Form F3948 Cfd Driver Trainer And Rider Trainer Accreditation Application Page 4

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Driver Trainer and rider Trainer Accreditation Application continued... page 4 of 4
Office Use Only
Authorising person’s declaration
I declare that:
(a) The applicant has applied for:
Driver Trainer accreditation
I have witnessed the applicant’s signature. I am satisfied that the
signature accords satisfactorily with the signature appearing on
Rider Trainer accreditation
the EOI document/s. I have also sighted EOI, and the Change of
renewal of a Driver Trainer accreditation
Name documents as required.
renewal of a Rider Trainer accreditation
Authorising person’s name
add stream (for example, car, heavy vehicle)
upgrade (for example HR to MC)
Authorising person’s signature
(b) Fee paid
Amount paid
Receipt number
$
Date
/
/
Yes No
(c) Has the relevant driver licence been sighted and
Office Stamp
EOI verified?
(d) Has a 1:1 match been performed?
(e) Has the applicant applied for mutual recognition?
Yes
Has the applicant completed F2762?
No
IL Hub to complete the following for NEW applications only
(f) Does the applicant meet the licensing
requirements?
(g) Is the applicant’s traffic history satisfactory for
accreditation? (section 7)
(h) Is the applicant’s criminal history satisfactory for
accreditation? (section 8)
(i) Is the person mentally and physically an
appropriate person to be accredited?
(section 12 and 13)
(j) Is the applicant’s qualification(s)/experience
suitable for this accreditation/upgrade of authority?
(section 10)
Note: for new applications or upgrading of a class. A copy of the
Statement of Attainment/Course Certificate must be attached to
application within three months from lodgment.
(k) Do you recommend that this application be approved?
Yes
with conditions (attach a copy of the condition
Yes
letter with this application)
Attach a copy of the refusal letter with this
No
application.
Recommended by
Date
/
/
Date
Approved by
/
/
Date
Refused by
/
/
Page 4 of 4 TRB Forms Area Form F3948 CFD V01 Jul 2016

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