Australian Engineering Qualification Application Form July2014

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    17-Jan-2016

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Australian engineering qualification application form july2014

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<ul><li><p>AU</p><p>STRA</p><p>LIA</p><p>N E</p><p>NG</p><p>INEE</p><p>RIN</p><p>G </p><p>QU</p><p>ALI</p><p>FIC</p><p>ATIO</p><p>NS</p><p>This pathway applies to persons who hold a FULLY-accredited Australian undergraduate qualification. It will also apply to those few Australian Masters programs that have been FULLY-accredited.It is applicable to assessments in all three engineering categories: Professional Engineer Engineering Technologist Engineering AssociateIt is NOT applicable to any Australian postgraduate program that has not been FULLY-accredited.</p><p>PERSONAL DETAILS (PLEASE USE BLOCK LETTERS AND TICK THE APPROPRIATE BOXES BELOW)</p><p>PAGE 1 of 2</p><p>Application for Migration Skills Assessment AUSTRALIAN ENGINEERING QUALIFICATIONS(Professional Engineer, Engineering Technologist or Engineering Associate)</p><p>Please affixa passport size</p><p>photograph here</p><p>METHOD OF PAYMENT (PLEASE TICK THE APPROPRIATE BOXES BELOW)</p><p>Assessment Specification Applicants living Overseas Applicants living in Australia</p><p> Fees (GST exc.) Tick(s) Fees (GST inc.) Tick(s)</p><p>Standard AEQ assessment AUD $160 AUD $176</p><p>Relevant Skilled Employment AUD $255 AUD $280.50</p><p>Overseas PhD AUD $205 AUD $225.50</p><p>Total Payment AUD $ AUD $</p><p>This must be paid at the time of lodgement of this form and completed documentation. The fee is NOT refundable.</p><p>The Payee is ENGINEERS AUSTRALIA for payments made using cheque, money orders and bank drafts. Overseas applicants using this form of payment MUST ensure that the bank draft is drawn in Australian Dollars ONLY to a bank operating in Australia. All international use of credit cards MUST be cleared by your bank.</p><p> Bank Draft/Money Order drawn to an Australian bank in Australian dollars</p><p> Cheque Australian Money Order Credit Card (see below).</p><p>COMPULSORY DOCUMENTATION YOU MUST PROVIDE THE FOLLOWING DOCUMENTS:</p><p> Certified copy of passport bio-data page, or National Identity card. Certified copy of Formal Degree/Diploma or Certificate for first and any subsequent qualification(s). Certified copy of academic transcript (ie list of subjects studied with results shown). Brief Resume/Curriculum Vitae.</p><p>Notes: 1. Applicants MUST copy all submitted material - documents submitted will NOT be returned. 2. If additional services requested per section D of MSA Booklet, all specified evidence must </p><p>also be included.</p><p>Office use only CID </p><p>Title: Prof Dr Mr Mrs Ms Miss Other (please specify) ......................................</p><p>Family Name: .................................................................................................................................................................................</p><p>Given Names (in full): .................................................................................................................................................................</p><p>Date of Birth: ........../........../.......... Country of Birth ............................................. Gender: Male Female</p><p>Applicants Current Address: ....................................................................................................................................................</p><p>City: .................................................................. Country: .................................................................. Postcode: .......................</p><p>Phone: ......................................................................................... Mobile: ..................................................................................</p><p>Email: ................................................................................................................................................................................................</p><p>Title of qualification: .......................................................................................... Date of Award: ........../.........../..........</p><p>Applicants Signature: ................................................................................................. Date: ........./........../..........</p><p>day month year</p><p>day month year</p><p>day month year</p><p>Credit Card Details Please charge credit card (tick one) American Express Visa Mastercard </p><p>Credit Card No: </p><p>Cardholders Name: .................................................................................................................. Expiry Date: .........../...........</p><p>Amount: AUD$ ........................ Cardholders Signature: ............................................... Date: .........../............/...........day month year</p><p>month year</p><p>Mail to: Migration Skills Assessment, Education and Assessment, Engineers Australia, 11 National Circuit, BARTON ACT 2600 Australia</p></li><li><p>CERTIFICATION OF COPIES OF DOCUMENTS</p><p>Properly-certified copies of ORIGINAL documents are required. Certified copies of previously certified copies will not be accepted.</p><p>Proper certification should appear on each page to be certified, and show: The signature of the person certifying the document The name of the person certifying the document clearly printed or evident in the official stamp Contact details of the person certifying the document Where possible an official stamp indicating the status of the person certifying the document, ie: </p><p>Justice of the Peace, Commissioner for Oaths, or Notary Public, etc, or name of law firm indicated.</p><p>The following classes of persons are authorised to certify copies of documents: A current Financial Member of Engineer Australia (other than at the Student grade). The </p><p>membership number must be shown A Staff Member of Engineers Australia A Notary Public authorised in the country of application A Commissioner for Oaths (Declarations) authorised in the country of application A Lawyer, Solicitor, Barrister or Judge authorised in the country of application A Justice of the Peace authorised in Australia or in the country of application</p><p>If the services of a legal firm are employed, the name of the solicitor certifying the documents must be provided. It is not sufficient to simply provide the name of the law firm.</p><p>Application for Migration Skills Assessment AUSTRALIAN ENGINEERING QUALIFICATIONS(Professional Engineer, Engineering Technologist or Engineering Associate) (continued)</p><p>PAGE 2 of 2</p><p>APPOINTMENT OF A PERSON TO ACT AS AGENT</p><p>AU</p><p>STRA</p><p>LIA</p><p>N E</p><p>NG</p><p>INEE</p><p>RIN</p><p>G </p><p>QU</p><p>ALI</p><p>FIC</p><p>ATIO</p><p>NS</p><p>PROOF OF COURSE COMPLETION</p><p>Certified copies of the academic testamur (degree certificate) and academic transcript (list of subjects and result obtained) are to be provided.</p><p>Where the academic testamur is not yet available, the academic transcript MUST include a statement that the engineering component of the program has been completed and you are eligible to graduate in engineering.</p><p>Agents Name: ................................................................................................................................................................................</p><p>Agents Address: .............................................................................................................................................................................</p><p>..............................................................................................................................................................................................................</p><p>Agents Registration Number (if applicable): ......................................................................................................................</p><p>Agents Phone: ...............................................................................................................................................................................</p><p>Agents Email: ................................................................................................................................................................................</p><p>If you are using an Agent, then you must complete this part of the form. Otherwise, leave blank.Note: All correspondence will be sent to the Agents address entered below</p><p>I, ................................................................................................................................................................... (applicants name)</p><p>of (address): ...................................................................................................................................................................................</p><p>City: ....................................................................................................................................................................................................</p><p>Postcode: ........................................................................... State/Territory/District: ......................................................</p><p>Country: .............................................................................................................................. born on: ........../........../..........</p><p>agree to the following person acting on my behalf in relation to my application for assessment.</p><p>Applicants Signature: ............................................................................................................ Date: ........./........../..........day month year</p><p>day month year</p><p>CM0813</p><p>Visit us at www.engineersaustralia.org.au</p></li></ul>

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