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Get AU SA332a 2020-2024

For a person 16 years or over Print one character in each box Print in all appropriate boxes Do not use correction fluid or tape Name Day Month Year Date of birth Centrelink or Department of Veterans Affairs Reference Number Customer (carer) details Your details do not need to be completed if you are only testing eligibility for a Special Disability Trust Your Customer Reference Number Name Address Postcode Day Month Year Date of birth Your contact details If.

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