Form 
Updating Licence or Registration Details

This form is to be used for individuals or companies/partnerships updating their details under the relevant legislation relating to their licence or registration.  If a name change occurs for an individual or a company/partnership then evidence must be attached to this form.  A company can only change their entity name if the Australian Company Number (ACN) stays the same.  If a company has obtained a new ACN it is considered a new company and a new application will need to be made.

Please select from the following:

 	Construction Occupation Licence issued under the Construction Occupations (Licensing) Act 2004.	 

     	Architect registration issued under the Architects Act 2004. 

Please fill in your details.
Please note: only the individual who holds the licence or registration can update their personal details.  If you are updating details for a company or partnership a valid director or partner must complete this form.

Section A - Licence/Registration Details
Licence/Registration Number		                      	Expiry Date 	       /           /    	  

Individual /Entity Name										

Option 1 - Personal Details
(to be completed by individual)
Title 		 Surname 									 

Given Names							Date of Birth	    /	  /	

Business Address											 

Suburb 					State				Postcode 		

Residential Address										 

Suburb 					State				Postcode 		
	
Postal Address 											           

Suburb 					State				Postcode 		

Phone Number (Business Hours) 				Fax 					

Mobile Number* 				Email*							

Option 2 – Corporation or Partnership Details
(to be completed by director or partner)
Entity Name 											 

Australian Company Number/Australian Business Number (ACN/ABN)					 

Business Address											 

Suburb 					State				Postcode 		

Postal Address 											           

Suburb 					State				Postcode 		

Phone Number (Business Hours) 				Fax 					

Mobile Number* 				Email*							

*Please note: under the Construction Occupations (Licensing) Act 2004 it is a requirement to provide a valid mobile telephone number and email address. 

Contact Person**:
**Please note: licence applications for a company or partnership will only be discussed with the relevant contact person for the application. 

Given Name					Surname					

Mobile Number 				Email							

Signature of Director or Partner						Date 	       /           /    	  

Section B
Payment Details
If a name change occurs for an individual, corporation or partnership, a fee for a replacement card will need to be paid.  This fee is $46.00.  A name change can only occur for a corporation if the Australian Company Number remains the same. 

Section C
Lodgement and Contact Information
Access Canberra Environment Planning and Land Shopfront
GPO Box 1908, Canberra City 2601 	 
16 Challis Street, Dickson ACT 2602 
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays) 

Phone: (02) 6207 1923  
Email: epdcustomerservices@act.gov.au