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 *

Title First Name Middle Name Last Name
Previous name/s
Address *

Suburb State

Postcode Country
Mailing address

Suburb State

Postcode Country
Personal email *

Confirmation Email
Alternate email

Confirmation Email
Mobile no.
Home no.

Area Code Phone Number
Work no.

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

Yes No
Name of responsible authority
Website
Is there a nationally recognised Orthoptic training program? *

Yes No
Name of the qualification
Website
What level is Orthoptic training? *

Bachelor Degree Post-graduate / Masters Degree Diploma
Are you a member of a nationally recognised Orthoptic organisation? *

Yes No
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