|Classification / Identification:|
| ||Form Number:||010-3042E||Edition date: ||2016/05 |
| ||Title:||Statement of Conscience or Religious Belief|
| ||Ministry:||Education|| || |
| ||Branch/ABC:||Early Years & Child Care Policy Branch|| || |
| ||Program:||Early Years Policy Unit|| || |
| ||Purpose of Form:||To allow individuals to apply for religious/conscience exemptions for immunizations|| || |
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