APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996
|
|
|
- Lesley Davis
- 10 years ago
- Views:
Transcription
1 Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully complete all sections and attach all required documents. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. If you have any queries regarding the completion of this application, contact Police Licensing Services on (08) Section 1 Personal Details Record your Full Name, Residential Address, Postal Address, Date and Place of Birth and all current Telephone Numbers. Complete Details of your Physical Description. Enter the year you arrived in Australia. Enter your Motor Driver Licence and Passport particulars. Section 2 Licence Category Refer to Licence Categories documents for a full description. Select which category of licence that you wish to obtain and tick the corresponding box. Select term of licence required. Section 3 Personal History 3.1 & Conviction History Record details of any conviction and penalty imposed by a court, whether within Australia or overseas. This includes Criminal, Traffic or Children s Court convictions include Spent Convictions or where a conviction was not recorded Previous Names Provide details of any other names that you have been known by Previous Police Service Provide details of any employment in a Police Force or Police Service, including in a civilian capacity Employment History Provide details of your employment history for the past five (5) years. Section 4 Signing the Declaration Do not sign this without a Member of the Western Australia Police present to witness your signature. Section 5 Endorsement Category Select the endorsement(s) that you wish to have included on your Security Officer Licence and tick the corresponding box. Firearm endorsements require an accompanying letter from a licensed Security Agent who holds a Corporate Firearms licence. Baton endorsements require proof that you have successfully completed an approved Baton course within the past six months. Baton endorsements also require an accompanying letter from a licensed Security Agent stating that it is required for security duties. Section 6 Employers Corporate Firearms Licence details Firearm endorsements require an accompanying letter from a licensed Security Agent who holds a Corporate Firearms licence. Section 7 Signing the Firearms/Baton Declaration Do not sign this without a Member of the Western Australia Police present to witness your signature. Penalties Apply for Omissions, False or Misleading Information. Application Checklist - All Application Details completed. - Correct licence types nominated. - Full particulars of personal history, including criminal record or Police employment completed. - All relevant documentation provided. - Full application fees payable. Crowd Controller Applicants for Crowd Controller licenses must have completed an approved training course prior to lodging this application. Security Officer / Security Bodyguard Applicants for Security Officer / Security Bodyguard licenses must have completed an approved training course prior to lodging this application. Security Installer Applicants for Security Installer licenses must have completed a prelicence test if they are to perform the following functions: Install or maintain electronic alarm systems; Install or maintain CCTV equipment; Install or maintain security doors. The alarm test is based upon Australian Standard AS (Intruder Alarm Systems), basic electronic skills including circuit calculations and component values. The applicant must achieve a minimum of 80% to pass this test; The CCTV test is based on Australian Standard AS4806. The applicant must achieve a minimum of 80% to pass this test; The security door test is based on the standards applying to the supply and installation of security doors. The applicant must achieve a minimum of 80% to pass this test; Applicants who wish to repair or maintain locks, including door, window and safe locking mechanisms will need to be a trade qualified locksmith; Applicants who wish to install locks of a Prescribed type must sit a test based on Australian standards. The applicant must achieve a minimum of 80% to pass this test. Security Consultant Applicants for Security Consultants licenses must complete a prelicence test if they wish to consult in electronic alarms. This test is based on Australian Standard AS (Intruder Alarm Systems) and on Australian Standard AS4806 (CCTV). The applicant must achieve a minimum of 80% to pass this test. Form SL 1
2 Security & Related Activities (Control) Act 1996 DOCUMENTS TO SUPPORT APPLICATION If you apply for a licence under the Security and Related Activities (Control) Act, you must support your application with the correct documentation. This will explain what documents are required and where such documentation may be obtained. In all cases, the documents presented must be: If you have any queries regarding applying for a licence, contact Police Licensing Services on (08) Original documents and have a copy attached. In English or have an official translation attached. PROOF OF AGE AND IDENTITY DOCUMENTS REQUIRED FOR LICENCE APPLICATIONS Applicants must provide evidence of age and identity to accompany this application. It is to consist of the original and a certified copy of either: Two documents referred to in the Category 1 List; or One document referred to in the Category 1 and two documents referred to in the Category 2 List. CATEGORY 1: Current motor driver s licence bearing the name, date of birth and photograph of the applicant that has