Application For Occupational Diving Certificate Of Competency - Worksafe New Zealand Page 3
Download a blank fillable Application For Occupational Diving Certificate Of Competency - Worksafe New Zealand in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Occupational Diving Certificate Of Competency - Worksafe New Zealand with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Provide names and addresses of at least two persons who, if requested, could verify the above details are a true record.
Name:
Name:
Address:
Address:
Email:
Email:
Telephone number (daytime):
Telephone number (daytime):
2. Statutory Declaration
I,
(APPlICANT’S Full NAME)
(OCCuPATION)
of
(ADDRESS)
do solemnly declare that the information supplied on this form and in the attachments is true and correct. I make this solemn
declaration conscientiously, believing the same to be true, and by the Oaths and Declarations Act 1957.
Signature
(APPlICANT)
Declared at
this
of
20
(PlACE)
(DAY)
(MONTH)
Before me
(NAME OF PERSON AuTHORISED TO TAKE STATuTORY DEClARATIONS)
(OFFICIAl DESIGNATION)
Further information on Certificates of Competency processes is available by accessing the Occupational Diving Guidelines 2004
Your application will not be proccessed if any of the stated items are not supplied (on front page).
Applications for Certificate of Competency Occupational Diving:
Applications for Diving and Hyperbaric Medical Services:
Certifications, Approvals and Registrations
Diving and Hyperbaric Medical Services
WorkSafe New Zealand
(Applications by email or via the web site)
PO Box 165
Wellington 6140
Email:
Website:
Email:
occdiving@worksafe.govt.nz
Phone: 0800 030 040
Website:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal