Et al. is Latin and comes from et alii, which means ‘and others’. The expression is used in references in the text, but generally not in the bibliography. It indicates that a work has three or more authors.
"Vitamin C had a consistent effect across all elements of the composite outcome and on 6-month mortality" (Lamontagne F, et al. 2022, p. 9-10)
The information about formalities is written in collaboration between Center for Educational Development (CED) and AU Library and is general guidelines for formal requirements. They do not replace the provisions in your academic regulations, your lecturers' guidance or information on your course's website. If in doubt ask your supervisor.