been issued under a law of the Commonwealth or a State or Territory. Current passport or a passport that has not been expired for more than 2 years, bearing the name, date of birth and photograph of the applicant. Proof of age card bearing the name, date of birth and photograph of the applicant. Identification card (other than a proof of age card) bearing the name, date of birth and photograph of the applicant that has been issued by an agency of the Commonwealth or a State or Territory to provide evidence of the person s identity. Birth certificate bearing the name and date of birth of the applicant issued under a law of the Commonwealth or a State or Territory. Diplomatic document bearing the name, date of birth and photograph of the applicant that has been issued by a government agency to provide evidence of the person s legal entitlement to enter Australia. CATEGORY 2: Current licence (other than a motor driver s licence) or current permit bearing the name and date of birth of the applicant that has been issued under a law of the Commonwealth or a State or Territory. Current identity card or licence bearing the name and date of birth of the applicant that has been issued by a government agency outside Australia. Identification card bearing the name of the applicant that has been issued by an agency of the Commonwealth or a State or Territory to provide evidence of the person s entitlement to a health benefit or pensioner concession. Identification card bearing the name of the applicant that has been issued within the last 5 years by an Australian educational institution. If insufficient proof of age and identity is received, your application will not be accepted. Non Australian citizens are required to produce residency or working visa. PERSONAL REFERENCES / TESTIMONIALS Two (2) personal references are required. These references need to be about your character, not your work history. (Please refer to new Reference Information & Reference Sheet on page 7 & 8) They are to be completed in the author s own hand writing and must be on the form attached: The referee needs to have known the applicant for a period of five years or longer prior to making this application. Comments in support must be longer than 5 lines. Contain the full name of the referee. Position/s held by referee. Contain the address and contact details of the referee (including telephone numbers). Nature of relationship (referee to applicant). Where and when the relationship was. How long the referee has known the applicant. Must refer to the applicants Honesty, Integrity, Character etc You need to have known the person supplying the reference for a five year period or longer prior to the application date NOTE: A referee cannot be a current serving member of the Western Australia Police or a family member. Form SL 2
3 PASSPORT PHOTOGRAPHS A set of four (4) passport size photographs is to be included with each application. These photographs are to: Display the head and shoulders (full face), and be on a white or very light background. No eye altering contact lenses or shaded glasses are to be worn. CRIMINAL RECORD If you have not been a resident of Australia for the whole 5 year period, or if you are an Australian resident and you have spent more than 12 consecutive months outside of Australia in the past 5 years prior to lodging your application, you must supply relevant documents from the countries you have resided in to prove you have no criminal record. If you are unsure of what this means, contact Police Licensing Services for further information. Indian Police Clearance Certificate: PCCs issued at a village or town, or District Superintendent are unacceptable as they do not cover the whole of India. Only PCCs issued through an Indian High Commission, Consulate or Embassy (see below) will be accepted. Consulate General of India, 1 st Floor, 15 Munro Street, COBURG VIC Tel: Consulate General of India, Level 27/25 Bligh Street SYDNEY NSW Tel: High Commission of India, 3 Moonah Place, YARRALUMLA ACT Tel: PROOF OF COURSE COMPLETION / QUALIFICATIONS If you are applying for a non-agent licence, you may be required to hold particular qualifications or have completed a particular training course before lodging your application. The following licences require the completed courses: Security Officer, an approved Security Officer course. Security Officer Guarding with a Dog, an approved Security Officer Guarding with a Dog course. Crowd Controller, an approved Crowd Controller course. Security Bodyguard, an approved Bodyguard course. Security Installer (Locks), an approved Locksmith course (otherwise you will not be approved to repair locks). Investigator Certificate III in Investigative Services. Batons endorsement, an approved Baton course within the past six months. Consultant in watching, protecting & guarding property, Certificate IV in Security Risk Management. Details of approved courses can be obtained by contacting Police Licensing Services. FIREARMS ENDORSEMENTS MEDICAL CERTIFICATE Applicants for firearms endorsements are required to provide a medical certificate to demonstrate that they are fit to carry a firearm. This medical certificate is to state: That you have been examined and found to be physically and psychologically fit for use and carriage of firearms. Additionally, a new medical certificate is to be supplied on an annual basis to maintain the firearms endorsement. All medical certificates are to be provided to Police Licensing Services within one month of being prepared by the medical practitioner. You must provide a statement from your doctor in reference to how long they have known you from a medical perspective If you have any questions relating to the documents required to support a licence or endorsement application you should obtain a copy of: The Security and Related Activities (Control) Act, 1996 and the Security and Related Activities (Control) Regulations, 1997 These can be obtained from the; 1. State Law Publishers, 10 William Street, Perth; or 2. On-Line at PLEASE MAKE SURE YOU HAVE READ AND FULLY UNDERSTOOD THESE INSTRUCTIONS PLEASE COMPLETE THE FOLLOWING 3 PAGE APPLICATION FORM IN YOUR OWN HANDWRITING PLEASE NOTE: DISCLAIMER That Your FINGER PRINTS Taken As A Result Of This Application May Be Compared With Or Put In A Forensic Database, Within The Meaning Of The Criminal Investigation (Identifying People) Act 2002; COMPLETED APPLICATIONS ARE TO BE LODGED AT Police Licensing Services 297 Hay Street EAST PERTH WA 6004 Or if outside a 50km radius of Perth GPO The nearest Country Police Station Form SL 3
4 (Security & Related Activities (Control) Act 1996) APPLICANT MUST PERSONALLY COMPLETE THIS ENTIRE APPLICATION FORM IN BLOCK LETTERS 1 PERSONAL DETAILS Surname Given Names Residential Address Suburb State Postcode Postal Address (If different to the above) Suburb State Postcode D D / M M / Y Y Y Y Motor Drivers Licence No: State of Issue Expiry Date Phone No: Home Work Mobile D D / M M / Y Y Y Y Date of Birth Place of Birth/Country of Birth Nationality Male Female Complexion Eye Colour Hair Colour Height (cm) Passport No. D D / M M / Y Y Y Y If not Australian born please show Date and State of arrival: Date State 2 LICENCE CATEGORY SECURITY OFFICER CROWD CONTROLLER SECURITY CONSULTANT: CLASS INVESTIGATOR BODYGUARD SECURITY INSTALLER: CLASS TERM OF LICENCE 1 Year 3 Years Form SL 4
5 (Security & Related Activities (Control) Act 1996) 3 PERSONAL HISTORY APPLICANT MUST PERSONALLY COMPLETE THIS ENTIRE APPLICATION FORM IN BLOCK LETTERS Have you ever been refused a Security, Crowd Control or Investigator licence, or had such a licence Suspended, Cancelled or Revoked before in Western Australia or anywhere else? - NO - YES Provide details below Type of Licence When.? Where.? Reason.? If you appealed the decision, please provide full details below - Court Result Date D D / M M / Y Y Y Y Have you ever been convicted of any offence in a Court in Western Australia or elsewhere? (This includes all Criminal, Traffic and Children s Court convictions - include Spent Convictions or charges where a Conviction was not recorded) - NO - YES Provide details below Offence/Charge Court Date 4.3 Have you ever been known by any other name? - NO - YES Provide details below 3.4 Are you a Serving member of any Police Force or Police Service? (This includes in a civilian capacity) - NO - YES Provide details below 3.5 Employment History (Past 5 years) Employer Period State Position IT IS AN OFFENCE UNDER SECTION 51 OF THE SECURITY & RELATED ACTIVITIES (CONTROL) ACT 1996 TO PROVIDE INFORMATION THAT YOU KNOW TO BE FALSE OR MISLEADING. Form SL 5
6 (Security & Related Activities (Control) Act 1996) 4 DECLARATION APPLICANT MUST PERSONALLY COMPLETE THIS ENTIRE APPLICATION FORM IN BLOCK LETTERS I, Applicants signature Certify that the information contained in this application has been provided by myself and that it is true and correct in every detail. I am also fully aware that it is an offence under Section 51 of the Security & Related Activities (Control) Act 1996 to provide information that I know to be false or misleading. Date Witness signature Date Witness, Print Name, Witnessing Authority and Contact Details FIREARMS AND BATON ENDORSEMENT 5 ENDORSEMENT FIREARMS BATONS 6 EMPLOYER DETAILS Include all companies for which you wish to be endorsed to carry firearms - (A letter must be attached from each company that wishes to employ you in an armed capacity) 1 CORPORATE FIREARMS LICENCE NUMBER 2 CORPORATE FIREARMS LICENCE NUMBER 7 FIREARMS AND BATON DECLARATION I, Applicants signature Certify that the information contained in this application has been provided by myself and that it is true and correct in every detail. I am also fully aware that it is an offence under Section 51 of the Security & Related Activities (Control) Act 1996 to provide information that I know to be false or misleading. Date Witness signature Date Witness, Print Name, Witnessing Authority and Contact Details Form SL 6
7 Western Australia Police SUITABILITY REFERENCE To the referee before you sign this reference please read: This Form MUST BE COMPLETED BY YOU, the Referee. The purpose of this reference is for YOU to acknowledge that the applicant is of a suitable character to hold a private security licence in Western Australia. You are not obliged to provide this reference and you should only do so if you wish to and only if you can satisfy the requirements provided by law. FIRSTLY: You must know the applicant s character. You need to outline in what capacity you know the applicant and how that allows you to attest to his/her suitability for the industry. Remember you are accountable for what you write and sign your name to. You must provide contact details to us and you are likely to be contacted by police to verify your statements. SECONDLY: You must have known the applicant for a minimum of 5 years prior to the date of the licence application. If you can not comply with all of the above do not supply this reference. What does I can attest to the character of the applicant mean? Explain how you know the applicant and how this enables you to comment on their ability, competence, honesty and integrity. Please explain the nature of your relationship to the applicant (for example but not limited to: personal, professional, family connections). This reference is about your relationship with this particular person, not his/her family or friends. Electronic knowledge such as and chat rooms on the Internet is not sufficient knowledge. If you do sign this document you may be called upon to stand by this statement in an Australian Court and you may be prosecuted if you provide any false or misleading information. To the Licensing Officer, I have personally known the applicant (Referee s name) for a period of years months (insert name YOU know the applicant by) My relationship to the applicant. Form SL 7
