Western Australian Repealed Regulations

This legislation has been repealed.

LOCAL GOVERNMENT (QUALIFICATION OF MUNICIPAL OFFICERS) REGULATIONS 1984 - SCHEDULE

Form 1

[reg. 22]

Local Government (Miscellaneous Provisions) Act 1960

Local Government (Qualification of Municipal Officers) Regulations 1984

APPLICATION FOR CERTIFICATE OF QUALIFICATION

I (full name) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

of (address) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

occupation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

hereby apply for the issue of a certificate of qualification as a building surveyor.

I declare that I was born at (place) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

on the . . . . . . . . . . . . . . . . . . . . . . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . .

I attach — 

            (a)         copies of certificates showing relevant qualification

            (b)         detailed statement of experience

            (c)         cheque for $ . . . . . . . . . . to cover fee for issue of certificate

Witness . . . . . . . . . . . . . . . . . . . . .         Signature . . . . . . . . . . . . . . . . . . . . . . . . .

Date . . . . . . . . . . . . . . . . . . . . . . . . .         Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form 2

[reg. 24]

Local Government (Miscellaneous Provisions) Act 1960

Local Government (Qualification of Municipal Officers) Regulations 1984

BUILDING SURVEYORS CERTIFICATE OF QUALIFICATION

This is to certify that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has satisfied the Municipal Building Surveyors Qualifications Committee that he/she is competent to exercise the office of City, Town, or Shire Building Surveyor under the Local Government (Miscellaneous Provisions) Act 1960 , and the Local Government (Qualification of Municipal Officers) Regulations 1984 .

Dated at Perth this . . . . . . . . . . . . . . . .day of . . . . . . . . . . . . . . . 19 . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chairman of Committee

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

        Secretary

[Schedule inserted in Gazette 24 June 1996 pp.2853-4.]