Fillable Printable Application for Teacher Registration - Teachers Registration Board of South Australia

Application for Teacher Registration - Teachers Registration Board of South Australia

trb

APPLICATION FOR

TEACHER REGISTRATION

TRB-1-140814

Member of the Australasian Teacher Regulatory Authorities Inc.

PO Box 3649, Rundle Mall SA 5000 Phone: (08) 8226 2666 Fax: (08) 8226 2667 Website: www.trb.sa.edu.au Email: [email protected]

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APPLICATION FOR TEACHER REGISTRATION

APPLICATION FOR TEACHER REGISTRATION - GUIDELINES BOOKLET

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The Teachers Registration Board of South Australia (the Board) is established pursuant to the

Teachers

Registration and Standards Act 2004

(the Act) and

Teachers Registration and Standards Regulations 2005

(the Regulations). The Act and the Regulations can be accessed via the Board’s website:

http://www.trb.sa.edu.au/legislation.php

The purpose of the Act is to regulate the teaching profession in South Australia.

Pursuant to Section 20 (1) of the Act it is an offence to undertake employment as a teacher, principal

or director at a school or prescribed service or provide primary or secondary education unless you are

registered. (Maximum penalty $5,000)

An application for teacher registration must be made in the manner and form prescribed by legislation or

approved by the Board. An application must be submitted in person or by mail. Applications submitted by

fax or email will not be accepted.

The Board may require additional documentation or information and will contact you if this is the case. All

documentation supplied in support of your application must be the original or a certied copy. Refer to the

section ‘Certication of Documents’ overleaf for more information.

This paperclip symbol is used throughout the application form to indicate that original or certied

documentary evidence must be provided. All required documentary evidence must be supplied

with the application form.

If you hold overseas teaching qualications, you must have all of your qualications formally assessed

by the Board before submitting an application for registration as a teacher. You will need to complete

a separate application form, the ‘Application for Assessment of Qualications’, and wait until you have

received an assessment report from the Board before applying for teacher registration. The Application for

Assessment of Qualications form can be downloaded from the Board’s website at

http://www.trb.sa.edu.au/forms.php

An incomplete application will not be accepted and will be returned to you.

GENERAL INFORMATION

Provisional Registration – teachers who are qualied but are not yet able to provide evidence of

one year’s full-time (or part-time equivalent of 200 days) satisfactory service as a teacher at a school or

prescribed service in Australia or New Zealand in the last ve years.

Registration – teachers who are qualied and have completed one year’s full-time (or part-time equivalent

of 200 days) satisfactory service as a teacher at a school or prescribed service in Australia or New Zealand

in the last ve years. Applicants are not eligible to apply for (full) Registration by using this application

form. The only way for a teacher to be granted (full) Registration status is to initially receive Provisional

Registration and then transition to (full) Registration with the Board as detailed below.

Transitioning from Provisional Registration to (full) Registration is not an automatic process. If you hold

Provisional Registration, you can apply for (full) Registration after successfully completing one year’s full-

time (or part-time equivalent of 200 days) satisfactory service as a teacher at a school or prescribed service

in Australia or New Zealand, and lodge an Application to Transition from Provisional to (full) Registration.

You must meet the requirements as outlined on the Transition from Provisional to (full) Registration form.

An application form can be downloaded from the Board’s website at

http://www.trb.sa.edu.au/forms.php

In some cases, the Board may impose conditions on registration. This would be determined after

consideration of the application by the Board pursuant to Part 5, Section 24 of the Act.

CATEGORIES OF REGISTRATION

You must include a certied copy of your full Birth Certicate and a document containing photographic

identication (i.e. a passport or driver’s licence). You are also required to include certied copies of all

name changes (e.g. marriage certicate, decree nisi or deed poll). You may also use these documents to

satisfy the Board’s ‘100 point check’ (201) requirements (see Page 2 of the National Police History Check

Consent Form for more information).

PROOF OF IDENTITy FOR TEACHER REGISTRATION

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All required documents other than the original must be certied copies. If all documents have not been

correctly certied, the application will not be accepted and will be returned to you.