8 Western Australia Police SUITABILITY REFERENCE cont. (This section MUST be completed. If insufficient space attach separate sheet) I am not related to the applicant by birth or marriage and I attest that the applicant is suitable to hold a Licence in Western Australia under the Security and Related Activities (Control) Act Referee Signature: Referee s contact details: (in block letters) Work address: Phone: (H) (W) (M) address: (I acknowledge that the particulars in this reference are true and correct and I make this acknowledgement knowing it is an offence against Section 51(1) of the Security and Related Activities (Control) Act 1996, to give information orally or in writing that the person knows to be, false or misleading in a material particular or likely to deceive in a material way). Section 51 carries a maximum penalty of $15,000. Date: Referee Signature: Witness Witness details (Witness must be an independent person other than the applicant or referee) Name Address Form SL 8
APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996
WESTERN AUSTRALIA POLICE APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully
Application to register a change of name (adult 18+ years)
Application to register a change of name (adult 18+ years) July 2014 Recognising the significance of life events Important information about your change of name application If you require access to a translation
Payment of unclaimed superannuation money
Instructions and form for super fund members Payment of unclaimed superannuation money How to complete your Application for payment of unclaimed superannuation money individual. For information about unclaimed
Application to register a change of name (adult 18 years or over)
Government of Western Australia Department of the Attorney General Registry of Births, Deaths & Marriages BDM400 Application to register a change of name (adult 18 years or over) Eligibility You must be
LAST NAME GIVEN NAME(S) DATE CEASED / / LAST NAME GIVEN NAME(S) DATE CEASED / /
Application by an INDIVIDUAL FOR A NSW SECURITY LICENCE under the Mutual Recognition Act 1992 and/or Trans-Tasman Mutual Recognition Act 1997 OFFICE USE ONLY Application No: - Receipt No: - Trim No: To
Application for a real estate salesperson registration certificate
New registration application Form 3 1 Notes Application for a real estate salesperson registration certificate Property Occupations Act 2014 This form is effective from 1 December 2014 ABN: 13 846 673
NATIONAL POLICE HISTORY CHECK INFORMATION 2014. Western Australian Education and Training Sectors
NATIONAL POLICE HISTORY CHECK INFORMATION 2014 Western Australian Education and Training Sectors HOW TO COMPLETE THE NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM Please read all information
Information for temporary residents departing Australia
Information for temporary residents departing Australia MLC Superannuation What is a Departing Australia Superannuation Payment? The Departing Australia Superannuation Payment (DASP) is the payment of
Instruction Pages Individual Operator Private Security Licence Application
Please remove Instruction Pages before submitting your application VP Form 1080 Instruction Pages Individual Operator Private Security Licence Application Security Guard, Crowd Controller, Investigator,
Application for a Certificate of Approval
Private Security Personnel Licensing Authority For more information visit www.pspla.govt.nz Application for a Certificate of Approval Under the Private Security Personnel and Private Investigators Act
Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying super fund.
Benefit access Gesb Super and West State Super SUP E R ANNUATION Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying
APPLICATION FOR NEW CERTIFICATE OF COMPETENCE
APPLICATION FOR NEW CERTIFICATE OF COMPETENCE This is an application form for a certificate of competence under the Health and Safety in Employment (Mining Operations and Quarrying Operations) Regulations
Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies.
Application No. OFFICE USE ONLY Form PL-21 ABN 81 913 830 179 Property, Stock and Business Agents Act 2002 Application for a CERTIFICATE OF REGISTRATION FEE: $129.00 - applicable from 1 July 2015 to 30
Instruction Pages Individual Private Security Licence Application
Please remove Instruction Pages before submitting your application VP Form 1080 Instruction Pages Individual Private Security Licence Application Security Guard, Crowd Controller, Investigator or Bodyguard
Application for a departing Australia superannuation payment
Instructions and form for temporary residents Application for a departing Australia superannuation payment How to complete your Application for a departing Australia superannuation (super) payment. WHO
Mutual Recognition. Who can apply? Build better.
