dog64 - 3

Heroes of Australia

FontAwesome_f112(3)_64

HI RISK
APPLICATION FORM

 

Please answer all the questions.  Failure to do so will only delay acceptance of your entry and leave open your name to be claimed jumped by someone else with the same handle.  Names can be recorded with either a middle name or and nick name
 

64 123 2_64

ID NUMBER
You select a four digit security number (letters and/or numbers) which will be used to unlock your account for editing and changes.
 

 

64 Secret_64

NAME

Real Family (Surname) Name

 

 

Real Given (First) Name

 

 

Middle name or initial

 

 

Nic Name

 

 

On-line Handle

 

64 Crowd3_64

Which category do you wish to be placePrincipal skills:  Medicine, Military, Sports, Business, Trades

 

64medical_64

Which subcategory best describes you GP, S.A.S, AFL, Food, Building

 

NOTHING PAST THIS POINT WILL BE PUBLISHED UNLESS SPECIFICALLY REQUESTED

64 Calendar_64

Date of Birth

 

64 eMail2_64

Email Address

 

64 HR_64

Telephone Number
where Heroes of Australia can verify a member’s bona fides: HR Manager at Base, Department, Office, Station etc.

 

64 House3_64

Postal Address
for service on hard-copy. 

 

 

Postcode

 

64 Lightbulb_64

 

Website or Media News Article

 

 

Declaration by the applicant:


• I declare that the information I have supplied in this form is complete, truthful and correct in every detail
• I acknowledge that I electronically signed my application by checking the box in front of “Signature of Applicant”

64 Pen_64

Signature of applicant

 

By checking this box you warrant that you have read and agree with the Terms and Conditions (found here), the Terms of Use and that you are the person so named and authorised to make this application.

64 Exclamation_64

WARNING: It is an offence under State and Commonwealth Criminal Codes of Australia to deliberately make, or cause to make, a false or misleading statement, or conceal circumstances where there is an intent to commit a criminal offense: Namely Impersonate another.

 

 

If you have any difficulties with the online application, please download the PDF copy HERE


PLEASE READ
USER CONDUCT

As a condition of use, you promise not to use Heroes of Australia Services for any purpose that is unlawful or prohibited by the following Terms of Use, or any other purpose not reasonably intended by Heroes of Australia as detailed in Heroes of Australia Disclaimer and Rules of Use.

By way of example, and not as a limitation, you agree not to use the Services:

  • to  abuse, harass, threaten, impersonate or intimidate;
  • to post or transmit, or cause to be posted or transmitted, any Content that is infringing, libellous, defamatory, obscene, pornographic, abusive, offensive, profane, or otherwise violates any law or right of any third party;
  • for any illegal or unauthorized purpose.
  • to create or submit unwanted email ("Spam") to any other Heroes of Australia users or any URL;
  • attempt to impersonate another person;

Heroes of Australia may remove any content and Heroes of Australia accounts at any time for any reason including, but not limited to, upon receipt of claims or allegations from third parties or authorities relating to such Content, or for no reason at all. To report Terms of Use abuse, please email: help@heroz.com.au

You are solely responsible for your interactions with other users of the Site.  Heroes of Australia reserves the right, but has no obligation to monitor disputes between you and other users.

As Heroes of Australia is designed to showcase the best and most deserving Australians and to preserve their memories as anecdotes written in the first person for future generations to reflect upon it is imperative that those represented in the Hall of Fame are the persons so identified.   Any person found to be attempting to impersonate another, if for malicious purposes the matter will be reported to the Police view criminal charges. Conversely, given Aussie’s penchant for being mischievousness, we must ask the scalawags to refrain from using Heroes of Australia for fun and games, and instead perhaps participate themselves by submitting their own profile, wherein they can parade their best gags and other exploits.