Scribd
Upload
89 views2 pages

Child Protection Declaration: NSW State Election 2019

This document is a child protection declaration form for candidates in the 2019 New South Wales state election. It states that making a false statement on the form is a criminal offense, and if elected and convicted the candidate's seat would become vacant. It also states that the completed declaration will be made public and checked by the Children's Guardian, including a criminal records check, with any report provided to the presiding officer and also made public. The form then asks the candidate to answer questions regarding matters like holding a working with children check clearance or having relevant criminal convictions or apprehended violence orders against them.

Uploaded by

ankurbbhatt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
89 views2 pages

Child Protection Declaration: NSW State Election 2019

This document is a child protection declaration form for candidates in the 2019 New South Wales state election. It states that making a false statement on the form is a criminal offense, and if elected and convicted the candidate's seat would become vacant. It also states that the completed declaration will be made public and checked by the Children's Guardian, including a criminal records check, with any report provided to the presiding officer and also made public. The form then asks the candidate to answer questions regarding matters like holding a working with children check clearance or having relevant criminal convictions or apprehended violence orders against them.

Uploaded by

ankurbbhatt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

VERSION 001 SE.

227

Child protection declaration


NSW State election 2019
Part 7 Divisions 3 and 4 of the Electoral Act 2017
Offence for false statement and disqualification
A false statement on this form is an indictable offence with a maximum penalty of five (5) years imprisonment. If you are elected and
convicted of that offence your seat will become vacant because of that conviction.

Declaration will be public


Your declaration will be made public on the New South Wales Electoral Commission website, and if you are elected, its accuracy will
be investigated by the Children’s Guardian including a criminal records check that will identify any offences or proceedings required
to be declared on this form and a report prepared and provided to the Presiding Officer of the House of Parliament to which you have
been elected. That report will then be made public.

Candidate details

BATISH AMIT

CANDIDATE SURNAME CANDIDATE GIVEN NAME(S)

Contest: (please tick box as applicable).


Legislative Council – New South Wales ✔ Legislative Assembly Blacktown
ELECTORAL DISTRICT

You must complete the declaration. If you declare that you have ever been subject to any of the relevant convictions,
proceedings or orders, you must provide sufficient details to identify those offences, proceedings or orders.

(Answer questions 1-5 by ticking the relevant box).


1. Do you hold a working with children check clearance?
Yes ✔ No
WWCC NUMBER (OPTIONAL)

If no, have you made a current application for a working with children check clearance, being an application that has not been
finally determined or withdrawn or terminated (see section 5(1) of the Child Protection (Working with Children) Act 2012)?
Yes ✔ No
WWCC APPLICATION NUMBER (OPTIONAL)

If yes, please provide details of that application:

Please attach a further sheet if additional space is required.


EL_2764_SE.227B_NOV18_V5

2. Have you ever been refused a working with children check clearance?
Yes ✔ No
VERSION 001

3. Have you ever been convicted of an offence listed in Schedules 1 and 2 to the Child Protection (Working with Children) Act 2012?
Yes ✔ No

If yes, please provide sufficient details below, including findings of guilt where no conviction was recorded, and the name
under which convictions were or were not recorded:

Please attach a further sheet if additional space is required.


4. Have you ever been the subject of the proceedings listed in Schedules 1 and 2 to the Child Protection (Working with Children)
Act 2012?
Yes ✔ No

If yes, please provide sufficient details below, including the name under which those proceedings were commenced, including
(but not limited to):
(a) Charges laid against me that are currently before the courts;
(b) Charges laid against me but withdrawn before or during trial;
(c) Charges for which I was tried but found not guilty at trial;
(d) Charges for which I was tried and convicted but found to be not guilty on appeal;
(e) Charges for which I was found guilty but for which I was subsequently pardoned;
(f) Any other charges or indictments not declared in the above categories.

Please attach a further sheet if additional space is required.


5. Have you ever had a relevant apprehended violence order* made against you?
Yes ✔ No

If yes, please provide sufficient details below, including the name under which those orders were made:

Please attach a further sheet if additional space is required.

*A relevant apprehended violence order is a final apprehended violence order made under the Crimes (Domestic and Personal
EL_2764_SE.227B_NOV18_V5

Violence) Act 2007, or a final order made under Part 15A of the Crimes Act 1900 before its repeal, being an order made on the
application of a police officer or other public official for the protection of a child from sexual activity or sexual touching or a
sexual act within the meaning of Division 10 of Part 3 of the Crimes Act 1900.

You might also like