body of your submission, such as email and phone details. ☐ I have read the attached Privacy Collection Notice* I am entitled to deal with the intellectual property rights (including copyright) of all material (both mine and that of any third party) in my submission, and have obtained the necessary consent(s) from any third parties owning the copyright for such dealings. I confirm the above statement is correct* ☐
Contact Details Fields marked with an asterisk (*) are mandatory and must be completed. DEDJTR cannot publish your submission unless this information is provided. Full Name * (Please enter your full name here. We will not publish any identifying information. Please refer to the Privacy Collection Notice for details) Name of Organisation (If applicable) * Email address (Your email address will only be used in accordance with our Privacy Collection Notice) Postcode* Knowing where you live in Victoria will help us understand your comments in the context of your community Privacy Options (Please select an option below) Please select an option* I am making this submission on behalf of an organisation, and understand that it may be published and will include the name of the organisation unless otherwise requested (your name will not be published). I am making this submission as an individual. I request my submission be published anonymously including only my postcode. I am making this submission as an individual. I request my submission remain confidential and not be published. Copyright and Third Party Information (Please complete) Please note your submission will be treated in accordance with the Privacy Collection Notice provided with this form. You should not include any other personal information in the body of your submission, such as email and phone details. ☐ I have read the attached Privacy Collection Notice* I am entitled to deal with the intellectual property rights (including copyright) of all material (both mine and that of any third party) in my submission, and have obtained the necessary consent(s) from any third parties owning the copyright for such dealings. ☐ I confirm the above statement is correct*
Submissions_Cover_Sheet.docx