applicaiton for initial assessment

Upload: aditi-angra

Post on 06-Apr-2018

222 views

Category:

Documents


1 download

TRANSCRIPT

  • 8/3/2019 Applicaiton for Initial Assessment

    1/10

    Version: February 2011 Page | 1

    Application for Initial Assessment for Approval to

    Undertake the Written Assessment by Overseas

    Qualified Physiotherapists Seeking to Qualify for

    General Registration in Australia

    The information on the form is collected by the Australian Physiotherapy Council

    for the purpose of assessing overseas qualified physiotherapists seeking to qualify for

    General Registration in Australia. Please read the Privacy Notice on Page 3 of the

    form for full details of how the information you provide in this application may

    be used and shared.

    EXPLANATORY NOTES

    YOU MUST READ THESE NOTES BEFORE COMPLETING THIS FORM. ONLY USE THIS FORM IF

    YOU ARE SEEKING TO QUALIFY FOR GENERAL REGISTRATION WITH THE PHYSIOTHERAPY

    BOARD OF AUSTRALIA BY COMPLETING THE THREE PART ASSESSMENT PROCESS. PLEASE

    ENSURE YOU PROVIDE THE DOCUMENTS EXACTLY AS DETAILED IN THE EXPLANATION FOR

    EACH ITEM OR YOUR APPLICATION WILL BE RETURNED AND A FEE WILL BE CHARGED TOCOVER ADMINISTRATION AND POSTAGE. THE CURRENT FEE IS $55AUD TO ADDRESSES

    WITHIN AUSTRALIA AND $110AUD TO ADDRESSES OUTSIDE AUSTRALIA. ALL PHOTOCOPIED

    DOCUMENTS MUST BE HIGH QUALITY, CLEAR AND CERTIFIED IN ACCORDANCE WITH THE

    REQUIREMENTS IN THESE EXPLANATORY NOTES.

    Introduction

    The Australian Physiotherapy Council is appointed by the Health Ministers of Australia to perform

    accreditation functions under the Health Practitioner Regulation National Law 2009 (National Law). One of these

    functions is the assessment of the knowledge, clinical skills and professional attributes of overseas-qualified

    physiotherapists seeking to qualify for general registration as a physiotherapist under the National Law.There are two ways a person who does not hold an Australian qualification approved by the Physiotherapy

    Board of Australia can qualify for General Registration. One way is to successfully complete the three part

    APC Assessment Process.The other way is tobe assessed by the Australian Physiotherapy Council as holding

    a qualification that is substantially equivalent to an accredited Australian entry level qualification. The

    Australian Physiotherapy Council does not handle applications for registration this is ONLY an

    application for the first part of the APC Assessment Process.

    Who can apply for an Initial Assessment?

    Any overseas-qualified physiotherapist who wants to qualify for General Registration by completing the three

    part APC Assessment Process can apply for an Initial Assessment.

    How long will the Initial Assessment take?

    The Initial Assessment takes up to 2 weeks from the date the Australian Physiotherapy Council receives your

    correctly completed application form and all the required documents exactly as stated in this form. Do not

    contact the office to check the progress of your assessment unless it is more than 2 weeks since you were

    advised that your application was sent to the assessor. Posted mail to and from overseas countries is

    sometimes very slow. If you agree to receive all written correspondence by email to avoid postal delays, please

    indicate this in Section B of the form.

    What are the possible outcomes of an Initial Assessment?The assessor will evaluate your application to decide if you are:

    1. Approved to apply for the Written Assessment, or

    2. Not approved to apply for the Written Assessment.

  • 8/3/2019 Applicaiton for Initial Assessment

    2/10

    Version: February 2011 Page | 2

    Who is approved to apply for the Written Assessment?

    You will be approved to apply for the Written Assessment if the assessors evaluation identifies that:

    1. You hold a physiotherapy qualification, and

    2. You can legally practise physiotherapy without any conditions on practice in the country where the

    qualification was gained, and

    3. You have satisfied the Australian Physiotherapy Council English Language Requirement.

    What does the Written Assessment involve?

