AUSTRALIAN COMPUTER SOCIETY INCORPORATED

APPLICATION FOR SKILLS ASSESSMENT

(Migration Purposes Only)

Please refer to the "Requirements for Assessment" before filling in this form.

Use RTF version for printable form

 

Title (Mr., Mrs., and Dr etc.)
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Family name

ASCO Code

Occupation

Given Names

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Any other names you have used (e.g. prior to marriage)

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Private Address

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Telephone

Fax

Postcode

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Email

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Agents Name

Agent’s Address

(if applicable)

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Telephone

Fax

Postcode

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Email

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Date of Birth

 

Country of Birth

 

Country of Residence

Members of a recognised computer society (see Requirements for Assessment) should state society name, grade, membership number below:

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Skills Assessment fee: $350

RPL Assessment fee: $400

(Fees may vary, see Requirements For Assessment)

 

TOTAL FEE:

METHOD OF PAYMENT

Cheques should be made payable to Australian Computer Society. Please enclose with your application. If payment is by credit card, please complete the details below.

Card Number

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Bankcard

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Amex

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Expiry Date

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MasterCard

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Cheque

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I authorise the ACS to charge the amount shown to my credit card.

Visa

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Cash **

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** Do not send cash by mail

Signature

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APPLICATION TO BE SENT TO:

AUSTRALIAN COMPUTER SOCIETY

PO BOX Q534

QVB SYDNEY NSW 1230

AUSTRALIA

OR

160 CLARENCE STREET

LEVEL 3

SYDNEY NSW 2000

Your application will be assessed according to the contract held between the Australian Computer Society and the Australian Government

PLEASE SIGN THE DECLARATION BELOW:

I declare that all information provided in this application is true and correct.

I authorise ACS to make any enquiries necessary to assist in the assessment of application.

Signature

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Date

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TERTIARY QUALIFICATIONS: Documentary evidence of your academic record issued by the educational institution(s) must accompany your application. You will need to provide an original certified copy of your academic transcripts and testamurs.

Qualifications

Date course completed

Date qualification awarded

Name of institution/awarding body

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Was the qualification/s full-time or part-time?

 

Normal length of full-time course (years or semesters) including project/thesis/practical training etc

The time in which you took to complete the course

SUMMARY OF RELEVANT EXPERIENCE AND POSITIONS HELD: (complete this section and attach a resume showing positions held, periods for these positions and details of responsibilities and relevant IT experience).

From

Mth/year

To

Mth/year

Organisation

Position

 

MODL Nomination

Details (responsibilities etc.)

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CHECKLIST

(Please tick appropriate answer)

Have you included a copy of your Birth certificate/passport?

Y [ ]

N [ ]

Have you attached payment

Y [ ]

N [ ]

Have you included your testamur and transcript?

Y [ ]

N [ ]

Have you included employer references?

Y [ ]

N [ ]

Have you included a resume?

Y [ ]

N [ ]

Have you included (if appropriate) official translations?

Y [ ]

N [ ]

Have you included (if appropriate) letter of completion?

Y [ ]

N [ ]