Online Form - SJ Remembers Community History Awards Entry

Entrant Details

Full Name:*

Address:

Street Address:*

City:*

State:*

Post Code:*

Australia:

Contact Number:*

Email address:*

Category:*

Written Memoir
Photographic Memory
Original Research
Oral History

Details of Written Memoir or Original Research Entry

Title

Author:

Subject:

Please select if your entry is written memoir OR original reserach

Written Memoir
Original Research

Details of Photographic Memory Entry

Title

Photographer

Subject

Date

Location

Person/s of interest in photograph or relevant event

Details of Oral History Entry

Title

Interviewee

Interviewer

Date/s of interview

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I have read and agree to the terms and conditions of entry as outlined in the PDF below.*

Yes