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This pathway applies to persons who hold a non-recognised qualification. An Engineering qualification at least equivalent to an Australian (AQF) Advanced Diploma (two years of engineering study following twelve years of schooling) must be held by the applicant before an application may be made. This pathway also applies to persons seeking assessment who:

• Holdanaccreditedengineeringqualificationbutareseekinganoutcomeinadifferentoccupational

fieldtothatofthedegreespecification;or• Are seeking assessment as an Engineering Manager.

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

Title: Prof Dr Mr Mrs Ms Miss Other (please specify) ......................................

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

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

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

Applicant’s Current Address: ....................................................................................................................................................

City: .................................................................. Country: .................................................................. Postcode: .......................

Phone: ......................................................................................... Mobile: ..................................................................................

Email: ................................................................................................................................................................................................

Your nominated Engineering occupation: ...........................................................................................................................

Countryofqualifications: ..........................................................................................................................................................

Indicate occupational category for which you are applying:

Professional Engineer Engineering Associate

Engineering Technologist Engineering Manager

Applicant’s Signature: ................................................................................................. Date: ........./........../..........

Note: Applicants MUST copy all submitted material - documents submitted will NOT be returned.

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PAGE 1 of 3

Application for Migration Skills Assessment COMPETENCY DEMONSTRATION REPORT (CDR)(All Engineering Categories)

Pleaseaffixa passport size

photograph here

Credit Card Details Please charge credit card (tick one) AmericanExpress Visa Mastercard

Credit Card No:

Cardholder’s Name: .................................................................................................................. ExpiryDate:.........../...........

Amount: AUD$ ........................ Cardholder’s Signature: ............................................... Date: .........../............/...........

METHOD OF PAYMENT (PLEASE TICK THE APPROPRIATE BOXES BELOW)

Assessment Specification Applicants living Overseas Applicants living in Australia

Fees (GST exc.) Tick(s) Fees (GST inc.) Tick(s)

Standard CDR assessment AUD $635 AUD $698.50

Relevant Skilled Employment AUD $255 AUD $280.50

Overseas PhD AUD $205 AUD $225.50

Total Payment AUD $ AUD $

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 (see below).

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Office use only CID

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month year

Mail to: Migration Skills Assessment, Education and Assessment, Engineers Australia, 11 National Circuit, BARTON ACT 2600 Australia

CERTIFICATION OF COPIES OF DOCUMENTS

Properly-certified copies of ORIGINAL documents are required. Certified copies of previously certified copies will not be accepted.

Propercertificationshouldappearoneachpagetobecertified,andshow:• The signature of the person certifying the document• The nameofthepersoncertifyingthedocument–clearlyprintedorevidentintheofficialstamp• Contact details of the person certifying the document• Wherepossibleanofficialstampindicatingthestatus of the person certifying the document, ie:

JusticeofthePeace,CommissionerforOaths,orNotaryPublic,etc,ornameoflawfirmindicated.

The following classes of persons are authorised to certify copies of documents:• AcurrentfinancialMemberofEngineerAustralia(otherthanattheStudentgrade).

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

Iftheservicesofalegalfirmareemployed,thenameofthesolicitorcertifyingthedocumentsmustbeprovided.Itisnotsufficienttosimplyprovidethenameofthelawfirm.

Application for Migration Skills Assessment COMPETENCY DEMONSTRATION REPORT (CDR)(All Engineering Categories) (continued)

PAGE 2 of 3

APPOINTMENT OF A PERSON TO ACT AS AGENT

Agent’s Name: ................................................................................................................................................................................

Agent’s Address: .............................................................................................................................................................................

..............................................................................................................................................................................................................

Agent’s Registration Number (if applicable): ......................................................................................................................

Agent’s Phone: ...............................................................................................................................................................................

Agent’s Email: ................................................................................................................................................................................

Visit us at www.engineersaustralia.org.au

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 Agent’s address entered below

I, .................................................................................................................................................................... (applicant’s name)

of (address): ....................................................................................................................................................................................

City: ....................................................................................................................................................................................................

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

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

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

Applicant’s Signature: ............................................................................................................ Date: ........./........../..........day month year

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DECLARATION

CHECKLIST

The Competency Demonstration Report (CDR) submission MUST include the applicant’s endorsement of the following Declaration:

‘All statements of fact in this report are true and correct, and I have made claims of acquired competencies in good faith.

The Report is all my own work, and is a true representation of my personal competencies in written English.

I confirm that I understand that members of the engineering team in Australia are required to display a commitment to exercising professional and ethical responsibility in all aspects of their work.

I also understand that documentation submitted in support of my application may be referred to the Australian Department of Immigration and Citizenship (DIAC) for integrity checking’

Application for Migration Skills Assessment COMPETENCY DEMONSTRATION REPORT (CDR)(All Engineering Categories) (continued)

PAGE 3 of 3

Printed Name: .................................................................................................................................................................................

Signature: .................................................................................................................................... Date: ........./........../..........day month year

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Before you dispatch your application you should use the following checklist to ensure that you have completed all the necessary steps and provided all the required documents.Assemble your submission by placing documents in the order shown below.Please do not bind your documents.

Checklist for Competency Demonstration Report (CDR)

Completed Application Form, with passport-style photo

Application fee

Form to appoint person to act as agent [if necessary]

Certifiedtruecopyofpassportbio-datapageonly(notthecompletepassport),andEnglishlanguagetranslation(ifnotEnglish)[Wherethisisnotavailable,acopyofyourBirthCertificateand/or National Identity Card may be acceptable in lieu]

Certifiedtruecopyofnamechangedocument[ifnecessary]

Original English language test (IELTS) result [if necessary]. You must arrange this to be forwarded directly to Engineers Australia from the Test Centre.

Curriculum Vitae (CV) / Resume

Certifiedtruecopyofacademictestamur(s).

Certifiedtruecopiesofacademictranscripts(s)

Certifiedevidenceofregistrationundertherelevantlicensingauthorityinthecountryinwhichyouare practising [if necessary] eg Philippine Regulations Commission

Certifieddocumentaryevidenceofemployment[mustbeprovidedifyouhaverelevantworkexperienceof12monthsormore,oriftheworkexperienceprovidesabasisofacareerepisode(s)]

An account of Continuing Professional Development (CPD)

CDR Declaration Page

Three Career Episodes

Summary Statement of evidence for the competency elements

English language translations of above, where applicable

RelevantSkilledEmployment(OptionalService);periodofemployment,jobtitle,mainfive(5)duties, full or part-time (hours/week)

OverseasPhD(OptionalService);CertifiedcopyofPhDtestamur,thesisabstract,listofexaminers,list of publications

Visit us at www.engineersaustralia.org.au