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Blue Card Register

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					                             Qld District

                                              2.1 Blue Card Register
(Please return a copy of this completed register to Safe Place Coordinator, PO Box 1535, Milton Qld 4064)

Employer’s Name:
Name of Safe Place Contact Person:
Address:
Phone:                                                   Email:
Employee/Volunteer Blue Card Number   Application   Reason Employee is not    Is CCYPCG     Checked By?     Action
       Name           & Expiry Date    Pending         required to hold      Reassessing?   Date checked
                                         Y/N             a Blue Card              Y/N




Safe Place Committee                                                                                        Page 1 of 2
LCAQD. Dec 2006
                                                    Blue Card Register
Employee/Volunteer Blue Card Number   Application   Reason Employee is not    Is CCYPCG     Checked By?    Action
      Name           & Expiry Date     Pending         required to hold      Reassessing?   Date checked
                                         Y/N             a Blue Card              Y/N




Safe Place Committee                                                                                       Page 2 of 2
LCAQD. Dec 2006

				
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