Surveyors Act 2007, s 81

ACT-Only Registration Continuation Notice	

RETURN TO:
The Surveyor-General
Office of the Surveyor-General and Land Information
GPO Box 158
CANBERRA ACT 2601

ABN: 46 346 672 655
Tax Invoice

Fee for continuation of registration as a surveyor under
the fee determination in force for the relevant financial year: 		    $
(Available at: http://www.legislation.act.gov.au/a/2007-33/fee.asp)

(Please make cheque/money order payable to the ACT Environment and Planning Directorate)

I, (Name): 
wish to maintain ACT registration and have included payment of the Continuation Notice fee.

Date of Birth: 

Residential Address:

Company Name:

Business Address:

Tel: (w) 			(mob)					(h)

Email:						Fax:

Preferred Postal Address:	Home:			Business:

Have these details changed from last year?   YES  	NO  

Continuing Professional Development (CPD) Compliance
I certify that in the relevant period I have gained the required CPD points in accordance with the Surveyor-General’s Continuous Professional Development Directions to comply with requirements for renewal of my registration under the Surveyors Act 2007.

Signature:							Date: