Claim for Fuzzy Wuzzy Angels Commemorative Medallion Klem ...
Claim for Fuzzy Wuzzy Angels Commemorative Medallion Klem ...
Claim for Fuzzy Wuzzy Angels Commemorative Medallion Klem ...
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The <strong>Fuzzy</strong><br />
<strong>Wuzzy</strong> <strong>Angels</strong><br />
<strong>Commemorative</strong><br />
<strong>Medallion</strong><br />
Important<br />
in<strong>for</strong>mation<br />
<strong>Claim</strong> <strong>for</strong> <strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong><br />
<strong>Commemorative</strong> <strong>Medallion</strong><br />
The <strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong> <strong>Commemorative</strong> <strong>Medallion</strong> is a symbol of Australia’s<br />
appreciation <strong>for</strong> the care and assistance extended by PNG civilians to Australian<br />
servicemen in Papua and New Guinea during World War II. Many Australians,<br />
wounded and suffering terrible illnesses, owe their lives to these civilians who<br />
came to be affectionately known as ‘<strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong>’.<br />
The in<strong>for</strong>mation in this <strong>for</strong>m:<br />
• is sought, and required, to assess your eligibility <strong>for</strong> the <strong>Fuzzy</strong> <strong>Wuzzy</strong><br />
<strong>Angels</strong> <strong>Commemorative</strong> <strong>Medallion</strong>;<br />
• will be used <strong>for</strong> the purpose of assessing your claim <strong>for</strong> the medallion;<br />
• may be released by the Australian Government to the Papua New Guinea<br />
Government, religious leaders or village/tribal leaders, where necessary,<br />
in assessing your claim <strong>for</strong> the medallion; and<br />
• will be held by the Department of Veterans’ Affairs, but may be released<br />
to the Australian War Memorial <strong>for</strong> the purpose of historical research.<br />
NOTE: The <strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong> <strong>Commemorative</strong> <strong>Medallion</strong> is not a part of the Australian<br />
Honours and Awards System. Eligibility <strong>for</strong> the medallion does not provide<br />
eligibility to any other entitlements from the Australian Government.<br />
Who can apply<br />
<strong>for</strong> the<br />
medallion?<br />
Eligibility<br />
Criteria<br />
Examples of<br />
assistance<br />
• A living Papua New Guinea civilian who assisted Australian servicemen<br />
during World War II.<br />
• A surviving widow/widower of a Papua New Guinea civilian who assisted<br />
Australian servicemen during World War II.<br />
For the purposes of issuing the <strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong> <strong>Commemorative</strong><br />
<strong>Medallion</strong> a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel is a person who:<br />
• is an indigenous Papua New Guinean;<br />
• assisted Australian servicemen in what is now known as Papua New<br />
Guinea during World War II;<br />
• was no younger than 10 years old at the time of rendering assistance;<br />
and<br />
• was a civilian at the time of rendering assistance.<br />
Carriers, stretcher bearers, cooks, drivers, building labourers,<br />
maintenance workers on air strips<br />
For the purposes of issuing the medallion, a widow/widower of a <strong>Fuzzy</strong><br />
<strong>Wuzzy</strong> Angel is someone who was married (via Customary Marriage or<br />
Statutory Marriage) to a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel who is now deceased.<br />
To be eligible to receive the medallion, a person must be a living <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel<br />
