Application for 5 Year Licence - Boiler Operator's


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Please ensure that this application is complete and correct before submitting it with the appropriate fee for a 5 year Boiler Operator's Licence - $115.00 per Registration Class. Your licence will expire 5 years after date of payment.

Registration Information
Name of Licence Holder:
Mailing Address
Phone:
Please indicate which of the following licences you would like to apply for/renew:
Registration Class:
  
  
  

To the best of my knowledge, this application is accurate. I understand that a false or misleading statement in this application or in any of the reference or other evidence or qualification submitted by myself or on my behalf may result in the Chief Inspector denying this application.

  

Total fee: $115.00


You will be redirected to Bambora to make a payment before the form is submitted.