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Declaration by employer or their authorised representative

I declare that the information provided in this request is true, correct and complete. I consent to the use of the information provided in this form, and any further information provided, for the purpose of evaluating and administering EML Member Benefits and related purposes. I am authorised by the employer to complete this form and submit this declaration on behalf of the employer.

 

If you have any questions, please email: memberbenefits@eml.com.au