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Name of government Agency you work for

Name of organisation you work for

Please provide previous reference number, if you have one.

Please include details of the intended uses, any project outputs and any risks of not receiving this data

Please choose all the Datasets you are interested in from the options above

Note(s): (1) Statistical Area Levels (SA1, SA2, SA3 and SA4) are based on ABS geographic areas. (2) Not all datasets can be provided at lower aggregation levels

(1) If you are requesting sub group not in this list, please describe this in your response to the question: "Please include detail of the intended uses..." (2) If you are not familiar with the ASGS Remoteness Standard, please note this to be provided relevant policy documents

Please provide details of any other data you plan to work with for this project

What date range are you requesting?

Note: 1. Any data shared with parties external to DoE is considered external publication, even PowerPoint slides

Describe how third parties/ contractors will be involved and provide a copy of any relevant contracts

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