Fillable Printable Application for Teacher Registration - Teachers Registration Board of South Australia
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
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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:
//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 certied copy. Refer to the
section ‘Certication of Documents’ overleaf for more information.
This paperclip symbol is used throughout the application form to indicate that original or certied
documentary evidence must be provided. All required documentary evidence must be supplied
with the application form.
If you hold overseas teaching qualications, you must have all of your qualications 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 Qualications’, and wait until you have
received an assessment report from the Board before applying for teacher registration. The Application for
Assessment of Qualications form can be downloaded from the Board’s website at
//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 qualied 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 qualied 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
//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 certied copy of your full Birth Certicate and a document containing photographic
identication (i.e. a passport or driver’s licence). You are also required to include certied copies of all
name changes (e.g. marriage certicate, 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 certied copies. If all documents have not been
correctly certied, the application will not be accepted and will be returned to you.
Copies of original documents must be certied as a “true and accurate” copy of the original by either: a
Justice of the Peace, a Commissioner for Taking Afdavits (e.g. Solicitor, Barrister), or a Notary Public.
Each document submitted for certication must be a photocopy with the original document available for
sighting at the time of certication. 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
//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 conrm
academic results or in other circumstances as specied 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
//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 Verication 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 condential
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 ofcial certied 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 ofcially accredited or licensed translator or an
ofcially recognised organisation.
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The qualications required for teacher registration as a teacher are as follows:
(a) an approved teacher education degree, diploma or other qualication 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 qualication 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 qualication 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 certied
copies of all of your ofcial academic transcripts showing completion/conferral date of the Award(s).
Parchments, computer print-outs, notication of examination results, assessment results, semester results,
or other unofcial 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 qualication.
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 certied copies of all required documentation, together with
an unofcial statement of results for your current studies. When you receive your nal ofcial academic
transcript, this transcript, or a certied 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 Notication 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 notication of suspected
child abuse or neglect. The
Teachers Registration and Standards Act 2004
and
Regulations 2005
require
proof of Mandatory Notication Training for registration.
All applicants must have satisfactorily completed a Families SA approved 7-hour Mandatory Notication
Training course (e.g.
Child Safe Environments – Reporting Child Abuse and Neglect
or
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
specic providers, as the training is multidisciplinary as well as being tailored to a specic service context.
For further information, refer to the website at
//www.trb.sa.edu.au/mandatory-training
The 7-hour Mandatory Notication 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 Notication Training course and
provided an original or certied copy of the certicate of completion. For further information, refer to the
website at
//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 Notication 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 certied copy of the full day Mandatory Notication Training certicate 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 prociency 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 qualications from institutions outside of Australia, you may need
to complete an English language test to meet the Board’s English language prociency requirement.
The English language tests recognised by the Board are:
• The International English Language Testing System Academic Level (IELTS).
• The International Second Language Prociency 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
//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
(c) provide the Board with any information required by the Board for the purposes of
determining the application, veried, 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 specied in Section 7.8 of the application form.
(For the purpose of the Act, charged is dened 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
(c) incompetence; 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 certied 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 certied copies of national
criminal history record checks from those countries issued within the last 12 months.
These checks must reect 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
//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 Afdavits
(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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1
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
certied copies of documentary evidence to prove your identity sufcient to satisfy the ‘100 point’ check
(201). This must include one primary document e.g. birth certicate, current passport or expired passport
(not cancelled) that was current within the preceding 2 years or citizenship certicate and one secondary
document e.g. current driver’s licence, employee identication card, Centrelink card or student identication
card. Refer to
//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
1
. 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
denes 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:
//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:
//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)
Email
TelephoneMobile
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 $160.
Have you previously applied for teacher registration in
South Australia?
YesNo
(please tick)
OFFICE USE ONLy
Registration No.
Gender:MF
(please tick)
Date of Birth:
DayMonthYear
Attach a certied copy of your full Birth Certicate and a document containing photographic identication (i.e. passport or driver’s licence).
Attach certied copies of evidence of all name changes e.g. marriage certicate, decree nisi, deed poll, etc. if applicable.
Refer to the Proof of Identity for Teacher Registration section on page 1 of the Guidelines Booklet.
Do you identify as an Aboriginal or Torres Strait Islander?YesNo
(please tick)
NationalityCountryStateTown/SuburbPlace of Birth:
Family/SurnameGiven Names
FULL NAME:
Expiry Date: /Signature:
Cardholder Name:Amount:$
(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)
SurnameGiven Names
SurnameGiven Names
SurnameGiven Names
SurnameGiven Names