Copies of original documents must be certied as a “true and accurate” copy of the original by either: a

Justice of the Peace, a Commissioner for Taking Afdavits (e.g. Solicitor, Barrister), or a Notary Public.

Each document submitted for certication must be a photocopy with the original document available for

sighting at the time of certication. In some circumstances the Board may require presentation of an

original document.

CERTIFICATION OF DOCUMENTS

TRANSLATION OF DOCUMENTS INTO ENGLISH

The personal information you provide in this form will be used to assess your eligibility for teacher

registration and to maintain the Register of Teachers. Extracts of the Register of Teachers are available for

public inspection and your name, registration number and expiry date will be published on the Register of

Teachers on the Board’s website at

http://crmpub.trb.sa.edu.au/teachersearch.aspx

Relevant information may be released to other teacher regulatory authorities to ensure effective national

exchange of information, to CrimTrac to obtain a National Police History Check, to universities to conrm

academic results or in other circumstances as specied in the Act.

Requests for access to documents containing personal information held by the Board will be considered

in accordance with the

Freedom of Information Act 1991

and

South Australian Government Cabinet

Administrative Instruction Number 1, 1989 (reissued 2013)

known as the “Information Privacy Principles

Instruction”.

SA Government Information Sharing Guidelines to Promote the Safety and Wellbeing of

Children, young People and their Families (ISG).

The Privacy Committee of the Government of South Australia has granted agencies and organisations

exemption from compliance with Information Privacy Principle 10(b) under the Information Sharing

Guidelines (ISG). The ISG enables personal information to be shared without consent when it is agreed

that there is an anticipated risk of harm, abuse or neglect to a child, young person or member of their

family or if there is a risk to the person or to public safety. The Teachers Registration Board will seek

informed consent in all situations where it is considered safe to do so.

If you require further information about the release of personal information under the ISG please contact

the Co-ordinator, Investigations by phone on +61 8 8226 2666 or refer to the TRB website at

www.trb.sa.edu.au

for more general information. If you are concerned that your personal information has

been shared inappropriately, please contact the Registrar, Teachers Registration Board of South Australia

by phone on +61 8 8226 2666.

PRIVACy STATEMENT

1. PAyMENT DETAILS

Fees are reviewed on an annual basis. For information on the current fees, please refer to the Board’s

website at

http://www.trb.sa.edu.au/fees

Fees must be paid at the time of lodgement of your application. Should you subsequently withdraw your

application or your application is unsuccessful, the application for registration fee will be refunded.

Payment can be made by Cheque, Money Order, Visa or MasterCard. Please note if you pay via Visa

or MasterCard a Card Verication Value (CVV) number is required. CVV is a security feature for credit

card transactions. The CVV number is located on the back of the Visa or MasterCard. The number is a

separate group of 3 digits to the right of the signature strip. All applications are dealt with in a condential

manner. The CVV details will be removed and destroyed in a secure manneronce an application has been

processed.

Please note that if your name has been removed from the Register following a failure to renew your

registration before the expiry of your registration, an additional reinstatement fee is required.

All documents in a language other than English lodged as part of an application for teacher registration

must be submitted attached to ofcial certied English translations.

English translations undertaken in Australia will only be accepted if completed by a translator accredited

by the National Accreditation Authority for Translators and Interpreters Ltd. (NAATI). English translations

undertaken overseas must have been completed by an ofcially accredited or licensed translator or an

ofcially recognised organisation.

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The qualications required for teacher registration as a teacher are as follows:

(a) an approved teacher education degree, diploma or other qualication awarded on satisfactory

completion of a tertiary course of pre-service teacher education in pre-school, primary or

secondary education that –

(i) is of at least 4 years’ full-time duration or part-time equivalent duration; and

(ii) includes a practical student teaching component undertaken at a school or pre-school; or

(b) -

(i) an approved non-teacher education degree, diploma or other qualication awarded

on satisfactory completion of a tertiary course that is of at least 3 years’ full-time

duration or part-time equivalent duration; and

(ii) an approved postgraduate degree, diploma or other qualication awarded on satisfactory

completion of a tertiary course of pre-service teacher education in pre-school, primary or

secondary education that–

(A) is of at least 1 year’s full-time duration or part-time equivalent duration; and

(B) includes a practical student teaching component undertaken at a school or pre-

school.