    The Written Assessment is the second part of the APC Assessment Process. The Written Assessment usesmultiple choice questions about patient case scenarios to assess the knowledge, problem-solving and decision-

    making skills required for safe and competent practice of physiotherapy in the Australian context. The patient

    cases are drawn from the areas of cardiorespiratory, musculoskeletal and neurological physiotherapy in

    scenarios that are commonly encountered by novice practitioners in Australia.

    The Written Assessment is held at many venues around the world. There are two Written Assessment sessions

    each year these are currently held in the first week of March and September each year.

    Who is approved to apply for the Clinical Assessment?

    You will be approved to apply for the Clinical Assessment if you pass the Written Assessment.

    What does the Clinical Assessment involve?

    The Clinical Assessment is the third and final part of the Australian Physiotherapy Council Assessment

    process. In the Clinical Assessment you perform as the treating physiotherapist for real patients in three

    separate clinical case examinations. The three case examinations are in each of the key areas of physiotherapy

    clinical practice in Australia: neurology, musculoskeletal and cardiorespiratory physiotherapy. You must

    demonstrate a safe and effective physiotherapy consultation with the patient in each of the three case

    examinations to be awarded an Australian Physiotherapy Council Final Certificate.

    The Clinical Assessment is only held in Australia at venues in Melbourne, Sydney, Adelaide and Brisbane.

    Clinical case examinations are regularly between 1 February and mid-December each year.

    How long does it take to complete the three part Australian Physiotherapy Council Assessment Process?

    Most candidates complete the process within 10 months from the date of approval for the Written Assessment.

    There are strict limits on the time that you can take to complete each part of the APC Assessment Process.

    Approval for the Written Assessment is valid for 12-16 months from the date of approval of the Application

    for Initial Assessment. Approval for the Clinical Assessment is valid for 14-16 months after passing the

    Written Assessment.

    What happens if I fail an assessment?

    There are strict limits on attempts at the assessments and there is no automatic entitlement to repeat a failed

    assessment. The Australian Physiotherapy Council will assess whether you currentlyhave the knowledge, clinical

    skills and professional attributes to practice physiotherapy independently in Australia at the level of a novice

    practitioner. It is not an assessment of your potential or future knowledge, clinical skill and professional attributes.

    Who can apply for an Assessment of Equivalence of Qualification? Any overseas-qualified physiotherapist can apply but if you do not genuinely consider that your qualification

    meets the criteria for substantial equivalence, or if you cannot obtain the documents exactly as stated in the

    application form for an Assessment of Equivalence of Qualification, you should NOT apply for that type of

    assessment. The reason for this recommendation is that the non-refundable application fee for Assessment of

    Equivalence is $1430AUD and the assessment will take up to 6 weeks. The non-refundable application fee for

    Initial Assessment for Approval to Undertake the Written Assessment is $990AUD and the assessment will

    take up to 2 weeks.

  • 8/3/2019 Applicaiton for Initial Assessment

    3/10

    Version: February 2011 Page | 3

    Certification

    Copies of documents provided in support of an application must be certified as true copies of the original

    documents. Certified copies must be high quality reproductions of original documents and will only be

    accepted in hard copy by mail or in person (not by fax, email, etc). Photocopies of previously certified

    documents will not be accepted. To have your documents certified you must take the original document and a

    copy of the document to a Justice of the Peace (JP), legal practitioner (lawyer, solicitor or barrister), Peace

    Commissioner, Commissioner of Oaths, Notary Public, Judge, Magistrate, or a person legally designated to sign

    documents from an embassy or consulate. The person certifying the documents mustdo the following, preferably

    in your presence:

    Certify that each document is a true copy of the original by writing I have sighted the original

    document and certify this to be a true copy of the original. Followed by the authorised persons

    signature, and the name, date of certification, and contact phone number, and have the stamp or seal of

    the authorised officer applied.

