OR download and complete the following form. Send to 53A Elders Way, WAIKERIE SA 5330
Warrawee Lodge (Waikerie)
Independent Living Units
Expression of Interest
DATE : ...............................
NAME : ...................................................................
.... .............................................................
ADDRESS : .............................................................
.............................................................
TEL : ....................................... FAX : ............................
ALTERNATIVE CONTACT : ........................................................................
ADDRESS: ................................................................................................................
TEL : .............................
Type of unit required :
...............................................................................................................................
...............................................................................................................................
***********
FOR OFFICE USE ONLY
Further Contact :
DATE COMMENT
................... ......................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
................... ......................................................................
................... .....................................................................
................... .....................................................................
................... .....................................................................
Warrawee Lodge (Waikerie)
53 Elders Way
WAIKERIE SA 5330
Tel: +61 8 8541 3127
Fax: +61 8 8541 3655
OurRef: G\1\1.1\EntEx\Ref
At the time that Warrawee Lodge (Waikerie) receives your entry application, you may request a copy of our Privacy Statement.
If you have any queries, you can either ask the village for further clarification, or contact the Commonwealth Office of the Privacy Commissioner (www.privacy.gov.au or phone 1300 363 992).
At the Commonwealth level, privacy of personal information is regulated and protected in accordance with the Privacy Act 1988. You are entitled to access the information that Warrawee Lodge (Waikerie) collects from you under this Act. Please contact us if you wish to access the information.
It is the policy of the Board that prospective residents of Warrawee Lodge (Waikerie) provide information from two (2) referees prior to possible future entry into the village. This is in order that the Board may, particularly in the event that the applicant may be unknown, give equitable and fair consideration to applicants.
The Board reaffirms that its function is to give preference to residents of, or with strong connections to, the Waikerie Loxton Council area.
Schedule of Persons who may act as a Referee
| Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955) |
| Baliff |
| Bank Officer with 5 or more continuous years of service |
| Building Society Officer with 5 or more continuous years of service |
| Chief Executive Officer of a Commonwealth court |
| Chiropractor |
| Civil marriage celebrant |
| Clerk of a court |
| Commissioner for Affidavits |
| Commissioner for Declarations |
| Credit Union Officer with 5 or more years of continuous service |
| Dentist |
| Employee of the Australian Trade Commission outside Australia |
| Employee of the Commonwealth outside Australia |
| Fellow of the National Tax Accountants Association |
| Finance Company Officer with 5 or more years of continuous service |
| Holder of a statutory office not specified in another item in this part |
| Judge of a court |
| Justice of the Peace |
| Legal practitioner |
| Magistrate |
| Master of a court |
| Medical practitioner |
| Member of the Association of Taxation and Management Accountants |
| Member of the Australian Defence Forces who is an officer or |
| a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service or |
| warrant officer within the meaning of that Act |
| Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practicing Accountants or the National Institute of Accountants |
| Member of the Institute of Corporate Managers, Secretaries & Administrators |
| Member of the Institute of Engineers, Australia, other than at the grade of student |
| Member of |
| the Parliament of the Commonwealth; or |
| the Parliament of a State; or |
| a Territory legislature; or |
| a local government authority of a State or Territory |
| Minister of religion registered under Division 1 of Part IV of the Marriage Act 1961 |
| Notary Public |
| Patent Attorney |
| Permanent employee of: |
| the Commonwealth or of a Commonwealth authority; or |
| a State or Territory or of a State or Territory authority; or |
| a local government authority; |
| with 5 or more years of continuous service who is not specified in another item in this Part |
| Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal services to the public |
| Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made |
| Pharmacist |
| Physiotherapist |
| Police Officer |
| Psychologist |
| Registered Nurse employed on a full-time basis at a hospital or aged care facility |
| Registrar, or Deputy Registrar, of a court |
| Senior Executive Service officer of the Commonwealth, or of a State or Territory, or of a Commonwealth, State or Territory authority |
| Sheriff |
| Sheriff's Officer |
| Teacher employed on a full-time basis at a school or tertiary education institution |
| Veterinary Surgeon |