You must complete the required information on the application form and attach the original or certied

copies of all of your ofcial academic transcripts showing completion/conferral date of the Award(s).

Parchments, computer print-outs, notication of examination results, assessment results, semester results,

or other unofcial documentation will not be accepted (unless you are a nal year student as outlined

below).

2. QUALIFICATION REQUIREMENTS

4. MANDATORy NOTIFICATION TRAINING REQUIREMENT

3. RECORD OF TEACHING SERVICE

If you have been employed as a teacher in a school or pre-school, please include the details of the teaching

positions you have held in the table provided.

Do not include details of any supervised teaching practice undertaken as part of a teaching qualication.

FINAL yEAR STUDENTS FROM AUSTRALIAN HIGHER EDUCATION INSTITUTIONS

You can submit your application for registration at anytime during your nal semester. There is no closing

date to lodge an application. You must enclose certied copies of all required documentation, together with

an unofcial statement of results for your current studies. When you receive your nal ofcial academic

transcript, this transcript, or a certied copy, stating completion/conferral date of the Award, must be

submitted to the Board. Applications for registration will only be nalised when all requirements are met.

You are not permitted to teach until provisional registration has been granted.

If you do not submit your nal transcripts to the Board within three months of your stated completion date,

a second national police history check may be requested (at your expense).

A Mandatory Notication Training course means a course of instruction approved by the Board relating to

requirements under Division 1, Part 4 of the

Children’s Protection Act 1993

for notication of suspected

child abuse or neglect. The

Teachers Registration and Standards Act 2004

and

Regulations 2005

require

proof of Mandatory Notication Training for registration.

All applicants must have satisfactorily completed a Families SA approved 7-hour Mandatory Notication

Training course (e.g.

Child Safe Environments – Reporting Child Abuse and Neglect

Responding to Abuse

and Neglect - Education and Care

). Please note: Generally, employers require applicants for employment to

have undertaken the

Responding to Abuse and Neglect - Education and Care

course, which is delivered by

specic providers, as the training is multidisciplinary as well as being tailored to a specic service context.

For further information, refer to the website at

http://www.trb.sa.edu.au/mandatory-training

The 7-hour Mandatory Notication training course required for teacher registration must be undertaken

in person in South Australia. Programs offered online will not be accepted for registration purposes.

Applications cannot be accepted until you have completed a Mandatory Notication Training course and

provided an original or certied copy of the certicate of completion. For further information, refer to the

website at

http://www.trb.sa.edu.au/mandatory-training

This course must be undertaken within the 12 months prior to the submission of an application for

registration.

If you are a nal year student from an Australian higher education institution and have completed a 7-hour

Families SA approved Mandatory Notication Training course in person in South Australia at any time

during your pre-service teacher education program, you will be deemed to have met this requirement. An

original or certied copy of the full day Mandatory Notication Training certicate of completion must be

provided with your application.

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6. ENGLISH LANGUAGE PROFICIENCy REQUIREMENT

You must satisfy the Board that you have a level of English language prociency which enables you to

communicate in English, in both the spoken and written form, at a professional level, with students,

parents, colleagues, and other educational professionals.

If you have completed any higher education qualications from institutions outside of Australia, you may need

to complete an English language test to meet the Board’s English language prociency requirement.

The English language tests recognised by the Board are:

• The International English Language Testing System Academic Level (IELTS).

• The International Second Language Prociency Ratings (ISLPR).

• The Professional English Assessment for Teachers (PEAT).

To determine whether or not you need to complete an English language test, please refer to the Board’s

website at

http://www.trb.sa.edu.au/english

7. DECLARATIONS - FITNESS AND PROPRIETy

The object of the

Teachers Registration and Standards Act 2004

(the Act) is to establish and maintain a

teacher registration system and professional standards for teachers to safeguard the public interest in

there being a teaching profession whose members are competent educators and t and proper persons to

have the care of children.

A national police history check is one measure used by the Board to determine the tness and propriety of

applicants. For information relating to national police history checks refer to Section 9.

