Commonwealth Consolidated Regulations

CENSUS AND STATISTICS REGULATION 2016 - SCHEDULE 1

Note:   See section   8.

Census and Statistics Act 1905

Undertaking of fidelity and secrecy

I, [Name] of [Address] , an officer within the meaning of the Census and Statistics Act 1905 , undertake that:

1.                 I will faithfully and to the best of my ability execute the powers and duties conferred on me by or under that Act; and
2.                 I will not, either directly or indirectly, divulge or communicate any information provided in pursuance of that Act to any person (other than the person from whom the information was obtained), unless the information is divulged or communicated in accordance with, or for the purposes of, that Act.

Dated

[Signature of officer]

Signed in the presence of:

[Signature and legible statement of name and address of witness]