application for registration as surveyer under mutual ... web viewgraduate surveyor. supervising...
TRANSCRIPT
THE SURVEYORS BOARDof the
NORTHERN TERRITORY
GPO Box 1154DARWIN NT 0801
Telephone: (08) 8999 1826Facsimile: (08) 8999 1888
REGISTRATION OF PROFESSIONAL ASSESSMENT EXAMINATIONUNDER THE LICENSED SURVEYORS ACT 2013
REGISTRATION DETAILS
Agreement Between
Graduate Surveyor
Supervising Surveyor
Telephone
I confirm I have met all requirements detailed in the Training Requirements for Graduate Surveyors Guideline
I have attached the Form 5 completed and signed by my Supervising Surveyor
I enclose the prescribed fee of $335
Agreement lodged by
Signature Date
FEE AND PAYMENT OPTIONSCash – Territory Business Centre
Cheque – payable to Territory Business CentreCredit card Visa MasterCard
Credit Card number
Expiry date
Name on card
I hereby authorise the Territory Business Centre to debit the above credit card for the amount of
$
Amount in words
Signature of card holder Date:
Contact phone number
Registration of Professional Assessment Examination________________________________________________________________________________
LODGEMENT OPTIONS
DarwinDarwin Corporate ParkGround Floor, Building 3631 Stuart Highway, BerrimahGPO Box 9800 Darwin NT 0801
t: (08) 8982 1700f: (08) 8982 1725Toll free: 1800 193 111e: [email protected]
KatherineShop 1, Randazzo Building 18 Katherine TerraceKatherinePO Box 9800Katherine NT 0851
t: (08) 8973 8180f: (08) 8973 8188e: [email protected]
Tennant CreekShop 2, Barkly HouseCnr Davidson and Paterson StreetsTennant CreekPO Box 9800Tennant Creek NT 0861
t: (08) 8962 4411f: (08) 8982 1725e: [email protected]
Alice SpringsGround Floor, The Green Well Building50 Bath StreetAlice SpringsPO Box 9800Alice Springs NT 0871
t: (08) 8951 8524f: (08) 8951 8533e: [email protected]