Section 22 (2) of the Act states:

(2) An applicant for registration must –

(a) consent to the conduct by the Teachers Registration Board of a police history check

relating to the applicant; and

(b) if the Board so requires for the purpose of determining whether the applicant’s capacity

to teach is seriously impaired by an illness or disability affecting the applicant’s

behaviour or competence as a teacher –

(i) submit to a medical examination by a medical practitioner selected by the

applicant from a panel of medical practitioners nominated by the Board; and

(ii) provide, or authorise the medical practitioner to provide, a report on the

results of the medical examination to the Board; and

determining the application, veried, if the Board so requires, by statutory declaration.

A registered teacher must notify the Board in writing within 14 days if:

- charged with or convicted of an offence/s of a kind specied in Section 7.8 of the application form.

(For the purpose of the Act, charged is dened as a complaint or information led in any court).

- dismissed or resigned from employment as a practising teacher in response to or following

allegations of unprofessional conduct. For the purpose of the Act, unprofessional conduct means -

(a) a contravention of the Act or the repealed provisions; or

(b) a contravention of a condition of registration as a teacher under this Act or the repealed

provisions; or

(d) disgraceful or improper conduct.

- dismissed or resigned from any employment in response to or following allegations of improper

conduct in relation to a child.

Failure to notify the Board is an offence and penalties apply.

(continued on page 5)

5. SCHOOL APPOINTMENT

Please complete this section if a formal offer of employment has been made. An original or certied copy

of the written offer of employment must be attached. Employment as a teacher in a school or prescribed

service must not be undertaken until teacher registration has been granted.

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7. DECLARATIONS - FITNESS AND PROPRIETy (continued)

All matters are considered on an individual basis using the following general guidelines.

- Child protection implications, age and vulnerability

- Relevance in a school or pre-school teaching environment

- The gravity and nature of convictions

- Circumstances surrounding the offence(s), whether alcohol, drugs or a weapon was involved

- The harm to any victim including injury or loss

- Adverse impact on the teaching profession

- Total police history

- Severity of sentence imposed

- Length of time since offence, any rehabilitation

- Age at time of offence(s) e.g. adult or juvenile

- Evidence of the applicant’s good character since offence committed

- Whether offence has been decriminalised

- Whether found guilty ‘without conviction’

- Whether penalty was restricted only to a ne

- Personal circumstances at the time of offending.

You can discuss any issue relating to tness and propriety matters by contacting the Board’s Investigation

Unit, telephone +61 8 8226 5984.

Inquiries and Disciplinary Action

The Teachers Registration Board may, on complaint by the Registrar or of its own motion, hold an Inquiry

to determine whether the conduct of a teacher constitutes proper cause for disciplinary action. There is

proper cause for disciplinary action if a teacher has improperly obtained registration as a teacher; or has

been found guilty of unprofessional conduct; is not a t and proper person to be a registered teacher;

or the teacher’s registration has been suspended, cancelled or otherwise withdrawn by another teacher

regulatory authority.

Overseas Criminal History Record Checks

If you have resided in a country other than Australia for more than 12 continuous months during the past

10 years, when over the age of 18 years, you must provide either original or certied copies of national

criminal history record checks from those countries issued within the last 12 months.

These checks must reect all names by which you have ever been known.

The Board will only accept certain national overseas criminal history record checks for registration purposes.

Applicants should therefore refer to the instructions for obtaining acceptable checks which are available on

the Board’s website at

http://www.trb.sa.edu.au/ochrc

8. STATUTORy DECLARATION

Your signature must be witnessed by either:

- a Justice of the Peace, or

- a Notary Public, or

- a Commissioner for Taking Afdavits

(e.g. Solicitor, Barrister)

Provision of false or misleading information

You must certify that the personal information provided on the application form is correct. If it is subsequently

discovered that you have made a statement that is false or misleading in a material particular, whether

by reason of the inclusion or omission of any particular; in any information provided, this can lead to

prosecution under the

Oaths Act 1936

and to refusal or cancellation of registration pursuant to the

Teachers

Registration and Standards Act 2004

In addition, pursuant to Sections 54 and 55 of the

Teachers Registration and Standards Act 2004

, a person

must not make a statement that is false or misleading in a material particular (whether by reason of the

inclusion or omission of any particular) in any information provided under this Act, and that a person who

by fraud or any other dishonest means procures registration for himself or herself, or for another person,

is guilty of an offence. Maximum penalty: $10 000.

