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PAGE 1
Mail to: Migration Skills Assessment, Education and Assessment, Engineers Australia,
11 National Circuit, BARTON ACT 2600 Australia
year
Australian Engineering
Qualifications
Title:
State/Territory/District: .......................................................
Country: ...............................................................................................................................
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year
agree to the following person acting on my behalf in relation to my application for assessment.
Applicants Signature: .............................................................................................................
Date: ........./........../..........
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year
Agents Name:.................................................................................................................................................................................
Agents Address:..............................................................................................................................................................................
..............................................................................................................................................................................................................
Agents Registration Number (if applicable): . .....................................................................................................................
Agents Phone: . ..............................................................................................................................................................................
Agents Email: .................................................................................................................................................................................
Visit us at www.engineersaustralia.org.au
PAGE 2
MSR_ENGQUAL0508
Australian Engineering
Qualifications
Properly-certified copies of ORIGINAL documents are required. Certified copies of previously certified
copies will not be accepted.