VETASSESS Marketing Credentials Application Form

Please select the Credential you are applying for.
Applicant's Information
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Linkedin Profile
Job Title
Organisation
CV (Please Upload File)

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Statement of Service (Please Upload File)

Cancelof
Statutory Declaration (Please Upload Files)

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Self Evaluation Form (Please Upload Files)

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Other Supporting Documents (Please Upload Files)

Cancelof
Referees

Please include the details of two professional referees
Referee One
Name

First NameLast Name
Job Title
Organisation
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Referee Two
Name

First NameLast Name
Job Title
Organisation
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Discount Code
Please enter a valid discount code
Declaration

By submitting this form, I declare that:

The information I have supplied online is complete, correct and up to date.
I understand that VETASSESS will apply its Privacy Policy (as detailed on its website) in assessing my application.
I have uploaded required documents.
I understand VETASSESS may email me if further information or documents are needed.
I authorise VETASSESS to contact my nominated referee(s) and to use any information supplied for that purpose.
I understand that it is my responsibility to redact or remove any personal information that is protected or not required for the purposes of this application.
I, the applicant, accept the declaration (mandatory).

Please note after submitting this form you will receive a payment link.

Once payment is confirmed, your application will be fully lodged.
Payment
Applications will be processed once payment of $299.00 including GST has been submitted.
Should be Empty:

Applicant's Information

Referees

Referee One

Referee Two

Payment