Document ID: chunk:federal_register_of_legislation:F2023N00397:schedule:2:p1
Version: federal_register_of_legislation:F2023N00397
Segment Type: schedule
Provision Reference: sch 2 (pt 1/2)
Character Range: 11992–18938

Schedule 2—Approved form—application for approval of domestic qualifications

APPLICATION FORM – Domestic qualifications
FORM APPROVED UNDER 921GA(2)(b) OF THE CORPORATIONS ACT 2001

Applicant details

                                                              First name*                                                                                                                                                                                                                                                                                                                                Middle name               Last name*

                                                              Phone*
                                                              (including country and area code)

                                                              Email*

                                                              (we will email correspondence regarding your application to this address)
                                                              Address

                                                              City/Town                                                                                                                                                                                                                                                                                                                                               Postal Code

                                                              Country

                                                              Domestic qualifications

                                                              Item number/s completed on the Legislative Instrument*

                                                              Degree/qualification name completed on the Legislative Instrument*

                                                              Type of prescribed condition/s not satisfied*   [Select at least 1 or more]

                                                                  Unit code/name
                                                                  Commencement date
                                                                  Completion of Separate Unit/s
                                                                  Other

                                                              If other, please clarify
                                                              Documents upload
                                                              Signed statutory declaration confirming all documents are true copies* [LINK]
                                                              [Choose Files]
                                                              Maximum 5 files.
                                                              256 MB limit.
                                                              Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

                                                              Qualifications document upload
                                                              Academic transcript*
                                                              [Choose Files]
                                                              Maximum 5 files.
                                                              256 MB limit.
                                                              Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

                                                              Qualification award*
                                                              [Choose Files]
                                                              Maximum 5 files.
                                                              256 MB limit.
                                                              Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

                                                              Other supporting document
                                                              [Choose Files]
                                                              Maximum 5 files.
                                                              256 MB limit.
                                                              Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

                                                              Outline the background for not satisfying the prescribed conditions for your item number/s on the Legislative Instrument and the rationale on how you have met the condition(s)*

 Domestic qualifications assessment declaration

                                                              You must provide all information that may be necessary to enable us to assess your domestic qualification(s). Treasury accepts no liability in the event of an error caused by incorrect or omitted information from you or third parties in our assessment.

                                                              Applicant's declaration
                                                              •               I have read and understood the instructions on this application form and supplied all information requested.
                                                              •               The information I have provided is true, correct, and complete, and is not false or misleading.
                                                              •               I understand that providing false or misleading information may constitute a criminal offence under Australian law and may result in relevant authorities being notified.
                                                              •               I understand the information I have provided will be used to assess my application for approval of my domestic qualification.
                                                              •               I understand if I do not provide the requested information, Treasury may not be able to assess my application.
                                                              •               I understand the information I have provided will be handled in accordance with [Treasury's privacy statement].
                                                              •               I understand Treasury may contact relevant parties and institutions, including where these parties and institutions are overseas, regarding the contents of my application. This may involve sharing my personal information with these parties for the purpose of identifying and verifying the information provided.
                                                              •               I understand that if my information is shared with a party