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Navy Status
I am engaged as a
[Please Select]
Permanent Navy (PN)
Active Reservist (SERCAT 3, 5, 6 & 7)
member of the Royal Australian Navy.
Employee’s Details
PMKeyS:
Service Number (if known):
Unit:
[Please Select]
HMAS ALBATROSS
HMAS STIRLING
HMAS CAIRNS
HMAS KUTTABUL
HMAS CERBERUS
HMAS CRESWELL
HMAS COONAWARRA
HMAS HARMAN
HMAS PENGUIN
HMAS WATERHEN
HMAS WATSON
NHQ - SQ
NHQ - SA
NHQ - TAS
PATROL BOAT – CAIRNS BASED
PATROL BOAT – DARWIN BASED
HMAS TOBRUK
HMAS SUCCESS
HMAS SYDNEY
HMAS MELBOURNE
HMAS NEWCASTLE
HMAS DARWIN
HMAS PARRAMATTA
HMAS STUART
HMAS BALLARAT
HMAS WARRAMUNGA
HMAS ARUNTA
HMAS TOOWOOMBA
HMAS ANZAC
HMAS PERTH
HMAS SIRIUS
HMAS COLLINS
HMAS FARNCOMB
HMAS WALLER
HMAS DECHAINEUX
HMAS SHEEAN
HMAS RANKIN
HMAS CHOULES
HMAS ADELAIDE
HMAS CANBERRA
HMAS HOBART
HMAS BRISBANE
OTHER – please insert name below
Rank or title:
Admiral
Vice Admiral
Rear Admiral
Commodore
Captain
Commander
Lieutenant Commander
Lieutenant
Sub Lieutenant
Acting Sub Lieutenant
Midshipman
Warrant Officer
Chief Petty Officer
Petty Officer
Leading Seaman
Able Seaman
Seaman
First name:
Surname:
Work phone number:
Home phone number:
Mobile phone number:
Email address:
Commence Allotment and/or Deduction
Fortnightly Allotment
Raffle Tickets
$10
5 tickets + 1 bonus ticket
$8
4 tickets
Other
Please allocate
1
2
3
tickets at $2 per ticket
Privacy Statement
The Win with Navy Raffle is a RAN Central Canteens Board (trading as Navy Canteens) initiative and is managed/conducted by the Queensland branch of the Returned and Services League of Australia.
Navy Canteens must abide by the principles contained in the Privacy Act (1988).
The Navy Canteens organisation takes every precaution to safely store sensitive personal information collected in the course of doing business.
Navy Canteens will not utilise in any manner the personal information of the Win with Navy Raffle customers other than to generate reports that may be required by the relevant Government Department(s).
I am 18 or over and have read and understood the above privacy statement.
PAYMENTS WILL BE DEDUCTED ON THE PAYDAY THURSDAY EACH FORTNIGHT
PLEASE ADVISE US IMMEDIATELY IF YOUR BANKING DETAILS CHANGE, PLEASE CALL 02 6266 4438
Date: Friday, 8 December 2023
© Win with Navy™ Canteens.
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