    Where there is more than one page, the certifier must also state how many pages are in the document

    and initial every page - I have sighted the original document and certify this to be a true copy of the

    original document of 66 pages - followed by the authorised persons signature, the name, date of

    certification, contact phone number, and have the stamp or seal of the authorised officer applied.

    Internal reviews of decisions about applications

    If you disagree with the assessors decision about your application, you can request a review of the assessors

    decision. Your request must be sent in writing within 20 working days of the letter advising you of the assessors

    decision. Your request must state the reasons why you disagree with the decision, and include supplementary

    information or documents that support your reasons. A review fee of AUD $550.00 must be paid prior to the review.

    Requirements for General Registration as a Physiotherapist in AustraliaIt is your responsibility to read information about eligibility for General Registration to practise physiotherapy in

    Australia on the Physiotherapy Board of Australia website www.physiotherapyboard.gov.au to ensure the other

    requirements for General Registration will be met if you successfully complete the Australian Physiotherapy

    Council assessment to qualify for General Registration.Successful completion of the Australian Physiotherapy Council assessment process and awarding of the

    Australian Physiotherapy Council Final Certificate does not entitle you to practise physiotherapy in Australia

    and does not imply that an application to the Physiotherapy Board of Australia for General Registration will

    be successful as such decisions are the responsibility of the Physiotherapy Board of Australia. The Australian

    Physiotherapy Council accepts no responsibility if you are not approved for General Registration despite

    successfully completing the Australian Physiotherapy Council assessment process.

    Information for intending migrants

    This is not an application for a skills assessment. The Australian Physiotherapy Council has a separate and

    different assessing role for the occupation of Physiotherapist (ANZSCO Code 252511) for the purpose of migrationto Australia under the Department of Immigration and Citizenship (DIAC) General Skilled Migration program. Do

    not use this form to apply for a skills assessment - you must use the Application for the Assessment of Physiotherapy

    Qualifications & Skills for Migration to Australia through the General Skilled Migration Program form available at

    www.physiocouncil.com.au. Please note that under migration law, you will need to apply for a skills assessment

    whether your basic physiotherapy qualification was completed in a country other than Australia or at an Australian

    University.

    The Australian Physiotherapy Council does not provide information about how to migrate to Australia. If you

    intend to migrate in a skilled migration category, important information is available via the website of DIAC

    www.immi.gov.au. It is essential that you read this information carefully - the first step in applying for skilled

    migration is to nominate an occupation from the Skilled Occupation List and have your skills and qualificationsassessed by the relevant assessing authority. You can find the Skilled Occupation List on the DIAC website

    www.immi.gov.au. If your nominated occupation is Physiotherapist then the Australian Physiotherapy Council

    is the relevant assessing authority.

    http://www.physiocouncil.com.au/http://www.physiocouncil.com.au/http://www.immi.gov.au/http://www.immi.gov.au/http://www.immi.gov.au/http://www.immi.gov.au/http://www.immi.gov.au/http://www.immi.gov.au/http://www.physiocouncil.com.au/
  • 8/3/2019 Applicaiton for Initial Assessment

    4/10

    Version: February 2011 Page | 4

    Privacy Notice: Information in this form is collected in order to identify the applicant requesting an Initial

    Assessment, and to undertake an assessment of the individual seeking to qualify for General Registration with the

    Physiotherapy Board of Australia. We may also use the information collected for research and internal

    administrative procedures. The information collected may be passed on to other people within the Australian

    Physiotherapy Council and to the Physiotherapy Board of Australia, the Australian Health Practitioner

    Regulation Authority, the Department of Immigration and Citizenship (DIAC) and the Department of Education,

    Employment and Workplace Relations (DEEWR). In other instances, information on this form can be disclosed

    without your consent where authorised or required by law.

    Step by step guide

    Step 1: Read the Explanatory Notes carefully

    Step 2: Complete the application form in English unless stated on the form

    Step 3: Ensure you have included ALL of the required information on the form and that you send the supporting

    documents EXACTLY as stated in the explanation for each item.

    Step 4: Arrange for your supporting documents to be certified as explained on page 2 of the Explanatory Notes.NOTE: If your supporting documents are written in a language other than English, please provide the following with the application

    form:

    - one certified copy of all supporting documents in the original language;

    - one certified copy of the official translated version of all documents. The Australian Physiotherapy Council reserves the right torequest you to provide translations completed by a translator accredited by the National Accreditation Authority for Translators and

    Interpreters (NAATI)

    Step 5: Post your application to the Australian Physiotherapy Council together with your payment or proof of

    payment, as explained in Section K of the application form

    Compulsory checklist for supporting documentation

    Please complete this final checklist to ensure that all required documents have been included:

    Your passport identity page Section A

    Evidence of your visa or Australian residency status (if applicable) Section A

    Evidence of change of name (if applicable) Section A

    Graduation certificate for your initial physiotherapy qualification Section D

    Official results transcript/statement of marks for your initial physiotherapy

    qualification

    Section D

    Endorsed current photograph Section E

    Initial registration certificate or IAP Life Membership certificate (if applicable) Section G

    Current registration certificate (if applicable) Section H

    Evidence of meeting the English language requirement Section I

    Payment of application fee Section K

    Evidence of funds transfer/direct deposit (if applicable) Section K

    Your application will be returned and a fee* will be charged to cover administration and postage if:

    1. You do not complete the form correctly; or

    2. All required documents are not provided exactly as stated in the explanation for each item and the certification and

    translation requirements in the Explanatory Notes.

    *THE CURRENT FEE IS $55AUD TO ADDRESSES WITHIN AUSTRALIA AND $110AUD TO ADDRESSES OUTSIDE

    AUSTRALIA.

    CONTACT DETAILS

    Email: [email protected] Website: www.physiocouncil.com.au

    Post: GPO Box 587 Canberra ACT 2601 AUSTRALIA

    mailto:[email protected]:[email protected]://www.physiocouncil.com.au/http://www.physiocouncil.com.au/http://www.physiocouncil.com.au/mailto:[email protected]
  • 8/3/2019 Applicaiton for Initial Assessment

    5/10

    Version: February 2011 Page | 5

    Application for Initial Assessment for Approval to

    Undertake the Written Assessment

    YOU MUST READ THE EXPLANATORY NOTES BEFORE

    STARTING TO COMPLETE THIS APPLICATION FORM.

    Please use black pen and write clearly in English unless the instructions ask you to write in your

    own language

    (i) Have you ever previously submitted any other application to the Australian Physiotherapy Council (or to ACOPRA)?

    No Yes Year:

    (ii) Please indicate when you intend to sit for the written assessment if you are approved to undertake the WrittenAssessment (This form is NOT an application for the Written Assessment. You must read about the writtenassessment time limits on Page 2 of this document):

    March September Year:

    Section A: Your personal details Explanation1 Preferred Title (please tick): Mr Mrs Miss Ms Other

    2 Family name (surname)

    3 Given names

    4 Previous family namesdocumentary evidence is required if you have changedyour name

    5 Previous given names

    6 Your date of birth (day/month/year)the identity page of your passport is required

    7 Your country of birth

    8 Gender: Male Female

    9 Your first language

    10 Your country of permanent residence (legally not physically)

    Please ensure you provide the documents exactly as detailed in the explanation or your application will bereturned and a fee will be charged to cover administration and postage. All certified copies must be high qualityand clear.

    Identification and visadocuments

    Provide acertified copy of yourvalid passport photo page

    If you are currently living inAustralia, and you do not hold avalid Australian passport, provide a

    certified copy of your currentAustralian visa and any entrystamps.

    If you are an Australian citizen butdo not hold a valid Australianpassport please contact the APCOffice.

    The Australian PhysiotherapyCouncil will only use the name thatappears on your current passport.

    If the name that appears on yourcurrent passport is different to thename on any of your documents,provide 1certified copy of one ofthe following as evidence of yourchange of name:- marriage certificate- divorce papers- deed poll

  • 8/3/2019 Applicaiton for Initial Assessment

    6/10

    Version: February 2011 Page | 6

    Section B: Your contact details Explanation

    11 Your address for postal correspondence (indicate country, if outside Australia)

    12 Your daytime telephone number 13 Your mobile telephone number

    14 Your email address

    15 I would like the Australian Physiotherapy Council to send all correspondence to

    me via email to the address provided in this form: Yes No

    Section C: Third party contact details (optional) Explanation

    16 Authorisation of another person to receive all correspondenceI, (Write your full name)

    authorise the person named below to act on my behalf in relation to my assessmentby the Australian Physiotherapy Council and instruct the Australian PhysiotherapyCouncil to send all correspondence about my assessment to the authorised personand not to me.

    17 Details of authorised person

    Authorised persons Title: Mr Mrs Miss Ms Other

    Authorised persons full name

    Authorised persons correspondence address (indicate country, if outside Australia

    Authorised persons email address

    Authorised persons daytime telephone Mobile telephone numbernumber

    Your signature

    Date (day/month/year)

    Contact details

    These details are for you, theapplicant, and must be completed.

    Email correspondence

    Correspondence by email ensuresyou receive all information aboutyour candidature reliably andefficiently.

    Email correspondence will includePDF attachments.

    Please ensure you have tickedyes or no for emailcorrespondence. If you do not tickeither box, all correspondence willbe sent by email.

    Third party authorisation

    Only complete this section if youare authorising another person (forexample a family member ormigration agent) to act on yourbehalf regarding your application forassessment by AustralianPhysiotherapy Council.

    PLEASE NOTE:If you complete this section, theAustralian Physiotherapy Councilwill send all correspondence to theauthorised person and not to you.

  • 8/3/2019 Applicaiton for Initial Assessment

    7/10

    Version: February 2011 Page | 7

    Section D: Your initial physiotherapy qualification Explanation

    18 What is the academic title of your initial physiotherapy qualification?

    In English

    In your own language (where applicable)

    19 Name of the institution where you completed the qualification

    20 Full address of the institution where you completed the qualification

    21 What are the normal entry requirements for the course?

    22 What is the normal length of the course studied full time?Number of years OR Number of semesters or terms

    23 Normal length of semester or termNumber of weeks

    24 Date you commenced course: 25 Date you completed course:(day/month/year) (day/month/year)

    26 Did the course requirements include periods of clinical education in a hospital orclinic during the course?

    Yes No

    27 Did the course requirements include an internship period in a hospital or clinic atthe end of the course?

    Yes No

    28 Were you required to complete a period of clinical internship or supervisedpractice or an examination AFTER you completed the course in order to be approved

    for full and unrestricted practice?

    Yes No

    Please ensure you provide the documents exactly as detailed in theexplanation or your application will be returned and a fee will be charged tocover administration and postage. All certified copies must be high qualityand clear.

    Graduation certificatesProvide a certified copy of yourphysiotherapy graduationcertificate, diploma or degree. Yourofficial certificate must include theofficial university stamp.

    Your official resultstranscripts/statement of marksProvide a certified copy of yourofficial transcripts for your initialphysiotherapy course. Your officialtranscripts or statement of marksmust include:- a list of each individual subject inyour entire physiotherapy course- the grade or result you wereawarded for each subject- the official university stamp

  • 8/3/2019 Applicaiton for Initial Assessment

    8/10

    Version: February 2011 Page | 8

    Section E: Your current photograph Explanation

    (Attach photo here)

    Has your photograph

    been signed by yourguarantor?

    Print name of Guarantor

    Contact phone number for Guarantor

    Signature of Guarantor

    Section F: Physiotherapy Board of Australia Explanation

    29 Are you seeking to qualify for General Registration with the Physiotherapy Boardof Australia?

    Yes No

    30 I have read the other requirements for eligibility for General Registration as aphysiotherapist in Australia and I acknowledge it is my responsibility to ensure Ican meet those requirements.

