Surveyors Act 2007, s81

Removal from ACT Register	

RETURN TO:
Chief Surveyor
ACT Planning and Land Authority
GPO Box 1908
CANBERRA ACT 2601

Request to have name removed from ACT Register

I, (Name): 

of, (Address)

wish to have my name removed from the ACT Register under Section 41 of the Surveyors Act 2007

Signature:							Date:

Note: If you wish to apply for Emeritus Surveyor status (requires 25 years service as a Registered Surveyor), apply in writing providing a brief CV and/or personal history to the Chief Surveyor at the above address

Do you wish to remain on the Chief Surveyor’s email distribution list ?			YES/NO

If YES, please supply your email address