NEW SECOND SCHEDULE TO PRINCIPAL REGULATIONS
Reg. 6 (2)
DECLARATION TO BE COMPLETED BY GUARANTEED RETIREMENT INCOME EARNER OR
VETERAN'S PENSIONER WISHING TO PAY CONCESSIONAL AMOUNT OF PUBLIC
I, [Full name of guaranteed retirement income earner or veteran's
pensioner] of [Full address of guaranteed retirement income earner or
veteran's pensioner] wish to pay the concessional amount of the public
I declare that---
o I receive a guaranteed retirement income or a veteran's pension*:
o My social welfare number is [Social welfare number]:
o I am the only person residing in my home.
I hereby authorise the Department of Social Welfare to supply to the
Broadcasting Commission the following information:
o Confirmation that I receive guaranteed retirement income or a
veteran's pension*; and
o The rate of my guaranteed retirement income or veteran's pension*;
o Information in the records of the Department of Social Welfare that
shows whether or not I am the only person residing in my home at the
*Cross out the one you do not receive.
Clerk of the Executive Council.