    Yes No

    Section G: Recognition for unrestricted practice Explanation

    31 Registration/recognition authority in country of training

    32 Date of initial registration/recognition

    Provide an explanation if you do not have any evidence that your qualification isrecognised in the country of training but you are practising physiotherapy in thecountry of training

    If you qualified in India you MUST provide a certified copy of your IAP Life Membershipcertificate. If you qualified in South Africa, the Philippines, Canada or the USA, youmust provide evidence from the relevant authority that you have met the requirementsfor full registration in that country this may be a certified copy of your registration.

    Section H: Current physiotherapy registration Explanation33 Are you currently registered as a physiotherapist? Yes No

    34 Registering authority

    35 Date of expiry(if applicable)

    36 Have you ever been refused a licence or registration to practice physiotherapy, or

    had a licence or registration to practice physiotherapy withdrawn? Yes NoPlease ensure you provide the documents exactly as detailed in the explanationor your application will be returned and a fee will be charged to coveradministration and postage. All certified copies must be high quality and clear.

    Your current photograph

    Securely attach (do not glue) apassport sized photograph ofyourself taken less than threemonths ago and endorsed by aguarantor. Your guarantor must:

    - not be related to you by birth ormarriage

    - have known you for at least 12months

    - be at least 18 years of age- be able to endorse the back of the

    photo by writing, this is a truephoto of (your name) and signingtheir name

    Requirements for GeneralRegistration with thePhysiotherapy Board of Australia

    This information is available atwww.physiotherapyboard.gov.au

    Evidence that yourqualification is recognised andyou are able to practisephysiotherapy in the country oftraining without any restrictions

    Provide a certified copy of yourinitial registration certificate forFULL unrestricted physiotherapypractice

    OR

    Only if there is no registration inyour country of training, you MUSTprovide evidence that yourqualification is recognised and youare able to practise physiotherapy inyour country of training.

    Your current registrationcertificate or letter of goodstanding (if applicable)

    Provide a certified copy of yourcurrent practicing certificate or acurrent registration document.

    If your registration has lapsed,provide a certified copy of yourmost recent practicing certificate or

    registration document.

    If there is no registration in yourcountry of training, or initialregistration does not expire, you donot need to complete this section.

  • 8/3/2019 Applicaiton for Initial Assessment

    9/10

    Version: February 2011 Page | 9

    Section I: Your English language ability Explanation

    37 Tick the category that applies to you and provide the documents described for thatcategory:

    I completed my initialphysiotherapy professional educationin the English language medium inone of the countries listed in the boxto the far right.

    No additional information is required

    Proceed to Section J

    I completed my primary andsecondary education in the Englishlanguage medium in one of thecountries listed in the box to the farright, but I did not complete myphysiotherapy education in one ofthese countries.

    Provide 1 certified copy of each ofthe following:

    Your High School Certificate Evidence that your primary andsecondary education was completed inthe English language medium

    Proceed to Section J

    I did not complete my primary andsecondary education or my initialphysiotherapy education in the Englishlanguage medium in one of thecountries listed in the box to the farright.

    Provide a certified copy of yourresults from one of the following Englishlanguage tests:

    International English LanguageTesting System (IELTS):

    You must achieve a minimum score of7.0 in each of the four components in theAcademic Module.

    www.ielts.org

    or

    Occupational English Test (OET): Apass at a B level or above in all foursections of the test is required.www.occupationalenglishtest.org

    Note: IELTS and OET tests results are onlyvalid for a period of two years from the testdate. If your test results expire whilst youundertake the assessment process, you maybe requested to provide a new English testresult.

    Proceed to Section J

    Please ensure you provide the documents exactly as detailed in the explanation or your application will bereturned and a fee will be charged to cover administration and postage. All certified copies must be high qualityand clear.

