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‘APRO-60 17. Which ofthese English language tests have you successfully completed? Provide reference number(s) forthe tes(s) you ae reying on and attach a copy of your test results. {_] International English Language Test System (IELTS) Academic module Test report form number — siting one: Test report form number ~ siting two (it applicable: A A ‘The Board requires the IELTS (academic module) wih a minimum overall score of 7 and a minimum score Of7 in each ofthe four components (istening, reading, writing and speaking). [J Occupational English Test (ET) Candidate number - sitting one: Candidate number ~ sitting two (it applicable): ‘The Board requires the OET wit a minimum score of B or 350 in each of the four components (istening, reading, wring and speaking). 1X Pearson Test of English Academic (PTE Academic) ‘ Registration 1D siting one: (0 - siting two 445201748 44O7601128 The Board requires the PTE Academic with a minimum overall score of 65 and a minimum score of 65 in each ofthe four communicative skis (istening, ‘eating, witing and speaking) {| Test of English as a Foreign Language internet-based tes (TOEFL iBT) Registration number siting one: Registration number ~ siting two (i applicable): ‘The Board requires the TOEFL iBT witha minimum total score of 94 andthe minimui’Scorés of 24 for stening, 24 for reading, 27 for wing, and 23 for i '¥ your Engi language tests) were completed within the past two years, you must provide a copy of your test resus, incuding the reference number(s that Atpra can vert your reals "your Engish language ts.) were not completed within the past two years, you must provide acertied copy of your resus. 18, Were your results from the Es (X No V ‘above-mentioned English language tests obtained ing nore for your routs oe accepted within 12 mont of completing your ts) you must have commence the past two years? Continuous employment as a registered heath practioner ina recognised country where English was the Primary language of practice, and/or * continuous enrolment in an approved progfam of study. ‘You must iodge tis application within 12 months of completing the employment andor program of study ‘You must atiach a certified copy of your English language test results, and: i ‘your CV and a letter trom employer(s) or a professional refere inthe required form i Confiringconuous employment as aregstered heath racttoner i arecgised country (f you are relying on a period of continuous employment of greater than two years. ‘duration, only the last two years must be evidenced in the letter), and/or | ‘+ an academic transcript evidencing that you were enrolled continuously in a Board-approved ‘rogram of study that commenced within 12 months of siting the English language test, and tat you completed your study no longer han 12 mnths before ldgng your aplication, 19, Do you commit to having (@ Pe ae tapers avapro pretest inert arangeners in pace when ‘appropriate professional ‘practising Applicants unable to meet this requirement are ineligible fr registration. For mae information, see indemnity insurance Professional indenmity insurance te Information and definition secon of tis frm arrangements in place for ye mt all practice undertaken during “°° a as —— = — — — — ect 20. Do you have an impairment e For more information, see /mpairment in the Information and definitions section of this form. that detrimentally affects, or is likely to detrimentally YES Qg wo x) affect, your capacity to a Practise the profession? ‘must attach to this application details of any impairments and how they are managed. Page 9 of 21

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