Build better. Mutual Recognition Mutual Recognition is a process whereby an individual who holds a licence in one state, territory or New Zealand is entitled to be licensed in another state, territory
Form 20 Application for additional/change of qualified person for a contractor licence
Department of Justice and Attorney-General Electrical Safety Office Form 20 Application for additional/change of qualified person for a contractor licence V12.06-2014 Electrical Safety Act 2002 INSTRUCTIONS:
Registration as a Physiotherapist within the Special Purpose Scope of Practice: Postgraduate Physiotherapy Student
APPLICATION FORM Registration as a Physiotherapist within the Special Purpose Scope of Practice: Postgraduate Physiotherapy Student Please complete this Application Form with reference to the Application
Identification GETTING STARTED
Identification GETTING STARTED 3 This is Booklet 3 in the Getting Started Series. Getting Started is a guide for people leaving prison. Booklets 1 The First Week 2 Housing 3 Identification 4 Alcohol and
Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity
The purpose of the application for adoption information: is deceased or does not have capacity form This form is for use by a relative or guardian of an adult adopted person to apply for adoption information
Advance Retirement Suite Super Early Release Financial Hardship Application
Advance Retirement Suite Super Early Release Financial Hardship Application Trustee: BT Funds Management Ltd (BTFM) ABN 63 002 916 458 AFSL 233724 GUIDE TO COMPLETING THIS FORM > > Use this form if you
Application for Accreditation by Testing
Application for Accreditation by Testing OFFICE USE ONLY AUS NZ OS Please use blue or black ball point pen to complete this form. Please print in BLOCK LETTERS. NAATI Number: (if known) Part 1 Please provide
Application for superannuation benefits temporary residents departing Australia permanently
GPO Box 89 Melbourne Vic 3001 VicSuper Member Centre 1300 366 216 vicsuper.com.au Application for superannuation benefits temporary residents departing Australia permanently * Indicates that providing
CRIMINAL HISTORY CHECK APPLICATION
NORTHERN TERRITORY POLICE SAFE NT Phone 1800 723 368 (1800 SAFENT) Office Hours 8 30am 4 30pm Monday Thursday 9 30am 5 30pm Friday CRIMINAL HISTORY CHECK APPLICATION PF095 06/12 C APPLICATION FOR CRIMINAL
This standard involves verification of identity; nationality and immigration status; employment history (past 3 years) and criminal record.
HUMAN RESOURCES, SECURITY AND FACILITIES DIVISION BASELINE PERSONNEL SECURITY STANDARD All government departments are required to ensure that any personnel employed/engaged by them to work in their offices
Overseas: NOTES. Application for an Australian Passport. Your checklist. Keep your passport safe at all times.
Application for an Australian Passport Overseas: NOTES Who can apply for an Australian passport? All Australian citizens can apply if you have any questions or doubts about your Australian citizenship,
Form 11 Application for electrical work licence/permit (other than apprentice)
Electrical Safety Office Form 11 Application for electrical work licence/permit (other than apprentice) V15.06-2014 Electrical Safety Act 2002 If you are applying for an additional electrical work training
Renewal of registration Building surveying contractor (individual) Form 63
Government of Western Australia Department of Commerce Renewal of registration Building surveying contractor (individual) Form 63 Use of this form This form is to be used by building surveyors who are
Application for an Electrical Contractor s Licence
Application for an Electrical Contractor s Licence 303 Sevenoaks Street (entrance Grose Ave) Cannington WA 6107 Postal Address: Locked Bag 14 Cloisters Square WA 6850 Telephone: (08) 6251 2000 Email enquires
Superannuation and Deferred Annuity Redemption / transfer form
Superannuation and Deferred Annuity Redemption / transfer form This form is to be used when redeeming your superannuation benefit from the Zurich Deferred Annuity or from the Zurich Master Superannuation
Frequently Asked Questions for Students undertaking clinical placements. NSW Health Criminal Record Check requirements
1 Which students are covered by these requirements?... 3 2 What do I need to provide to NSW Health to undertake clinical placements?... 3 3 Is a National Police Check Certificate issued by a private company
Three year term. (One licence category includes non-refundable application fee of $144.60 ) $1242.60 $2329.60 $144.60
New licence application Form 1 1 Notes Application for an individual s licence Real estate agent, property auctioneer, resident letting agent, motor dealer, chattel auctioneer Property Occupations Act
Application for Security Officer and/or Crowd Controller Licence
Application for Security Officer and/or Crowd Controller Licence Private Security Act Please print in block letters. All questions must be answered and full particulars provided. If there is insufficient
Application for registration Building contractor (company)
Government of Western Australia Department of Commerce Application for registration Building contractor (company) Refer to the application guidelines for assistance in completing this application form.