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Australian Federal Police, New South Wales Police Force, Victoria Police, Queensland Police Service, South Australia Police, Western Australia

Police, Tasmania Police, Northern Territory Police Force.

9. CONSENT FOR NATIONAL POLICE HISTORy CHECK

General Information

The

Teachers Registration and Standards Act 2004

requires the Teachers Registration Board of South

Australia (the Board) to determine whether you are a t and proper person to be registered as a teacher.

To assist in making this assessment, the Board requires a National Police History Check to be conducted

on your application.

Unless statutory obligations require otherwise, the information provided on this form will not be used

without your prior consent for any purpose other than in relation to the assessment of your suitability to

be registered as a teacher.

Information received through these processes is stored in a secure personal le.

The Department of Premier and Cabinet Circular No. PC012 (re-issued 30 July 1992) known as the

“Information Privacy Principles Instruction” is complied with.

Should you not consent to the Board obtaining a National Police History Record Check, your application

cannot be processed.

Proof of Identity for National Police History Check

To comply with the Board’s contractual arrangements as an accredited CrimTrac Agency, you must provide

certied copies of documentary evidence to prove your identity sufcient to satisfy the ‘100 point’ check

(201). This must include one primary document e.g. birth certicate, current passport or expired passport

(not cancelled) that was current within the preceding 2 years or citizenship certicate and one secondary

document e.g. current driver’s licence, employee identication card, Centrelink card or student identication

card. Refer to

http://www.trb.sa.edu.au/pdf/Info-Sheet_Proof-of-Identity.pdf

for a list of acceptable

documents for the ‘100 point’ check.

All documentation must be attached to the National Police History Record Check Consent form and

submitted with your application for teacher registration.

For further information contact the staff of the Board’s Investigation Unit on +61 8 8226 5984.

National Police History Check

A National Police History Check is an integral part of the assessment of your suitability to hold teacher

registration.

Information extracted from this form will be forwarded by the Board to the CrimTrac Agency and other

Australian Police Agencies

. By signing the form you are providing your consent to these agencies:

(a) disclosing police history information that pertains to you from their own records to the Board,

and/or

(b) accessing their records to obtain police history information that in turn will be disclosed to the

Board.

Such police history information may include outstanding charges, and criminal convictions/ndings of

guilt recorded against you that may be disclosed according to the laws of the relevant jurisdiction and, in

the absence of any laws governing the release of that information, according to the relevant jurisdiction’s

information release policy.

It is usual practice for your personal information to be disclosed to Australian Police Agencies to use for their

respective law enforcement purposes including the investigation of any outstanding criminal offences.

Spent Convictions Schemes

The information which can be made available about an individual’s police history may vary between

Australian jurisdictions and will depend on any laws or policies relating to “spent convictions” schemes.

The aim of these schemes, where they exist, is to prevent discrimination on the basis of certain previous

convictions once a waiting period has passed and provided the individual has not re-offended during this

period. Convictions considered “spent” will not be included in a police history report unless the category

of employment or purpose of the application is considered exempt from the workings of the scheme.

(continued on page 7)

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9. CONSENT FOR NATIONAL POLICE HISTORy CHECK (continued)

South Australia

SAPOL is bound by the

South Australian Spent Convictions Act 2009

when determining what information

to release. Under the

Spent Convictions Act 2009

, it is an offence to release information regarding the

convictions of a person if those convictions are deemed to be ‘spent’ under the Act.

A spent conviction is one that cannot be disclosed or taken into consideration for any purpose. Eligible

convictions become spent following a ten year conviction and proven offence-free period for adults and a

ve year conviction and proven offence-free period for juveniles.

The

Spent Convictions Act 2009

denes a conviction as:

A formal nding of guilt by a Court•

A nding by a Court that an offence has been proved•

This means that court hearings with the outcome ‘without conviction’ will be released as they are a formal

nding of guilt.

