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Application for Migration Skills Assessment

SYDNEY ACCORD QUALIFICATIONS


(Engineering Technologist)
Office use only

CID

This pathway applies to persons who hold an accredited engineering technologist undergraduate
qualification (equivalent to an Australian three year Bachelor of Engineering Technology degree) from
any of the Sydney Accord signatory countries.
It is recommended that the applicant check the accreditation status of the qualification
(including engineering specialisation and date of award/entry) with the appropriate signatory body
before applying.

PERSONAL DETAILS (PLEASE USE BLOCK LETTERS AND TICK THE APPROPRIATE BOXES BELOW)
Title:

Prof

Dr

Mr

Mrs

Ms

Miss

Please affix
a passport size
photograph here

Other (please specify).......................................

Family Name: ..................................................................................................................................................................................

day

month

year

Male

Female

Applicants Current Address: .....................................................................................................................................................


City:................................................................... Country: ................................................................... Postcode: ........................
Phone: .......................................................................................... Mobile: ...................................................................................
Email: .................................................................................................................................................................................................
Country of undergraduate qualification: ......................................................... Date of Award: ........../.........../..........
day

month

year

Applicants Signature: .................................................................................................. Date: ........./........../..........


day

month

year

COMPULSORY DOCUMENTATION YOU MUST PROVIDE THE FOLLOWING DOCUMENTS:


Certified copy of passport bio-data page, or National Identity card.
Certified copy of Formal Degree/Diploma or Certificate for first and any subsequent qualification(s).
Certified copy of academic transcript (ie list of subjects studied with results shown).
Brief Resume/Curriculum Vitae.
Notes: 1. Applicants MUST copy all submitted material - documents submitted will NOT be returned.
2. If additional services requested per section D of MSA Booklet, all specified evidence must
also be included.

METHOD OF PAYMENT (PLEASE TICK THE APPROPRIATE BOXES BELOW)


Assessment Specification

Applicants living Overseas


Fees (GST exc.)

Tick(s)

Applicants living in Australia


Fees (GST inc.)

Standard Accord assessment

AUD $310

AUD $341

Relevant Skilled Employment

AUD $250

AUD $275

Overseas PhD

AUD $200

AUD $220

Total Payment

AUD $

AUD $

Tick(s)

This must be paid at the time of lodgement of this form and completed documentation.
The fee is NOT refundable.
The Payee is ENGINEERS AUSTRALIA for payments made using cheque, money orders and bank drafts. Overseas
applicants using this form of payment MUST ensure that the bank draft is drawn in Australian Dollars ONLY to a
bank operating in Australia. All international use of credit cards MUST be cleared by your bank.

Bank Draft/Money Order drawn to an Australian bank in Australian dollars


Cheque

Australian Money Order

Credit Card Details Please charge credit card (tick one)

Credit Card (see below).

American Express

Visa

Mastercard

Credit Card No:


Cardholders Name:................................................................................................................... Expiry Date: .........../...........
month

year

Amount: AUD$......................... Cardholders Signature: ................................................ Date: .........../............/...........


day

Mail to: Migration Skills Assessment, Education and Assessment, Engineers Australia,

11 National Circuit, BARTON ACT 2600 Australia

month

year

(Engineering Technologist)

Date of Birth: ........../........../.......... Country of Birth.............................................. Gender:

SYDNEY ACCORD

Given Names (in full): ..................................................................................................................................................................

PAGE 1 of 2

Application for Migration Skills Assessment


SYDNEY ACCORD QUALIFICATIONS
(Engineering Technologist) (continued)
CERTIFICATION OF COPIES OF DOCUMENTS
Properly-certified copies of ORIGINAL documents are required. Certified copies of previously certified
copies will not be accepted.

If the services of a legal firm are employed, the name of the solicitor certifying the documents must be
provided. It is not sufficient to simply provide the name of the law firm.

APPOINTMENT OF A PERSON TO ACT AS AGENT


If you are using an Agent, then you must complete this part of the form. Otherwise, leave blank.
Note: All correspondence will be sent to the Agents address entered below.
I, ..................................................................................................................................................................... (applicants name)
of (address): .....................................................................................................................................................................................
City: .....................................................................................................................................................................................................
Postcode: ............................................................................

State/Territory/District: .......................................................

Country: ...............................................................................................................................

born on: ........../........../..........


day

month

year

agree to the following person acting on my behalf in relation to my application for assessment.
Applicants Signature: .............................................................................................................

Date: ........./........../..........
day

month

year

Agents Name:.................................................................................................................................................................................
Agents Address:..............................................................................................................................................................................
..............................................................................................................................................................................................................
Agents Registration Number (if applicable): .......................................................................................................................
Agents Phone: ................................................................................................................................................................................
Agents Email: .................................................................................................................................................................................

Visit us at www.engineersaustralia.org.au

(Engineering Technologist)

The following classes of persons are authorised to certify copies of documents.


A current Financial Member of Engineer Australia (other than at the Student grade).
The membership number must be shown
A Staff Member of Engineers Australia
A Notary Public authorised in the country of application
A Commissioner for Oaths (Declarations) authorised in the country of application
A Lawyer, Solicitor, Barrister or Judge authorised in the country of application
A Justice of the Peace authorised in Australia or in the country of application

SYDNEY ACCORD

Proper certification should appear on each page to be certified, and show:


The signature of the person certifying the document
The name of the person certifying the document clearly printed or evident in the official stamp
Contact details of the person certifying the document
Where possible an official stamp indicating the status of the person certifying the document, ie:
Justice of the Peace, Commissioner for Oaths, or Notary Public, etc, or name of law firm indicated.

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CM0813

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