Agents financial administration Form 4
Agents financial administration Form 4 Collection agent application for authority to open a trust account Agents Financial Administration Act 2014 Debt Collectors (Field Agents and Collection Agents) Act
Motor Vehicle. Claim Form PLEASE RETURN COMPLETED FORM TO YOUR JLT OFFICE:
Motor Vehicle Claim Form PLEASE RETURN COMPLETED FORM TO YOUR JLT OFFICE: GPO Box 1693 ADELAIDE SA 5001 Tel +61 (0)8 8235 6446 Fax +61 (0)8 8235 6448 PO Box 925 ALBURY NSW 2640 Tel +61 (0)2 6057 3333 Fax
APPLICATION FOR A HIGH RISK WORK LICENCE Work Health and Safety Act 2011
APPLICATION FOR A HIGH RISK WORK LICENCE Work Health and Safety Act 2011 PURPOSE This form is to be used to apply for a high risk work licence under the Work Health and Safety Act 2011 (the Act). You can
As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.
Aged Care Education and Training Incentive Programme COMPLETION PAYMENT This application form is to be completed by applicants who have completed studies and have already received a commencement payment
As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.
Aged Care Education and Training Incentive Programme COMMENCEMENT PAYMENT This application form is to be completed by eligible aged care workers who have enrolled and commenced studies to enhance their
ARCHITECTS BOARD OF WESTERN AUSTRALIA
ARCHITECTS BOARD OF WESTERN AUSTRALIA Application for Registration in Western Australia under Mutual Recognition Form 02 3 August 2015 Use of this Form This form is to be used by people wishing to apply
Form 18 Application for a Queensland electrical contractor licence
Electrical Safety Office Form 18 Application for a Queensland electrical contractor licence V17.06-2014 Electrical Safety Act 2002 INSTRUCTIONS: Read the guidelines when completing this application form.
APPLICATION TO AMEND A LIQUOR LICENCE OR PERMIT Liquor Act 2010 Liquor Regulations 2010 IMPORTANT
Page 1 of 15 APPLICATION TO AMEND A LIQUOR LICENCE OR PERMIT IMPORTANT This form is to be used to apply for an amendment to a current liquor licence or permit under the (the Act). You can access the legislation
Instructions and form for individuals living outside Australia. Tax file number application or enquiry for individuals living outside Australia
Instructions and form for individuals living outside Australia Tax file number application or enquiry for individuals living outside Australia NAT 2628 04.2014 INTRODUCTION YOUR TAX FILE NUMBER (TFN) AND
Consumer and Business Services
Consumer and Business Services Born in South Australia Register a Change of Name Application (child under 18) To change a child s name you must complete this form, pay the appropriate fee and provide documentation
Blue Care Income Protection Claim Form
Blue Care Income Protection Claim Form INCOME PROTECTION CLAIMS In order to alleviate any delay in the processing time of your claim, please ensure the following: The claim form is returned with all fields
Application for Registration as an Agent s Representative
Application for Registration as an Agent s Representative Agents Licensing Act Please print in block letters. If there is insufficient space, attach extra sheets. All questions must be answered and full
Child. Application for an Australian Passport. Your checklist
Application for an Australian Passport Child Appointments Only certain applicants should lodge their forms at a passport office in Australia. Appointments are essential. See notes for details. Protect
Authorised Signatory Form
Form Complete this form: to give a person other than your adviser the authority to act on your existing margin lending facility in all matters as if they were you (including but not limited to increasing
Application for a Company Licence
Private Security Personnel Licensing Authority For more information visit www.pspla.govt.nz Application for a Company Licence Under the Private Security Personnel and Private Investigators Act 2010 1 What
Application to renew an interstate Licence to Perform High Risk Work
Workplace Health and Safety Queensland FORM 97 Application to renew an interstate Licence to Perform High Risk Work V1.7.14 This form is only to be completed for high risk work licences that were issued
APPLICATION FORM. Right Guard Security UK Ltd act as Managing Agents for Payroll Workshop Ltd to manage their employees on their behalf.
APPLICATION FORM Right Guard Security UK Ltd is an expanding company that has a vast range of security services. We are dedicated to providing an excellent service through highly trained, loyal and committed
REQUEST FOR WITHDRAWAL
REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one
WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME
WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME Issued 1 November 2014 Please use this form to transfer your whole superannuation balance to a KiwiSaver scheme. Transferring only part of your superannuation
Application for direct payment of government super contributions
Instructions and form for retirees and estate trustees Application for direct payment of government super contributions WHO COMPLETES THIS APPLICATION You should complete this application if you want to
Transfer of Licence. Information Bulletin & Lodgement Guide No.8. Right to Carry on Business or Protection Order WHAT IS A TRANSFER OF LICENCE?
