Surveyors Act 2007, s81

Dual NSW/ACT Registration – Continuation Notice	

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

ABN: 46 346 672 655

I, (Name)

wish to maintain/seek dual NSW/ACT registration, and will pay the joint annual registration fee to the Board of Surveying and Spatial Information of NSW.

Date of Birth:

Residential Address:

Tel: (h) 

Company Name:

Business Address:

Tel: (w) 					(mob):

Fax:						Email:

	
	
Preferred Postal Address:	Home:	Business:

Signature:							Date: