Administrator's Medal Nomination Form

The Northern Territory Police Force respects and is committed to safeguarding the confidentiality and privacy of the information that it collects and handles, in accordance with the Northern Territory Information Act 2002.

You have been asked to provide personal information necessary for us to process this nomination. You do not have to provide your personal information but if you choose not to, it may result in the nomination not being considered.

The information you provide will be accessible to the Northern Territory Police Force and will only be used to provide a department service or program. We will not disclose your personal information to third parties unless:

• authorised or required by law to do so
• you have given us your consent to share your personal information for a specific purpose.

If you want more information about the Northern Territory’s privacy laws, please refer to the Northern Territory Information Act 2002 or the Office of the Information Commissioner NT.