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This form is for use by AMEP Service Providers only.
Request Type must be a valid email.
Request Type is required.
Request Type must be a number.
Request Type must be shorter than 1 characters.
Request Type must be longer than -1 characters.
Request Type must be greater than or equal to .
Request Type must be less than or equal to .
Request Type does not match the pattern
Request Type must be a valid date.
Request Type does not match the mask.
Existing ImmiAccount Username (if applicable) must be a valid email.
Existing ImmiAccount Username (if applicable) is required.
Existing ImmiAccount Username (if applicable) must be a number.
Existing ImmiAccount Username (if applicable) must be shorter than 1 characters.
Existing ImmiAccount Username (if applicable) must be longer than -1 characters.
Existing ImmiAccount Username (if applicable) must be greater than or equal to .
Existing ImmiAccount Username (if applicable) must be less than or equal to .
Existing ImmiAccount Username (if applicable) does not match the pattern
Existing ImmiAccount Username (if applicable) must be a valid date.
Existing ImmiAccount Username (if applicable) does not match the mask.
Given Name/s: must be a valid email.
Given Name/s: is required.
Given Name/s: must be a number.
Given Name/s: must be shorter than 1 characters.
Given Name/s: must be longer than -1 characters.
Given Name/s: must be greater than or equal to .
Given Name/s: must be less than or equal to .
Given Name/s: does not match the pattern
Given Name/s: must be a valid date.
Given Name/s: does not match the mask.
Family Name: must be a valid email.
Family Name: is required.
Family Name: must be a number.
Family Name: must be shorter than 1 characters.
Family Name: must be longer than -1 characters.
Family Name: must be greater than or equal to .
Family Name: must be less than or equal to .
Family Name: does not match the pattern
Family Name: must be a valid date.
Family Name: does not match the mask.
Work Phone must be a valid email.
Work Phone is required.
Work Phone must be a number.
Work Phone must be shorter than 1 characters.
Work Phone must be longer than -1 characters.
Work Phone must be greater than or equal to .
Work Phone must be less than or equal to .
Work Phone does not match the pattern
Work Phone must be a valid date.
Work Phone does not match the mask.
Work Email Address: must be a valid email.
Work Email Address: is required.
Work Email Address: must be a number.
Work Email Address: must be shorter than 1 characters.
Work Email Address: must be longer than -1 characters.
Work Email Address: must be greater than or equal to .
Work Email Address: must be less than or equal to .
Work Email Address: does not match the pattern
Work Email Address: must be a valid date.
Work Email Address: does not match the mask.
Suburb: must be a valid email.
Suburb: is required.
Suburb: must be a number.
Suburb: must be shorter than 1 characters.
Suburb: must be longer than -1 characters.
Suburb: must be greater than or equal to .
Suburb: must be less than or equal to .
Suburb: does not match the pattern
Suburb: must be a valid date.
Suburb: does not match the mask.
State/Territory: must be a valid email.
State/Territory: is required.
State/Territory: must be a number.
State/Territory: must be shorter than 1 characters.
State/Territory: must be longer than -1 characters.
State/Territory: must be greater than or equal to .
State/Territory: must be less than or equal to .
State/Territory: does not match the pattern
State/Territory: must be a valid date.
State/Territory: does not match the mask.
Postcode must be a valid email.
Postcode is required.
Postcode must be a number.
Postcode must be shorter than 1 characters.
Postcode must be longer than -1 characters.
Postcode must be greater than or equal to .
Postcode must be less than or equal to .
Postcode does not match the pattern
Postcode must be a valid date.
Postcode does not match the mask.
AMEP Service Provider: must be a valid email.
AMEP Service Provider: is required.
AMEP Service Provider: must be a number.
AMEP Service Provider: must be shorter than 1 characters.
AMEP Service Provider: must be longer than -1 characters.
AMEP Service Provider: must be greater than or equal to .
AMEP Service Provider: must be less than or equal to .
AMEP Service Provider: does not match the pattern
AMEP Service Provider: must be a valid date.
AMEP Service Provider: does not match the mask.
AMEP Service Provider ABN must be a valid email.
AMEP Service Provider ABN is required.
AMEP Service Provider ABN must be a number.
AMEP Service Provider ABN must be shorter than 1 characters.
AMEP Service Provider ABN must be longer than -1 characters.
AMEP Service Provider ABN must be greater than or equal to .
AMEP Service Provider ABN must be less than or equal to .
AMEP Service Provider ABN does not match the pattern
AMEP Service Provider ABN must be a valid date.
AMEP Service Provider ABN does not match the mask.
Must be completed by a person the Service Provider has authorised to approve access to ARMS.
Position Title: must be a valid email.
Position Title: is required.
Position Title: must be a number.
Position Title: must be shorter than 1 characters.
Position Title: must be longer than -1 characters.
Position Title: must be greater than or equal to .
Position Title: must be less than or equal to .
Position Title: does not match the pattern
Position Title: must be a valid date.
Position Title: does not match the mask.
I declare the User is aware they are subject to relevant security policies and applicable legislation (including the Privacy Act 1988); they must not permit any other person to use their username or password and they must not disclose any information contained in ARMS. I declare the User has undertaken a police check and will be trained to use ARMS. I authorise the User have access to ARMS and will notify the Department of Home Affairs if the User no longer requires access
Date must be a valid email.
Date is required.
Date must be a number.
Date must be shorter than 1 characters.
Date must be longer than -1 characters.
Date must be greater than or equal to .
Date must be less than or equal to .
Date does not match the pattern
Date must be a valid date.
Date does not match the mask.
Please enter your e-mail address:
Form reference number: