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© Australian Physiotherapy Council Version: 11/12/2017 APPLICATION ADDITIONAL SKILLS ASSESSMENT What Do I Need to Provide? The information on this form is collected by the Australian Physiotherapy Council for the purpose of assessing qualifications and skills for the purpose of skilled migration for the occupation of Physiotherapist ANZSCO Code 252511. This is not an application for assessment for general registration as a physiotherapist. EXPLANATORY NOTES Introduction The Australian Physiotherapy Council assesses qualifications and skills for the occupation of Physiotherapist for the purpose of migration to Australia under the Department of Immigration and Border Protection (DIBP)’s General Skilled Migration program. This is not an assessment for registration purposes. The Australian Physiotherapy Council has a separate and different assessing role for physiotherapists seeking to qualify for registration in Australia – please see our website for more information on this. One of the first steps in applying for skilled migration is to nominate an occupation from the relevant skilled occupation list and have your skills and qualifications assessed by the relevant assessing authority. If your nominated occupation is “Physiotherapist” then the Australian Physiotherapy Council is the relevant assessing authority. Who should use this form? If you are applying for a Permanent Residence visa under the General Skilled Migration program that requires a skills assessment for the occupation “Physiotherapist” (ANZSCO Code 252511), and you have previously had a successful Skills Assessment from the Council, you should use this form. Do I meet the requirement for an Additional Skills Assessment? You must be able to answer YES to the below question to meet the requirement for a successful Additional Skills Assessment. This is not an assessment for general registration purposes. 1. Have you previously had a successful Skills Assessment from the Council? Yes No If YES, please provide your Skills Assessment Reference Number Your Reference Number can be found on your Skills Certificate. What can I do if I cannot answer YES? If you answered NO to the above question, you will not meet the requirement for this assessment. If you require a Skills Assessment there are two different assessments, you may be eligible for: Skills Assessment – Temporary Graduate Visa Complete Skills Assessment – Permanent Residence Visa/Skilled Regional (Provisional) Visa Please visit the Council’s website for more information about these assessments.

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Page 1: APPLICATION - Australian Physiotherapy Council...- Engineers Australia, other than at the grade of student - Australian Defence Force (an officer; or a non-commissioned officer with

© Australian Physiotherapy Council Version: 11/12/2017

APPLICATION ADDITIONAL SKILLS ASSESSMENT

What Do I Need to Provide?

The information on this form is collected by the Australian Physiotherapy Council for the purpose of assessing qualifications

and skills for the purpose of skilled migration for the occupation of Physiotherapist ANZSCO Code 252511. This is not an

application for assessment for general registration as a physiotherapist.

EXPLANATORY NOTES

Introduction

The Australian Physiotherapy Council assesses qualifications and skills for the occupation of Physiotherapist for the purpose

of migration to Australia under the Department of Immigration and Border Protection (DIBP)’s General Skilled Migration

program. This is not an assessment for registration purposes. The Australian Physiotherapy Council has a separate and

different assessing role for physiotherapists seeking to qualify for registration in Australia – please see our website for more

information on this.

One of the first steps in applying for skilled migration is to nominate an occupation from the relevant skilled occupation list

and have your skills and qualifications assessed by the relevant assessing authority. If your nominated occupation is

“Physiotherapist” then the Australian Physiotherapy Council is the relevant assessing authority.

Who should use this form?

If you are applying for a Permanent Residence visa under the General Skilled Migration program that requires a skills

assessment for the occupation “Physiotherapist” (ANZSCO Code 252511), and you have previously had a successful Skills

Assessment from the Council, you should use this form.

Do I meet the requirement for an Additional Skills Assessment?

You must be able to answer YES to the below question to meet the requirement for a successful Additional Skills

Assessment. This is not an assessment for general registration purposes.

1. Have you previously had a successful Skills Assessment from the Council?

□ Yes □ No

If YES, please provide your Skills Assessment Reference Number

Your Reference Number can be found on your Skills Certificate.

What can I do if I cannot answer YES?

If you answered NO to the above question, you will not meet the requirement for this assessment.

If you require a Skills Assessment there are two different assessments, you may be eligible for:

• Skills Assessment – Temporary Graduate Visa

• Complete Skills Assessment – Permanent Residence Visa/Skilled Regional (Provisional) Visa

Please visit the Council’s website for more information about these assessments.

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© Australian Physiotherapy Council Version: 11/12/2017 2

APPLICATION ADDITIONAL SKILLS ASSESSMENT

I Am Currently Overseas, What Type of Visa Can I Apply For?

The Australian Physiotherapy Council does not provide information about migrating to Australia, as this is beyond our scope.

If you are overseas and you intend to migrate to Australia, you should contact your nearest Australian Embassy, Consulate

or High Commission (overseas post) for information about migration processes and requirements. If you intend to migrate

under the General Skilled Migration program, important information is available via the DIBP website at www.border.gov.au.

It is essential that you read the DIBP website information about skilled migration carefully before proceeding with this

application.

How Do I Apply for An Additional Skills Assessment?

• Complete this application form in black pen and PRINT CLEARLY IN UPPERCASE (CAPITAL LETTERS)

• Answer all questions in English, unless otherwise requested

• Initial and date any alterations to the details provided on the form

• If your supporting documents are in English, please include:

- one application form;

- one certified copy of all supporting documents;

• If your supporting documents are in a language other than English, please include:

- one application form;

- one certified copy of all supporting documents in the original language;

- one certified copy of the official translated version of all documents;

• The Australian Physiotherapy Council will not accept responsibility for original documents sent to us and will not

return any documents. You must be prepared to show DIBP all the documentation you have relied upon in this

application, so you must retain the original documents and a certified copy of your completed application form.

• The Australian Physiotherapy Council reserves the right to request applicants to provide translations completed

by a translator accredited by the National Accreditation Authority for Translators and Interpreters (NAATI)

• Please include proof of payment of $1450.00 AUD (PLUS $25.00 AUD if you pay by an international funds

transfer).

• APPLICATION FEES WILL NOT BE REFUNDED

How Long Will the Additional Skills Assessment Take?

It can take up to 6 weeks from the date your correctly completed application form and all documents in the correct format

are received by the Australian Physiotherapy Council.

Internal Review of Decision

If you disagree with the assessor’s evaluation of your application, there may be grounds under which you can apply for an

internal review of the outcome. Please refer to the internal review policy on the website.

The Skills Assessment outcome from the Australian Physiotherapy Council must be included with your visa

application to the DIPB, and you must be prepared to show DIBP all the documentation you have relied

upon when seeking this Skills Assessment. You should keep a certified copy of your Skills Assessment

application and all other relevant documentation for your own records.

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© Australian Physiotherapy Council Version: 11/12/2017 3

APPLICATION ADDITIONAL SKILLS ASSESSMENT

Who can certify my documents?

In Australia, the following people are authorised to certify documents:

• Health professions: Chiropractor, Dentist, Medical practitioner, Nurse, Optometrist, Pharmacist,

Physiotherapist,

• Psychologist

• Legal professions: Legal practitioner, Patent attorney, Trademarks attorney

• Court positions: Bailiff, Justice of the Peace, Judge, Magistrate, Registrar, or Deputy Registrar, Clerk, Master of a

court, CEO of a Commonwealth court

• Commissioner for Affidavits, or Commissioner for Declarations (dependent on jurisdictions)

• Government representatives (elected): Federal, State or Territory or Local

• Public servants: Federal, State or Territory or Local – employed for five years or more.

• Bank officer, building society officer, credit union officer, finance company officer – employed for five years or

more

• Veterinary surgeon

• Accountant (member of ICA, ASA, NIA or CPA, ATMA, NTAA)

• Minister of religion, or marriage celebrant

• Member of:

- Chartered Secretaries Australia

- Engineers Australia, other than at the grade of student

- Australian Defence Force (an officer; or a non-commissioned officer with 5+ years of continuous service; a

- warrant officer)

- Australasian Institute of Mining and Metallurgy

• Notary public

• Holder of a statutory office not specified in another item in this Part

• Police officer

• Sheriff or Sheriff’s officer

• Teacher (full-time) at a school or tertiary education institution

Outside Australia, the following people are authorised to certify documents:

• Justice of the Peace

• Notary public

• Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)

• Employee of the Commonwealth or the Australian Trade Commission who works outside Australia.

Each copy of an original document must bear a statement certifying that it is a true copy of the original and the statement

should include any official stamp or seal. You must include a piece of paper with the name, signature, contact address and

phone number of the certifier. To have your copies certified you will need to present both the original and the copy of each

document to the person certifying the copies. Each certified copy of your documents must be certified separately, and it

must be possible, from the details provided, for the Australian Physiotherapy Council to contact the certifying officer if

necessary.

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© Australian Physiotherapy Council Version: 11/12/2017 4

APPLICATION ADDITIONAL SKILLS ASSESSMENT

LODGE THIS APPLICATION BY POST TO:

Australian Physiotherapy Council Limited

PO Box 3070

Burnley North, VIC 3121

If you are using a courier service, please send your documents to:

Australian Physiotherapy Council Limited

Level 3, 600 Victoria Street

Richmond, VIC 3121

Privacy Policy

The Australian Physiotherapy Council handles personal information in accordance with its Privacy Policy available at

https://physiocouncil.com.au/privacy/

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© Australian Physiotherapy Council Version: 11/12/2017 5

APPLICATION ADDITIONAL SKILLS ASSESSMENT

The information on the form is collected by the Australian Physiotherapy Council for the purpose of assessing qualifications

and skills for the purpose of skilled migration for the occupation of Physiotherapist ANZSCO Code 252511. This is not an

application for assessment for general registration as a physiotherapist. Please read the Explanatory Notes on page 1 carefully

before completing the application.

Please use black pen and write clearly – ENSURE YOU HAVE READ THE EXPLANATORY NOTES

Section A: Your Personal Details Information

1. Reference Number - see information panel

2. Preferred Title (please tick): □ Mr □ Mrs □ Miss □ Ms □ Dr □ Other …..

3. Family name (as shown on passport)

4. Given name (as shown on passport)

5. Previous family names – see information panel for documentary evidence required if

you have changed your name

6. Previous given names – see information panel for documentary evidence required if

you have changed your name

7. Your date of birth (day/month/year) – passport evidence is required

8. Your country of birth – passport evidence is required

9. Gender: □ Male □ Female

10. Your primary language

11. Countries where you have citizenship or permanent residence status (this will

not be Australia)

The Reference Number is found on

your Assessment of Qualifications Only -

Temporary (Graduate) Visa application

certificate.

□ Identification

Provide a certified copy of your valid

passport photo page.

□ Change of name documentation

If the name on any of your documents

is not the same as that on your current

passport, provide 1 certified copy of

one of the following in your original

application as evidence of your change of

name:

- marriage certificate

- divorce papers

- deed poll

- statutory declaration

If your document is in a language

other than English, provide:

- the required additional documents

as outlined in the attached

Explanatory Notes on Page 1

Primary language means the language

primarily used for reading, writing,

listening, and speaking and the language

known best and most comfortable with.

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section B: Your contact details Information

12. Your address for correspondence (indicate country, if outside Australia)

13. Your daytime telephone number Your mobile telephone number

14. Your email address

15. I agree to have all correspondence from the Australian Physiotherapy

Council sent to the email address above: □ Yes

Section C: Third party contact details (optional) Information

16. Authorisation of third party

I, (Your full name including your given names and your family name/surname)

authorise the following person to act on my behalf regarding my application to

the Australian Physiotherapy Council. This includes authorising the Australian

Physiotherapy Council to send to that person any communication, documents

or notifications relating to my application that would otherwise have been sent

to me.

17. Details of authorised person

Authorised person’s Title: □ Mr □ Mrs □ Miss □ Ms □ Other ……

Authorised person’s full name including given names and family name/surname

Authorised person’s address for correspondence (indicate country, if outside

Australia)

Authorised person’s email address

Authorised person’s telephone number Alternate telephone number

Your signature Date (day/month/year)

□ Contact details

These details are for you, the applicant, and

must be completed.

□ Email correspondence

Correspondence by email ensures you receive

all information regarding your application

reliably and efficiently.

Your Skills Assessment outcome will be sent

to you by post.

□ Authorisation of third party

You must complete this section if you are

authorising another person (for example a

family member or migration agent) to act on

your behalf regarding your application for

assessment of your physiotherapy qualification

and skills by Australian Physiotherapy Council.

If you complete this section, the

Australian Physiotherapy Council will

send all correspondence to both yourself

and the authorised third party

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section D: Your current photograph Information

Section E: Your initial physiotherapy qualification Please provide details of your initial physiotherapy qualification.

18. What is the level of the qualification (For example, Diploma, Bachelor etc)

19. What is the name of the qualification?

In English

In your own language (if applicable)

20. Name of the institution

21. Date program commenced:

(day/month/year)

22. Date program completed:

(day/month/year)

□ Your passport photograph

Securely attach (do not glue) a passport

sized photograph of yourself taken within

the last three months and has been

endorsed by a person who:

- is not related to you by birth or

marriage

- has known you for at least 12

months

- is at least 18 years of age

- has endorsed the back of the

photo by writing, “this is a true

photo of (your name)” and signing

their name.

(Attach photo here)

Has your photograph

been signed by your

guarantor?

Print name of Guarantor

Contact phone number for Guarantor

Signature of Guarantor

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section F: Additional qualifications (optional) Information

Please provide details of any additional qualifications – ONLY INCLUDE

QUALIFICATIONS LEADING TO A DIPLOMA OR DEGREE.

If you have more than one additional Physiotherapy qualification, make copies of

this

page and attach them as separate sheets giving the additional details.

23. What is the level of the qualification (For example, Diploma, Bachelor etc.)

24. What is the name of the qualification?

In English

In your own language (where applicable)

25. Name of the institution

26. Date program commenced:

(day/month/year)

27. Date program completed:

(day/month/year)

□ Graduation certificates*

Provide 1 certified copy of each

physiotherapy graduation diploma or degree.

Your official certificate must include the

official university stamp

□ Your official results transcripts

Provide 1 certified copy of each official

transcripts for your qualification. Your official

transcripts must include:

- a statement that confirms that you

have completed the course

requirements

- a list of each individual subject in your entire

physiotherapy program

- the grade or result you were awarded for

each subject in the program

- the official university stamp

* If you are applying before the date of your

graduation ceremony and do not yet have

your graduation certificate, you MUST

provide: 1) a letter from your university

academic registrar stating the date that your

graduation certificate will be conferred AND

2) your results transcript must include a

statement that confirms you have completed

the course requirements.

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section G: Your English language ability Information

28. Tick the category that applies to you and provide the documents described:

I hold current registration with the

Physiotherapy Board of Australia. → Provide a certified copy of your

current and valid Certificate of

General Registration with the

Physiotherapy Board of Australia

→ Proceed to Section H

My primary language is English, and I

have undertaken and satisfactorily

completed

- All my primary and secondary

education which was taught and

assessed solely in English in a

country listed in the box on the

far right, and

- My physiotherapy qualification

(provided in Section E) was taught and assessed solely in English

→ Provide 1 certified copy of each

of the following:

□ Your High School Certificate

□ Evidence that your primary and

secondary education was completed

in the English language medium

→ Proceed to Section H

I have a combination of secondary

education and a physiotherapy

qualification, where I have undertaken and

satisfactorily completed:

- At least two years of my secondary

education, which was taught and

assessed solely in English in a

country listed in the box on the

far right, and

- My physiotherapy qualification

(provided in Section E) was taught

and assessed solely in English in a country listed in the box on the

far right

→ Provide 1 certified copy of your

High School Certificate

→ Proceed to Section H

I have undertaken and satisfactorily

completed at least six years’ (full time

equivalent) continuous education

taught and assessed solely in English, in a country listed in the box on the far

right, which includes my physiotherapy

qualification (provided in Section E).

→ Provide 1 certified copy of

evidence of continuous education

that you have completed

→ Proceed to Section H

I have achieved the required minimum

scores and meet the requirements for test

results, in one of the English language tests

prescribed by the Physiotherapy Board of Australia’s English Language Skills

Registration Standard.

→ Provide a certified copy of valid

results from one of the following

English language tests:

□ International English

Language

Testing System (IELTS); OR

□ Occupational English Test

(OET); OR

□ Pearson Test of English

Academic (PTE Academic); OR

□ Test of English as a Foreign

Language internet-based test

(TOEFL iBT)

→ Proceed to Section H

Australia

Canada

New Zealand

Republic of Ireland

South Africa

United Kingdom

United States of America

Secondary education means

Australian school years 7 through to

12, even where year 7 is classified as

part of primary school in a particular

state or territory.

Six years (full time equivalent)

continuous education means

education over a period of six

consecutive calendar years without a

break from study apart from the

education institutions’) e.g. school or

university) scheduled holidays.

Physiotherapy Board of

Australia’s English Language

Skills Registration Standard

refers to the Registration Standard

found on http://www.physiotherapyboard.gov.au

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section H: Your current registration Information

29. Do you hold a current unconditional registration/license as a physiotherapist?

□ No (Proceed to Section I) □ Yes (Complete Questions 30 – 33)

30. Country

31. Registering authority

32. Date of Registration

33. Date of expiry

Please ensure you provide the documents EXACTLY as detailed in the checklist

Section I: Skilled Employment Reference Information

34. Please use the Professional Reference template to provide a professional

reference from employers of which you are claiming to have gained work

experience as a physiotherapist. Each reference must:

a) be signed by you and the referee;

b) be dated no more than six months old;

c) be from a different hospital or practice.

d) be for each position held during your employment. If your position changed,

complete a new Professional Reference template.

If you are self-employed, contact the Council for additional evidence to submit to support your application.

□ Your physiotherapy registration (if

applicable)

Provide a certified copy of your current

and valid certificate/license as a

physiotherapist (where applicable)

□ Professional references

If additional space is required to describe details of your scope of practice, additional A4 pages can be attached to the template.

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© Australian Physiotherapy Council Version: 11/12/2017 11

APPLICATION ADDITIONAL SKILLS ASSESSMENT

Section J: Declaration

35. I declare that:

• The information in the application form and all attachments is true, complete and current at the time of signing

this declaration

• I am the person named in the application form and identified in all attachments

• I undertake to inform the Australian Physiotherapy Council of any changes to my circumstance (including

address) while my application is being considered

• I have read and understand the Australian Physiotherapy Council’s Privacy Notice issued with this application

form and I agree to the Australian Physiotherapy Council collecting and using my personal information in

accordance with the Privacy Notice

• If I have disclosed anyone else’s personal information in this application, I confirm that I have made a copy of the

Australian Physiotherapy Council’s Privacy Notice available to that person

• I agree that this application form and all attachments become the property of the Australian Physiotherapy

Council and will not be returned, and my fee will not be refunded.

Signature of applicant Date (day/month/year)

Section K: Application fee $1450.00 AUD* Information

36. Payment

EFT/Direct Deposit

ELECTRONIC FUNDS TRANSFER/DIRECT DEPOSIT:

The applicant’s name must be included as the reference for the payment. A copy of the

deposit receipt or similar evidence of the funds transfer must be included with the

application. The applicant is liable for all bank fees incurred for Electronic Funds

Transfers including any fees charged to the Australian Physiotherapy

Council – international transfers must add $25.00 AUD to cover these

fees.

*The application fee is current at the date of publication (indicated on the lower left corner

of the form). The fee is subject to change without notice. Refunds of application fees are not

available.

37 Submitting your application

Please send your completed application form, and ALL required documents and

evidence of payment of the application fee by post to

Australian Physiotherapy Council Limited

PO Box 3070

Burnley North, VIC 3121

If you are using a courier service, please send your documents to:

Australian Physiotherapy Council Limited

Level 3, 600 Victoria Street

Richmond, VIC 3121

□ Payment of $1450 application

fee

EFT/Direct Deposit:

Bank:

National Australia Bank

Account name:

Australian Physiotherapy Council

BSB:

082-902

Account No.:

57-218-4028

Bank Address:

Cnr London Cct & Ainslie Ave,

Canberra ACT 2600

Swift Code:

NATAAU3302S

(international use only)

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APPLICATION ADDITIONAL SKILLS ASSESSMENT

SUPPORTING DOCUMENTATION

Please follow this final checklist to ensure that all required documents have been included:

Application Form: Application for an Additional Skills Assessment [for Permanent Residence Visa Applicants]

Passport: a certified copy of your passport identity page

Name change: provide a certified copy of evidence of your name change (if applicable)

Additional Physiotherapy Qualification Graduation Certificate: a certified copy of your additional

physiotherapy qualification OR Letter of conferral issued by the university academic registrar stating the expected date

of conferral. (if applicable)

Additional Physiotherapy Qualification Results Transcript: a certified copy of your official results

transcript/statement of marks from your additional physiotherapy qualification that meets all of the requirements listed

on the application form. (if applicable)

English Language Ability: evidence that meets the requirements listed on the application form (if applicable)

Current Registration: a certified copy of your current registration practising certificate/license (if applicable)

Skilled Employment Reference: Professional Reference templates completed with the required attachments.

Declaration: signed on the application form.

Copies of documents provided in support of an application must be certified as true copies of the original documents.

Certified copies must be high quality reproductions of original documents and will only be accepted in hard copy by mail.

Photocopies of previously certified documents will not be accepted. Please refer to the application form for certification

requirements.

If your supporting documents are written in English, please include:

• one application form;

• one certified copy of all supporting documents;

If your supporting documents are written in a language other than English, please include:

• one application form;

• one certified copy of all supporting documents in the original language;

• one certified copy of the official translated version of all documents;

The Australian Physiotherapy Council will not accept responsibility for original documents sent to the office and will not

return any documents. You must be prepared to show DIBP all the documentation you have relied upon in this application,

so you must retain the original documents and a certified copy of your completed application form.

The Australian Physiotherapy Council reserves the right to request applicants to provide translations completed by a

translator accredited by the National Accreditation Authority for Translators and Interpreters (NAATI)