There are certain convictions which can never be spent. These include but are not limited to:

Convictions for sex offences•

Convictions where a sentence is imposed of more than 12 months imprisonment for an adult, or •

24 months imprisonment for a juvenile

Intelligence-type information is not released.

Schedule 1 of the

Spent Convictions Act 2009

sets out a number of exceptions to the rule where spent

convictions can be released. Some examples of this include:

The care of children•

The care of vulnerable people (including the aged and persons with a disability, illness or •

impairment)

Activities associated with statutory character tests for licensing•

The Teachers Registration Board of South Australia is one of the organisations authorised / legislated

to receive all convictions and non-convictions (i.e. including but not limited to withdrawn, acquitted and

dismissed court outcomes) for the screening of teachers under the

Teachers Registration and Standards

Act 2004.

The

Spent Convictions Act 2009

can be viewed on the internet at:

http://www.legislation.sa.gov.au

Other Australian Police Agencies

Where a police history record with another Australian Police Agency has been obtained, any relevant

legislation (and/or release policy) affecting that police agency will be applied before that record is released.

Under various pieces of Commonwealth, State and Territory legislation an individual has the right, in

particular circumstance or for a particular purpose, to not disclose certain convictions/ndings of guilt.

Such convictions (widely referred to as “spent” or “rehabilitated” convictions) will not be released. Please

contact individual police services directly for further information about their release policies and any

legislation that affects them.

Provision of False or Misleading Information

You are asked to certify that the personal information you have provided on this form is correct. If it is

subsequently discovered, for example as a result of a check of police records, that you have provided false

or misleading information, you may be assessed as being unsuitable to be registered as a teacher.

You should note that the existence of a police history record does not mean that you will be automatically

assessed as being unsuitable to be registered as a teacher. Each case will be assessed on its merit, as such

it is in your best interests to answer the declarations on the application form truthfully and to provide “full

and frank” details in a letter to the Registrar.

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Please forward your completed application

by post to:

Teachers Registration Board of South Australia

PO Box 3649

RUNDLE MALL SA 5000

or submit your application in person to:

Teachers Registration Board of South Australia

Level 6, 70 Pirie Street

ADELAIDE SA 5000

Further information:

Telephone: +61 8 8226 2666

Facsimile: +61 8 8226 2667

Email:

info@trb.sa.edu.au

Website:

http://www.trb.sa.edu.au

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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

PERSONAL DETAILS

1. PAyMENT DETAILS

APPLICATION FOR TEACHER REGISTRATION

Please refer to the Guidelines Booklet when completing this form.

Member of the Australasian Teacher Regulatory Authorities Inc.

PO Box 3649, Rundle Mall SA 5000 Phone: (08) 8226 2666 Fax: (08) 8226 2667 Website: www.trb.sa.edu.au Email: [email protected]

Title (Mr/Mrs/Ms/Dr/Other)

Telephone Mobile

Residential/Personal Address (the address where you live)

Address for correspondence (your postal address)

Pursuant to Section 28 (4) you must notify the Registrar within 28 days of any change of name or address.

Maximum penalty $1250, Expiation fee $160.

Have you previously applied for teacher registration in

South Australia?

Yes No

(please tick)

OFFICE USE ONLy

Registration No.

Gender: MF

(please tick)

Date of Birth:

Day Month Year

Attach a certied copy of your full Birth Certicate and a document containing photographic identication (i.e. passport or driver’s licence).

Attach certied copies of evidence of all name changes e.g. marriage certicate, decree nisi, deed poll, etc. if applicable.

Refer to the Proof of Identity for Teacher Registration section on page 1 of the Guidelines Booklet.

Do you identify as an Aboriginal or Torres Strait Islander? Yes No

(please tick)

Nationality Country State Town/SuburbPlace of Birth:

Family/Surname Given Names

FULL NAME:

Expiry Date: /Signature:

Cardholder Name: Amount: $

(print in full)

Payment of fees can be made by either of the following: money ordercheque

MastercardVisaor, I authorise the Teachers Registration Board to draw on my

Card number: CVV:

New Applicant

Expired Reg.

Refer to Guidelines Section 1.

PREVIOUSLy KNOWN AS: (please ensure birth name is indicated)

Surname Given Names