    Australia

    Canada

    New Zealand

    Republic of Ireland

    South Africa

    United Kingdom

    United States of America

    http://www.ielts.org/http://www.ielts.org/http://www.occupationalenglishtest.org/http://www.occupationalenglishtest.org/http://www.occupationalenglishtest.org/http://www.ielts.org/
  • 8/3/2019 Applicaiton for Initial Assessment

    10/10

    Version: February 2011 Page | 10

    Section J: Legal Declaration by Applicant Explanation

    38 I declare that:i. The information in the application form and all documents is true and up to dateii. I am the person photographed and named in the application and all documentsiii. I will inform the Australian Physiotherapy Council of any changes to my

    circumstance (including address) during my assessmentiv. I have read and understand the Australian Physiotherapy Councils Privacy

    Statement issued with this application and I consent to the AustralianPhysiotherapy Council collecting and using my personal information in

    accordance with the Privacy Notice on Page 4 of this formv. If I have disclosed anyone elses personal information in this application, I

    confirm that I have made a copy of the Australian Physiotherapy CouncilsPrivacy Notice available to that person

    vi. I have read the other requirements for eligibility for General Registration as aphysiotherapist in Australia and I acknowledge it is my responsibility to ensure Ican meet all the requirements of the Physiotherapy Board of Australia

    vii. I agree that the application fee I have paid will not be refundedviii. I agree that this application form and all documents become the property of the

    Australian Physiotherapy Council for the purpose of my initial assessment andagree that I will not ask for them to be returned or reused for any other purpose.

    ix. I agree that I will pay the required fee if my application form has not beencompleted correctly or if I have not provided the required documents exactly asdescribed in the explanations.

    Signature of applicant Date (day/month/year)

    Signature of witness

    Legal title of witness

    Address of witness

    Telephone number of witness Date (day/month/year)

    Section K: Application fee $990* Explanation

    39 Payment Method please tick:

    Bank Cheque (enclosed) Money Order (enclosed) EFT/Direct Deposit ***The application fee is current at the date of publication (indicated on the form below). The feeis subject to change without notice. Refunds of application fees are not available.

    **ELECTRONIC FUNDS TRANSFER/DIRECT DEPOSIT: The applicants name must beincluded as the reference for the payment. A copy of the deposit receipt or similar evidence ofthe funds transfer must be included with the application. The applicant is liable for all bankfees incurred for Electronic Funds Transfers including any fees charged to theAustralian Physiotherapy Council international transfers should add $9AUD to coverthese fees.

    Send your completed application form, required documents and the application fee (orevidence of payment) to the address below. Australia Post WILL NOT deliver applications tothe street address ONLY use the street address for applications that are sent by courier.

    All Postal Applications: ONLY for delivery by courier:Australian Physiotherapy Council Australian Physiotherapy CouncilGPO Box 587 Upper Level, Unit 1, Southern Cross HouseCanberra ACT 2601 9 McKay Gardens

    AUSTRALIA Turner ACT 2612 AUSTRALIA

    Please ensure you provide evidence of payment and you have completed the application form correctly andprovided all the required documents or your application will be returned and a fee to cover administration andpostage will be charged.

    Only one of the followingpersons can witness thisdeclaration:

    - Legal Practitioner- Justice of the Peace- Peace Commissioner- Commissioner of Oaths- Judge- Magistrate

    - Person legally designated to signdocuments from an embassy orconsulate

    Please note that other personssuch as Police Officers,Pharmacists, Doctors cannotwitness this application unlessthey provide evidence that theyare also one of the above.

    Stamp/Seal ofWitness

    (if applicable)

    Payment of application feePayment can be made by:

    1. Bank cheque/draft (no personal,business, or company chequeswill be accepted)

    2. Money order payable to:Australian PhysiotherapyCouncil

    3. Internet/EFT/ Deposit ** to:

    Bank: National Australia BankAccount name: AustralianPhysiotherapy CouncilBSB: 082-902Account #: 57-218-4028Bank Address: Canberra City, ACT2600

    Swift Code: NATAAU3302S(international use only)