Transfer of Licence Information Bulletin & Lodgement Guide No.8 This Information Bulletin briefly explains some of the requirements when applying for a transfer of liquor licence as per the Liquor Control
Workers Compensation claim form
Form Workers Compensation claim form STOP - this form is available to be filled in electronically on the NT WorkSafe web site www.worksafe.nt.gov.au. Fill the form in electronically then save a copy to
Information for completing: Form D: Application for transfer to Australia prisoner not on parole and not serving suspended sentence
Information for completing: Form D: Application for transfer to Australia prisoner not on parole and not serving suspended sentence When to use this form Use this form if you are applying for transfer
Application Form for Millinium's Wholesale Fixed Income Fund Individual(s) / Sole Trader (Resident/Non Resident)
Before you sign this application form, we wish to give you a Information Memorandum ("IM") which is a summary of important information relating to Millinium's Wholesale Fixed Income Fund ("Fund"). The
Can the TAC help you?
Can the TAC help you? The Transport Accident Commission (TAC) pays for the reasonable cost of treatment and support services for people injured in transport accidents. You may be eligible to have medical
Government of Western Australia Department of Transport. How to become a licensed Driving Instructor in Western Australia.
Government of Western Australia Department of Transport How to become a licensed Driving Instructor in Western Australia Information Pack Last Updated August 2010 L Requirement Act 1963 requires that any
Farm Management Deposit (FMD) Application Form
Farm Management Deposit (FMD) Application Form INSTRUCTIONS FOR COMPLETING THE FARM MANAGEMENT DEPOSIT APPLICATION FORM Please read and complete sections A, B, D, E, F, H and I in BLOCK LETTERS using black
Travel Document Application Form
Travel Document Application Form Irish Naturalisation & Immigration Services Travel Document Unit February 2016 Important Information Please ensure that you read this information before completing your
APPLICATION GUIDELINES Teacher registration
APPLICATION GUIDELINES Teacher registration July 2013 GUIDELINES to completing the Application for Teacher Registration It is a legal requirement under the Education (Queensland College of Teachers) Act
Community Underwriting Motor Claim Form
Community Underwriting Motor Claim Form About the Insurer Calliden Insurance Limited (Calliden) (ABN 47 004 125 268), is a public company incorporated in Australia. It is authorised under the Australian
THE COMPANY DOES NOT ADMIT LIABILITY BY THE ISSUE OF THIS FORM. IT IS ISSUED TO ENABLE THE INSURED TO LODGE THEIR WRITTEN STATEMENT OF CLAIM.
CLAIM FORM Motor Vehicle The Company does not admit Liability by the issue of this Form. It is issued to enable the Insured to lodge their written statement of claim. CLAIM NUMBER OFFICE USE ONLY CLAIM
Claim form Motor Vehicle
Claim form Motor Vehicle The Company does not admit Liability by the issue of this Form. It is issued to enable the Insured to lodge their written statement of claim. CLAIM NUMBER OFFICE USE ONLY Claim
Please note: only original documents accepted
HACKNEY CARRIAGE/PRIVATE HIRE DRIVER S LICENCE CHECKLIST Please note: only original documents accepted Applicants Use LSU Use ONLY Initials & Date LO Use ONLY Initials & Date Application form fully completed
Motor Vehicle. Claim Report
Motor Vehicle Claim Report Please retain this page for your information IMPORTANT INFORMATION ABOUT YOUR CLAIM This form must be completed and signed by the person who was driving your vehicle, or the
APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS
APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS REGISTRATION, EMPLOYMENT OR UNIVERSITY ENTRY This form is for the assessment of psychology qualifications for registration, employment or entry
Application for Australian citizenship by descent. Step 1 Eligibility
Application for Australian citizenship by descent Form 118 This information is provided help you complete the application form and guide you through the application process. Important Please read this
Application Form. Akita House Millenium Studios Building 109 Bedford Technology Park Thurleigh Bedford MK44 2YP. Tel 01234 780222 Fax 01234 780223
Application Form Akita House Millenium Studios Building 109 Bedford Technology Park Thurleigh Bedford MK44 2YP Tel 01234 780222 Fax 01234 780223 Email: [email protected] Website: www.akitasecurityservices.com
Change My Insurance Details Form
Change My Insurance Details Form Please complete and return this form to: NESS Super, Locked Bag 20, Parramatta NSW 2124 Complete in pen using CAPITAL letters or type directly into this form and print
Request to Increase Insurance Life Event
Request to Increase Insurance Life Event Accumulation Scheme (Division 5) members only Use this form to apply to increase your insurance cover when a specific life event has occurred. As an accumulation
Fatality Claim Form. South Australia Compulsory Third Party (CTP)