(as described above) or the living widow or widower of a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel.<br />
D9171 0809 Page 1/8<br />
Ol Pasi Wasi<br />
Angel<br />
Komemorativ<br />
Medol<br />
Impoten<br />
Toktok<br />
<strong>Klem</strong> Bilong Ol Pasi Wasi<br />
Angel Komemorativ Medol<br />
Pasi Wasi Angel Komemorativ Medol i wanpela mak long soim hamamas<br />
bilong Australia long ol manmeri bilong PNG husat i bin halivim ol sevisman<br />
bilong Australia long Wol Wo 2. Planti sevisman bilong Australia i bin kisim<br />
bagarap na sik nogut tru, na laip bilong ol i bin stap long han bilong ol<br />
manmeri bilong PNG, husat mipela long Australia i kolim long Pasi Wasi<br />
Angel.<br />
Toktok insait long dispela fom:<br />
• i bilong painimaut sapos yu inap kisim Komemorativ Medol bilong ol<br />
Pasi Wasi Angel;<br />
• mipela bai yusim long glasim klem bilong Medol;<br />
• Gavman bilong Australia i ken givim klem long gavman bilong<br />
Papua Niugini, ol sios lida o viles lida husat bai sekim klem bilong yu<br />
bilong kisim Medol;<br />
• Depatmen bilong Veteran Affairs i holim dispela infomesin o bai inap<br />
givim long Wo Memorial bilong historikol rises.<br />
TOK SAVE: Dispela Komemorativ Medol i no olsem wanpela hona o awod bilong Australia.<br />
Sapos yu kisim dispela medol, i no minim olsem yu bai kisim narapela<br />
entaitolmen tu long Gavman bilong Australia.<br />
Husat inap<br />
aplai long<br />
Medol<br />
Apointmen<br />
Kraiteria<br />
Tok Piksa long<br />
halivim yu bin<br />
givim:<br />
• Sapos yu bin halivim ol Sevisman bilong Australia long Wol Wo 2, yu<br />
ken aplai long Medol.<br />
• Sapos yu man o meri bilong wanpela Pasi Wasi Angel husat i bin dai<br />
pinis, yu ken aplai long Medol.<br />
As tingting long givim Komemorativ Medol em bilong givim long ol Pasi<br />
Wasi Angel husat i:<br />
• bin bon long PNG;<br />
• bin halivim ol sevisman bilong Australia long Wol Wo 2;<br />
• krismas bilong yu i bin antap mo long ten yar long dispela taim long<br />
Wol Wo 2; na<br />
• no bin Polisman o Ami.<br />
Karim ol kago, karim ol stresa, ol kuk, ol draiva, wok long ol bilding,<br />
wok long lukautim gut ol ples balus<br />
As tingting long dispela Medol, em long givim long ol meri/man tasol<br />
husat i bin marit long wanpela Pasi Wasi Angel long pasin (Kastom o long<br />
Registri Opis) na dispela Pasi Wasi Angel nau i dai pinis.<br />
Long kisim dispela Medol, yu mas wanpela Pasi Wasi Angel husat i stap laip yet,<br />
o yu man o meri bilong wanpela Pasi Wasi Angel husat i dai pinis.
2<br />
Section A - Applicant details<br />
To be completed by all applicants<br />
Family name<br />
Given name(s)<br />
Gender<br />
Date of birth<br />
Residential<br />
Address<br />
Postal<br />
Address<br />
(if different<br />
to above)<br />
Telephone<br />
number<br />
Male Female<br />
(if exact date of birth is not known, please state estimated year of birth)<br />
Home<br />
Mobile<br />
Day Month Year<br />
( )<br />
If you are applying as a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel please complete Sections B, D, E and F.<br />
If you are applying as the widow(er) of a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel please<br />
complete Sections C, D, E and F.<br />
Seksin A - Tok save long husat i aplai<br />
Ol husat i aplai i mas pulumapim ol infomesin long dispela seksin. Raitim:<br />
Pamili nem<br />
Givin nem<br />
Man o Meri<br />
Bondei<br />
Adres we yu<br />
stap<br />
Pos opis adres<br />
bilong yu<br />
(sapos i no<br />
wankain<br />
olsem antap)<br />
Telepon<br />
namba<br />
Man Meri<br />
(Sapos yu no save long dei yu bin bon, plis raitim yar we yu ting yu bin bon long en)<br />
Dei Mun Yar<br />
Telepon long haus<br />
Mobail telepon namba<br />
Sapos yu aplai olsem wanpela Pasi Wasi Angel, plis pulamapim ol Seksin B, D, E na F.<br />
Sapos yu aplai olsem meri/man bilong Pasi Wasi Angel i bin dai pinis, plis yupela i mas<br />
pulumapim Seksin C, D, E na F.<br />
D9171 0809 Page 2/8
Section B - Details of assistance provided to Australian servicemen<br />
To be completed only by an applicant who was a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel<br />
Were you known<br />
by any other<br />
name(s)<br />
during WWII?<br />
Did you assist<br />
Australian<br />
Servicemen in<br />
what<br />
is now known as<br />
Papua New<br />
Guinea<br />
during WWII?<br />
Where in Papua<br />
New Guinea did<br />
you assist<br />
Australian<br />
Servicemen in<br />
WWII?<br />
D9171 0809 Page 3/8<br />
No<br />
Yes - Give details below<br />
Family name<br />
Given name(s)<br />
No<br />
Yes - What kind of assistance did you provide?<br />
Airstrip maintenance worker<br />
Carrier Cook<br />
Driver<br />
Other - Please give details below<br />
Go to Section D �<br />
Building labourer<br />
Stretcher bearer<br />
Seksin B - Tok save long wanem halivim yu bin givim long ol sevisman<br />
bilong Australia<br />
Husat wanpela Pasi Wasi Angel i aplai, i mas pulumapim ol infomesin daunbilo<br />
Ol i bin kolim yu<br />
narapela nem<br />
long Wol Wo 2?<br />
Yu bin halivim<br />
ol sevisman<br />
bilong Australia<br />
long Wol Wo 2<br />
long ples nau<br />
yumi kolim<br />
Papua Niugini?<br />
Yu bin halivim ol<br />
sevisman bilong<br />
Australia long<br />
wanem hap<br />
bilong Papua<br />
Niugini long Wol<br />
Wo 2 ?<br />
Nogat<br />
Yes - Dispela nem i bin wanem?<br />
Pamili nem<br />
Givin nem<br />
Nogat<br />
Yes - Yu bin givim wanem kain halivim long Wol Wo 2?<br />
Wok long lukautim gut ol ples balus<br />
Karim ol kago Kuk<br />
Draiva<br />
Go long Seksin D �<br />
Wok long ol bilding<br />
Karim ol stresa<br />
Ol narapela samting – Plis givim liklik stori daunbilo<br />
3
4<br />
Section C - Details from widow(er)<br />
To be completed only by the widow(er) of a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel.<br />
Family name<br />
(of your husband<br />
or wife)<br />
Given name(s)<br />
(of your husband<br />
or wife)<br />
Was your<br />
husband or wife<br />
known by<br />
any other<br />
name(s)?<br />
Date of birth<br />
(of your husband<br />
or wife)<br />
Date of death<br />
(of your husband<br />
or wife)<br />
Did your<br />
husband<br />
or wife assist<br />
Australian<br />
Servicemen in<br />
what is now<br />
known<br />
as Papua New<br />
Guinea during<br />
WWII?<br />
No<br />
Yes - Give details below<br />
Family name<br />
Given name(s)<br />
(if exact date of birth is not known, please state estimated year of birth)<br />
Day Month Year<br />
(if exact date of death is not known, please state estimated year of death)<br />
Day Month Year<br />
No<br />
Yes - What kind of assistance did they provide?<br />
�<br />
Airstrip maintenance worker<br />
Carrier<br />
Driver<br />
Other - Please give details below<br />
Go to Section D<br />
Building labourer<br />
Cook<br />
Stretcher bearer<br />
Seksin C - Toktok bilong meri husat man bilong em i bin dai o man husat<br />
meri bilong em i bin dai<br />
Man o Meri bilong Pasi Wasi Angel husat i bin dai i mas pulumapim ol toktok daunbilo<br />
Please ONLY provide details of your husband or wife who was a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel Plis givim liklik stori long man bilong yu o meri bilong yu husat i bin wanpela Pasi Wasi Angel.<br />
Where in Papua<br />
New Guinea did<br />
they assist<br />
Australian<br />
Servicemen in<br />
WWII?<br />
Pamili nem<br />
(bilong man o<br />
meri bilong yu)<br />
Givin nem<br />
(bilong man o<br />
meri bilong yu)<br />
Man o meri bin<br />
gat narapela<br />
nem ol i save<br />
long em?<br />
Dei o mun o yar<br />
man o meri<br />
bilong yu i bin<br />
bon<br />
Dei o mun o yar<br />
man o meri<br />
bilong yu i bin<br />
dai<br />
Man o meri<br />
bilong yu i bin<br />
halivim ol<br />
sevisman bilong<br />
Australia insait<br />
long Wol Wo 2<br />
long ples nau<br />
yumi kolim<br />
Papua Niugini?<br />
Ol i bin halivim<br />
ol sevisman<br />
bilong Australia<br />
long wanem hap<br />
bilong Papua<br />
Niugini long Wol<br />
Wo 2?<br />
Nogat<br />
Yes - Givim liklik toktok daunbilo<br />
Pamili nem<br />
Given nem<br />
(sapos yu no save long bondei bilong em, plis raitim yar yu ting em<br />
bin bon long en)<br />
Dei Mun Yar<br />
(sapos yu no save long dei, plis raitim yar yu ting em i bin dai)<br />
Dei Mun Yar<br />
Nogat<br />
Yes - Wanem kain halivim ol i bin givim?<br />
�<br />
Wok long lukautim gut ol ples balus Wok long ol bilding<br />
Karim ol kago<br />
Kuk<br />
Draiva<br />
Karim ol stresa<br />
Ol narapela samting – Plis givim liklik stori daunbilo<br />
Go long Seksin D<br />
D9171 0809 Page 4/8
Section D - Paperwork and Documentation<br />
To be completed by all applicants<br />
Can you provide<br />
documentation to<br />
identify you/your<br />
husband or wife<br />
as a <strong>Fuzzy</strong> <strong>Wuzzy</strong><br />
Angel (in terms of<br />
the definition set<br />
out on page 1)?<br />
D9171 0809 Page 5/8<br />
�<br />
No<br />
�<br />
Go to Section E<br />
Yes - please state what kind of evidence you have<br />
Seksin D - Pepa wok na dokumen o ol pas<br />
Olgeta man o meri aplai i mas pulumapim ol toktok daunbilo<br />
Inap yu givim o<br />
soim pas long<br />
tok save o soim<br />
klia olsem yu, o<br />
man o meri<br />
bilong yu,<br />
wanpela Pasi<br />
Wasi Angel.<br />
(olsem pes wan<br />
i soim)<br />
�<br />
Nogat<br />
�<br />
Go long Seksin E<br />
Yes - Plis tok save long wanem kain samting yu<br />
gat long soim olsem yu tok tru<br />
Attach a photocopy or photograph<br />
of the evidence to this application. Insait long aplikesin bilong yu, putim wanpela potokopi<br />
o potograp bilong yu long soim olsem toktok bilong yu<br />
i tru.<br />
Go to Section E<br />
Go long Seksin E<br />
5
6<br />
Section E - Certification<br />
To be completed by all applicants<br />
The following must be completed by an elected representative of Papua New Guinea’s<br />
Provincial or Local Level Government AND one person from the following list:<br />
a) A religious leader (e.g. Reverend, Pastor, Priest, Bishop); OR<br />
b) A village/tribal leader (e.g. Chief).<br />
Certification by member of PNG’s Provincial or Local Level Government (Required)<br />
I, (name), (position),<br />
• the in<strong>for</strong>mation provided by the applicant is true AND<br />
• the applicant is accepted by his/her community to be:<br />
✍<br />
Address<br />
a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel OR<br />
the widow(er) of a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel<br />
Signature or mark of member of PNG Government<br />
Telephone number<br />
�<br />
Section E Continued<br />
(authority/organisation), certify that:<br />
Day Month Year<br />
Seksin E - Husat ol man or meri i sapotim toktok bilong yu<br />
Olgeta i aplai mas pulumapim ol toktok daunbilo<br />
Wanpela memba bilong Provinsol o Lokol Level Gavman insait long PNG, na wanpela<br />
man husat nem i stap long lis daunbilo i mas pulamapim ol infomesin:<br />
a) wanpela sios lida (Tok Piksa: Reveran, Pasto, Pater, Bishop); o<br />
