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Aussie of Month Application form

To be added to the Aussie of the Month list, please fill in the following details.
Please note that the list is carried forward each year, so there is no need to re-register once we have received your details.

Once registered the Australia Day Committee (Victoria) will forward you 11 Aussie of the Month certificates and pins in January, one for each month (with the exception of January due to school holidays.)

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Aussie of the Month
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26ers