South Australia Compulsory Third Party (CTP) Fatality Claim Form This form is to be completed by any person who is claiming compensation as a result of a person s death in a motor vehicle accident (please
CLAIM FOR WORKERS COMPENSATION
CLAIM FOR WORKERS COMPENSATION Seafarers Rehabilitation and Compensation Act 1992 Information about claiming workers compensation In this document, all references to the employer mean the employer against
Boat Registrations Boat Transfer Form Notification of change of ownership
Boat Registrations Boat Transfer Form Notification of change of ownership Instructions The seller is to: complete the red sections on the purchaser s copy of this form ensuring all joint registered owners
Identity Verification Form Australian Superannuation Funds and Trusts
Identity Verification Form Australian Superannuation Funds and Trusts To comply with our obligations under the Anti-Money Laundering (AML) and Counter Terrorism Financing (CTF), all new investors are required
Medical Practitioner Application and Proposal
Support Protect Promote Medical Practitioner Application and Proposal Application for Membership of MDA National Limited Proposal for Professional Indemnity Insurance Support Protect Promote Thank you
Stockbroking. INDIVIDUAL/JOINT ACCOUNT application form. Please only use this form to open a trading account: in your name, or in joint names
Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form to open a trading account: in your name, or in joint names In order to process your application we will need: your completed
Individual Construction Occupations (Licensing) Act 2004, s128 and s17
Application to renew/issue an expired licence Construction Occupation licence Individual Construction Occupations (Licensing) Act 2004, s128 and s17 This form is to be used for individuals to: renew a
Section 2 Drivers a) If this is a renewal of Taxi/Private Hire car driver licence, please state your current licence number Driver No..
Aberdeenshire Council Application form in terms of Sections 10, 10(5) and 13 of the Civic Government (Scotland) Act 1982 Taxi / Private Hire Car Driver s Licence Taxi/Private Hire Car Vehicle Licence Six
Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist
Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist REG1 October 2015 For office use only Registration no: PO
Children s Services Regulation 2004
New South Wales Children s Services Regulation 2004 under the Children and Young Persons (Care and Protection) Act 1998 Her Excellency the Governor, with the advice of the Executive Council, has made the
Guidance Notes Applying for registration online
Guidance Notes Applying for registration online An Chomhairle um Ghairmithe Sláinte agus Cúraim Shóisialaigh Health and Social Care Professionals Council Important Please read these guidance notes before
How To Get A Degree From Une
!!!" #$!!" %&'&'& ()*(+',,,,- HOW TO APPLY The following application form can be used by potential international students to apply for admission to postgraduate research/higher degree research programs
MOTOR VEHICLE PROPOSAL FORM
Commercial and Trucksure Pty Ltd As agent for the Insurer ABN: 78 078 661 220 AFSL: 238151 Level 6, 3 Spring Street Sydney NSW 2000 PO Box R1940 Royal Exchange NSW 1225 Telephone: (02) 9251 1155 Facsimile:
MOTOR VEHICLE CLAIM FORM (Accident or Theft)
Cowden Group MOTOR VEHICLE CLAIM FORM (Accident or Theft) The supply or acceptance of this form is not an admission of liability on the part of your Insurer 1. Your Details Policy No Expiry of Insured
Application for Construction Occupation Licence Individual Plumber Construction Occupations (Licensing) Act 2004, s128 and s17
Application for Construction Occupation Licence Individual Plumber Construction Occupations (Licensing) Act 2004, s128 and s17 This approved form is to be used for individuals applying under the Construction
How To Apply For A Student Visa To Australia
International student Foundation, Degree Transfer, TAFE, Undergraduate and Postgraduate Coursework Application form Representative/agent stamp (if applicable) If you are a permanent resident of Australia,
APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS
APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS MIGRATION This form is for the assessment of psychology qualifications for the purposes of migration to Australia under the General Skilled Migration
LUMP SUM APPLICATION FOR PAYMENT OF A PRESERVED LUMP SUM ENTITLEMENT 1. PERSONAL DETAILS 2. TAX FILE NUMBER (TFN) 3. TYPE OF ENTITLEMENT APPLIED FOR
LUMP SUM APPLICATION FOR PAYMENT OF A PRESERVED LUMP SUM ENTITLEMENT Form Please complete all the details on this form in BLOCK LETTERS and return the signed original to. 1. PERSONAL DETAILS Mr Ms Miss
NATIONAL POLICE CHECKING SERVICE (NPCS) INFORMED CONSENT FORM
SECTION 1: PERSONAL INFORMATION Please select appropriate box only: Employee Contracr/Consultant Volunteer Individual Other (Please specify) Is this a renewal check? Yes No Names by which I am, or have
Guide for applicants for admission as a lawyer in NSW
Legal Profession Admission Board Guide for applicants for admission as a lawyer in NSW in accordance with the Legal Profession Uniform Admission Rules 2015 Version 1.3 9 December 2015 1. Introduction...
