PCP Feedback Form - (for FACS, MACS & AACS only)


Please fax this back to: 02 9299 3997 (no cover sheet needed) or mail to:

From
Title (Ms, Mr, Dr, Miss etc)ACS Membership Number
____________________________________________________________________________
Address for mailingTel:_____________________________
______________________________________Fax:________________________________
______________________________________Email __________________________
____________________________________________________________________________

PCP Status for _______________(year)

I, ________________________________, solemnly declare that I have completed 30 or more hours of professional development activities in the previous twelve months, in accordance with the ACS Practising Computer Professional (PCP) guidelines.

Signed:______________________________________ Dated: ________________________

Tick here if you would like a PCP certificate. [___]