b) wanpela viles lida (Tok Piksa: Het man, Sip).<br />
Wanpela memba bilong Provinsol o Lokol Level Gavman insait long PNG i mas givim toktok<br />
long sapotim klem bilong yu<br />
Mi, (nem), (posisin),<br />
• Infomesin we man o meri husat i aplai long en i tru na<br />
• Ol komuniti i luksave long em olsem:<br />
✍<br />
Adres<br />
wanpela Pasi Wasi Angel O<br />
meri/man bilong wanpela Pasi Wasi Angel husat i dai pinis<br />
Sainim nem o putim mak bilong PNG Gavman opisol<br />
Telepon Namba<br />
�<br />
Seksin E go moa yet<br />
(otoriti/oganisesin), sapotim dispela:<br />
Dei Mun Yar<br />
D9171 0809 Page 6/8
Section E -Continued<br />
Certification by a religious leader or village/tribal leader (Required)<br />
I, (name), (position),<br />
• the in<strong>for</strong>mation provided by the applicant is true AND<br />
• the applicant is accepted by his/her community to be:<br />
Address<br />
a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel OR<br />
the widow(er) of a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel<br />
Telephone number<br />
(authority/organisation), certify that:<br />
Signature or mark of religious or village/tribal leader Sainim nem o mak bilong sios lida o lida bilong ples<br />
Day Month Year<br />
✍ ✍<br />
D9171 0809 Page 7/8<br />
�<br />
Go to Section F<br />
Seksin E - Go moa yet<br />
Sios lida o viles lida o lida bilong ples i mas sapotim ol toktok daunbilo<br />
Mi, (nem), (posisin),<br />
• Infomesin we man o meri husat i aplai long en i tru na<br />
• Ol komuniti i luksave long em olsem:<br />
wanpela Pasi Wasi Angel o<br />
meri/man bilong wanpela Pasi Wasi Angel husat i dai pinis<br />
Raitim Adres<br />
Telepon namba<br />
�<br />
Go long Seksin F<br />
(otoriti/oganisesin), sapotim dispela:<br />
Dei Mun Yar<br />
7
8<br />
Section F - Declaration and Distribution Details<br />
Certification by Applicant<br />
I, (Applicant), certify that the in<strong>for</strong>mation<br />
on this <strong>for</strong>m is true. If eligible, I wish to receive a <strong>Fuzzy</strong> <strong>Wuzzy</strong> Angel <strong>Commemorative</strong> <strong>Medallion</strong>.<br />
Signature or mark of applicant<br />
✍<br />
<strong>Medallion</strong> Distribution<br />
OR<br />
I would like to be sent the medallion by post to the address listed above.<br />
I would like to have the medallion presented by a representative of the<br />
Australian Government in a location in PNG.<br />
Please send this <strong>for</strong>m (and accompanying documentation if applicable) to:<br />
<strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong> <strong>Commemorative</strong> <strong>Medallion</strong><br />
Australian High Commission<br />
Port Moresby<br />
Locked Bag 129<br />
Waigani NCD<br />
Day Month Year<br />
Seksin F - Sainim na givim ol tok tru long daunbilo<br />
Man/meri aplai i sainim ol toktok daunbilo long soim olsem em i tru<br />
Mi, promis olsem, ol toktok mi bin givim<br />
insait long dispela fom i tru tasol. Sapos aplikesin bilong mi orait, mi laik long kisim wanpela<br />
Pasi Wasi Angel Komemorativ Medol.<br />
Sainim nem blong yu<br />
✍<br />
Givim Aut Medol<br />
O<br />
Mi laik bai yu salim Medol long pos opis long adres antap.<br />
Dei Mun Yar<br />
Mi laik bai wanpela man bilong Gavman bilong Australia bai givim aut medol long<br />
mi long Papua Niugini.<br />
Plis salim dispela fom wantaim ol narapela dokumen yu gat long adres:<br />
<strong>Fuzzy</strong> <strong>Wuzzy</strong> <strong>Angels</strong> <strong>Commemorative</strong> <strong>Medallion</strong><br />
Australian High Commission<br />
Port Moresby<br />
Locked Bag 129<br />
Waigani NCD<br />
D9171 0809 Page 8/8
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