| To the architects registration Board |
| 1. Name of applicant: |
| 2. Address of applicant: |
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| 3. Date of Birth |
| 4. Nationality: |
| 5. Architectural Education: |
| Qualifications | University/ School name | Country | Date Course Commence | Date of Qualification |
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| 6. State countries or institutions in which you have practiced since qualifying. |
| Countries or Institutions | | Date | |
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| 7. In which country are you registered or entitled to practise as an architect? |
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| 8. Has your registration or entitlement to practise as an architect in any country ever been cancelled or suspended? |
| 9. If so on what date and for what reason? |
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| 10. Names and addresses of three referees as to character. |
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| I enclose copies of certificates |
| I the undersigned hereby apply to be registered as an architect and declare that I am the person named in the enclosed documents and that the above information is true and correct. |
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| (Signature of Applicants) | | (Date) |
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| Explanatory Notes |
| 1. All documentation is required in English. This includes certified translations of qualifications and curriculum vitae. |
| 2. The documentation you submit must be certified by a competent authority. Examples of a competent authority might include the registration body in your country of residence, the relevant government ministry, head of school or stamp from a notary to indicate authenticity. |