Liquor Compliance
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Crowd Controller Registration
Name
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Last
Email Address
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Mobile Phone
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Enter your phone number in the format: +61 4** *** ***
Security Provider Licence Number
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Licence Type
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Unrestricted
Restricted
Licence Expiry Date
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MM
YYYY
Licence Upload
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Please attach a copy of your security provider licence. Image or PDF files only.
Accepted file types: jpg, png, gif, pdf.
RSA Certificate Upload
*
Please upload a copy of your RSA Statement of Attainment. Image or PDF files only.
Accepted file types: jpg, gif, png, pdf.