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 *

Mailing address (if not as above)

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