Membership Checkout – The Institute of Plumbing Australia Inc.

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You have selected the Student Memberships.

The price for membership is $27.50.

Membership expires after 1 Year.

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Your Details

Your Personal Details:

First Name

Surname

Date of Birth

Address:

Address

Suburb

Postcode

State

Postal Address:

Postal Address

Postal suburb

Postal postcode

Postal state

Employment History:

EMPLOYMENT HISTORY:

Please attach details of your past 5 years employment, stating Employer, Business Activity, Your Position and Dates of Employment.

Employment Hitory File

Education And Training:

EDUCATION AND TRAINING

Please list particulars of ALL formal education, and any MAJOR Training Courses you have completed. Attach a separate list if insufficient room. Please DO NOT use initials. (Photocopies of the degrees, diplomas, certificates must be attached). You can attach a document below.

Name of School,University, College of Training Institution

Location

Qualifications Obtained or Examinations Passed

Dates

1. (Trade)

1.1

1.1 Location

1.1 Qualifications

1.1 Date

1.2

1.2 Location

1.2 Qualifications

1.2 Date

1.3

1.3 Location

1.3 Qualifications

1.3 Date

2. (Post Trade)

2.1

2.1 Location

2.1 Qualifications

2.1 Date

2.2

2.2 Location

2.2 Qualifications

2.2 Date

2.3

2.3 Location

2.3 Qualifications

2.3 Date

3. (Other)

3.1

3.1 Location

3.1 Qualifications

3.1 Date

3.2

3.2 Location

3.2 Qualifications

3.2 Date

3.3

3.3 Location

3.3 Qualifications

3.3 Date

Attachments

Please attach any supporting Education and Training documents: