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Australian registrations - Bali Bombing 2002 and J.W. Marriott Jakarta Bombing 2003

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Registration

This may include:
  • name at birth
  • name before marriage
  • previous married name
  • cultural name
  • alias
  • adoptive name
Please list your citizenship status inclusive of any Dual nationality.
State or Territory location in Australia
Mobile phone number
Home phone number
Are you an injured survivor of the 2003 Marriott Jakarta Bombing?

On selecting 'no' you will be directed to questions related to the 2002 Bali Bombings.
Are you an injured survivor of the 2002 Bali Bombing?
Please provide details, for example your location on the evening, persons accompanying you, & anything further you wish to share
Are you a bereaved Next of Kin of a deceased victim/s of the 2002 Bali Bombings?

Please provide further details with regards to the loss of your loved one.

Your relationship to the Victim
Geographic location the Victim ordinarily resided in
Add additional Victim
Your relationship to the Victim
Geographic location the Victim ordinarily resided in
If so, please provide details, including if you have provided a statement to law enforcement previously.
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