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Marine Rescue Whitfords : Annual Registration Form

This form to be filled out annually as directed by personnel

Radio Duty Availability
Boat Duty Availability
Medical Information
Rostering Preferences (based on Operational Requirements)
Please tick any of these boxes below if you have ever been diagnosed with and recieved treatment for any of the following conditions

If you have answered yes to any of the above questions, Personnel may arrange for you to have a medical examination, in compliance with Australian Maritime Safety Authority (AMSA) regulations. The medical examination will be no cost to the applicant.

Thanks for submitting!

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