Regn Appln

Australian Orthoptic Board
PO Box 1035
Hampton North VIC 3188
Australia

+61 3 9005 1072
aoboard@aob.org.au
Registration Enquiry
for applicants with non-Australian Orthoptic qualifications

Please provide the following information as the initial step
in applying for registration in Australia.
Name*

TitleFirst NameMiddle NameLast Name
Previous name/s
Address*

SuburbState

PostcodeCountry
Mailing address

SuburbState

PostcodeCountry
Personal email*

Confirmation Email
Alternate email

Confirmation Email
Mobile no.
Home no.

Area CodePhone Number
Work no.

Area CodePhone Number
About Orthoptics in the country in which you trained
Is Orthoptics a registered or licensed profession?*

YesNo
Name of responsible authority
Website
Is there a nationally recognised Orthoptic training program?*

YesNo
Name of the qualification
Website
What level is Orthoptic training?*

Bachelor DegreePost-graduate / Masters DegreeDiploma
Are you a member of a nationally recognised Orthoptic organisation?*

YesNo
Name of organisation
Website
Orthoptic Qualifications
QUALIFICATION (1)*
Institution*
Country*
Date conferred*
QUALIFICATION (2)
Institution
Country
Date conferred
QUALIFICATION (3)
Institution
Country
Date conferred
Message
Should be Empty:

About Orthoptics in the country in which you trained