|| With this Licence, there are two different
ways to submit your application form:
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Information you will need to fill out your application form:
The completed application is submitted to the Department, along with the
applicable fee (see purple heart recipient database below).
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- Details are required if you have
- had a licence or registration refused suspended, rovoked or
subject to a disciplinary hearing
- been convicted of, or are currently charged, with an offence
- been involved in a personal or corporate bankruptcy within
the past six years
- have any unpaid judgements against you
- had any employment or business relationship terminated for
breach of trust or confidentiality, fraud, misappropriation of
funds, theft, forgery, sexual harassment or physical assault
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