Nomination for appointment as a Justice of the Peace (JP)

Name of applicant Application Number

Mrs. SRI GUDDU MARIA A-590

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Part A : APPLICANT DETAILS

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Title Mrs. Is a JP before? No

Given Name SRI
Surname MARIA
Gender Female
Date of Birth Monday, 14 November 1988

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Part B : APPLICANT CONTACT DETAILS

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Residential Address Postal Address

Life free fro,Life free f,Life free from illne Circus,SYDNEY,NSW,AUS Life free fro,Life free f,Life free from illne Circus,SYDNEY,NSW,AUS
2000 2000

Mobile Home Phone Work Phone

1234567890 0987654321 0987654321
Email
JPOUAT2@yopmail.com
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Part C : SERVICE DETAILS

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Reason for seeking appointment as JP

The applicant seeks appointment to meet a community need for JP services and states that:
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Use our character counter tool below for an accurate count of your characters.A character can be any letter, number, punctuation, special
character, or space. Each of these characters takes up one byte of space in a computer's memory. Some Unicode characters, like emojis and
some letters in non-Latin alphabets, take up two bytes of space and therefore count as two characters. Use our character counter tool below
for an accurate count of your characters.A character can be any letter, number, punctuation, special character, or space. Each of these
characters takes up one byte of space in a computer's memory. Some Unicode characters, like emojis and some letters in non-Latin
alphabets, take up two bytes of space and therefore count as two characters. Use our character counter tool below for an accurate count of
your characters.A character can be any letter, number, punctuation, special character, or space. Each of these characters takes up one byte
of space in a computer's memory. Some Unicode characters, like emojis and some letters in non-Latin alphabets, take up two bytes of space
and therefore count as two characters. Use our character counter tool below for an accurate count of your characters.A character can be any
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Service Address ,SYDNEY,NSW,AUS 2000

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 Nomination for appointment as a Justice of the Peace (JP)

Name of applicant Application Number

Mrs. SRI GUDDU MARIA A-590

_____________________________________________________________________________________________________________

Part D : REFEREE DETAILS

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Referee 1
Name
SRI TULIP
Qualification Contact Number Email ID
Judge, Magistrate or Tribunal member (current, in any state or 0987654321 SRI@YOPMAIL.COM
t
Address
,PARRAMATTA,NSW,AUS 2150

Referee 2
Name
SRI TULIP2
Qualification Contact Number Email ID
Financial institution Branch Manager or Executive 0987654321 SRI@YOPMAIL.COM

Address
,SYDNEY,NSW,AUS 2000
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Part E : OFFENCES AND DISCLOSURES

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The person has made the following statements in response to four questions:

. I've never been found guilty of any criminal offence, in Australia or anywhere else.
. I've never been found to have acted dishonestly by any court, tribunal, inquiry, regulatory agency, complaint handling or dispute resolution
body or professional, business, trade or industry association.
. I've never been suspended or disqualified from holding any licence excluding adriver’slicence),registration, certificate or membership in any
profession, business, trade or industry.
. I've never been disqualified from being involved in the management of any company under the Corporations Act 2001
of the Commonwealth.