Victorian Numbered Regulations

VETERINARY PRACTICE REGULATIONS 2008 (SR NO 7 OF 2008) - SCHEDULE

SCHEDULE

Sch.

Regulation 6

APPLICATION FOR REGISTRATIONN AS A VETERINARY PRACTITIONER

Type of registration applied for (general or specific)

PERSONAL DETAILS OF APPLICANT

Title and full name

Any other name (e.g. maiden name)

Residential address and telephone number

Business address and telephone number

Date of birth

PROFESSIONAL DETAILS OF APPLICANT

Details of the degree, qualification or qualifications in veterinary science or medicine that entitle the applicant to the type of registration applied for

The name of the institution which awarded the qualification that entitles the applicant to the type of registration applied for

The date the qualification was awarded

Current position

The date on which the applicant undertook the qualifying examination conducted for the Veterinary Practitioners Registration Board

If previously registered as a veterinary practitioner ¾

        (a)     the date and place of initial registration

        (b)     the date and place of any other registrations

        (c)     details of any cancellation of registration

        (d)     the applicant's registration number if previously registered by the Board

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