Registration

Title * (The Hon Justice, His/Her Honour Judge, His/Her Honour Magistrate, etc)

First Name *

Surname *

Postnominals

Court * Coroners Court of Victoria County Court of Victoria District Court of New South Wales District Court of Queensland District Court of South Australia District Court of Western Australia Family Court of Western Australia Federal Circuit & Family Court of Australia (Division 1) Federal Circuit & Family Court of Australia (Division 2) Federal Court of Australia High Court of Australia Industrial Court of Queensland Land & Environment Court of New South Wales Land Court of Queensland Magistrates Court of the Australian Capital Territory Local Court of New South Wales Local Court of the Northern Territory Magistrates Court of Queensland Magistrates Court of South Australia Magistrates Court of Tasmania Magistrates Court of Victoria Magistrates Court of Western Australia NSW Civil and Administrative Tribunal Retired South Australian Employment Tribunal Supreme Court of the Australian Capital Territory Supreme Court of New South Wales Supreme Court of the Northern Territory Supreme Court of Queensland Supreme Court of South Australia Supreme Court of Tasmania Supreme Court of Victoria Supreme Court of Western Australia My court is not listed Childrens Court of Victoria Industrial Court of New South Wales

Court Location

Postal Address *

City *

State/Territory *

Postal Code *

Phone Number *

Mobile Phone Number

Associate/EA/PA Name (If applicable)

Associate/EA/PA Email Address (If applicable) (We prefer a generic associate email eg associate.citizen@, chambers.citizen@, etc)

Associate’s Phone Number