National medal




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Number of Medals on Schedule = 3 Page 1 of 2




National Medal





Service

No


Surname

Given Names

Occupational Category / Rank (see note 1)

Date of Birth

Sex

Dec

Privacy?

(Y/N)


(see note 2)

Qualifying Service

Qualifying Date

Remarks/ Previous Awards

0145

ADAMS

Stephen Mark

Control Officer

13/06/38

M

N

Y

31/12/54 – SS

31/12/79

NM 31/12/79

9766

BROWN

Allan Ernest

Superintendent

12/04/47

M

N

Y

30/04/69 to 12/05/71

29/08/73 to 19/04/82

23/05/94 to present


23/09/98

ARMY

DOCS


1623

CASHMAN

Lionel

Emergency Service Officer

10/06/37

M

N

Y

05/01/54 to 03/02/58

03/04/65 to present

01/03/78 to present


05/03/76

ARMY

Bush Fire Serv

State Emer Serv






































































Note 1: If the nominee is no longer serving please enter the highest occupational category or rank achieved. Please do not enter “Former Member”.

Note 2: Indicate whether the member has signed a privacy declaration (see Annex 4).

RECOMMENDATION FOR AWARD OF NATIONAL MEDAL


NSW Something or Other Authority Schedule 03 of 2011

Number of Medals on Schedule = 2 Page 2 of 2




1st Clasp to the National Medal (see note 1)





Service

No


Surname

Given Names

Occupational Category / Rank (see note 2)

Date of Birth

Sex

Dec

Privacy?

(Y/N)


(see note 3)

Qualifying Service

Qualifying Date

Remarks/ Previous Awards

0145

ADAMS

Stephen Mark

Control Officer

13/06/38

M

N

Y

31/12/54 – SS

31/12/79

NM 31/12/79

1623

CASHMAN

Lionel

Emergency Service Officer

10/06/37

M

N

Y

05/01/54 to 03/2/58

03/04/65 to present

01/03/78 to present


05/03/86

NM 05/03/76


































































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