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Security question
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Security Question
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Next steps

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You are required to complete these additional forms to finalize your request.

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\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please note that your saved form will expire on {{data.expiryDate}}.

\n
\n
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Send yourself a reminder email

\n

Enter your email address and we'll send you you instructions on how to return to your form.

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Check your email

\n\n

We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

\n\n

If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

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OR

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Next steps

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You are required to complete these additional forms to finalize your request.

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\n
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Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please quote your reference code when enquiring about your submission.

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For your records

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OR

\n\n

Send yourself an email with a PDF copy of your form

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Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

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If you didn't receive it or would like another copy, just select the option below.

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OR

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{{data.agencyName}}
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GPO Box 158
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Phone: {{data.agencyPhone}}
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The details entered are invalid, please re-check them. Or call the ACT Veterinary Practitioners Board on (02) 6207 0012.

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has event registration for up to 20 days

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The details entered are invalid, please re-check them. Or call the ACT Veterinary Practitioners Board on (02) 6207 0012.

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A verification code has been sent to the email address entered. Open this email and enter in the verification code. If you do not receive this email click the Resend confirmation code button.

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Next steps

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You are required to complete these additional forms to finalize your request.

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Your reference code is:

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OR

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OR

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Next steps

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Security Question
\n\n

Please review your security question and answer. This question must be correctly answered to re-open the form.

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In the last five years,

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is registered as a

", "label": "is registered as a", "mandatoryMsg": "" }, "textDisplay_16": { "htmlLabel": "Non-practising Veterinary Practitioner", "label": "Non-practising Veterinary Practitioner", "mandatoryMsg": "" }, "textDisplay_17": { "htmlLabel": "Veterinary Specialist", "label": "Veterinary Specialist", "mandatoryMsg": "" }, "textDisplay_18": { "htmlLabel": "

VETERINARY PRACTITIONERS BOARD
\nAUSTRALIAN CAPITAL TERRITORY

\n\n

 

\n\n

CERTIFICATE OF REGISTRATION

\n\n

{{data.certificateYear}}

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Phil Gritti
\nActing Registrar

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Business address

\n", "label": "Business address", "mandatoryMsg": "" }, "textDisplay_20": { "htmlLabel": "

Dr Bruce Smith
\nPresident

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", "label": "", "mandatoryMsg": "" }, "textDisplay_24": { "htmlLabel": "

 

\n\n\n", "label": "", "mandatoryMsg": "" }, "textDisplay_25": { "htmlLabel": "I hereby request that the ACT Veterinary Practitioners Board (the Board) place the following conditions on my registration:", "label": "I hereby request that the ACT Veterinary Practitioners Board (the Board) place the following conditions on my registration:", "mandatoryMsg": "" }, "textDisplay_26": { "htmlLabel": "Your information may be shared with the Department of Agriculture, Water & the Environment on the occasion the AUSTVETPLAN is activated.", "label": "Your information may be shared with the Department of Agriculture, Water the Environment on the occasion the AUSTVETPLAN is activated.", "mandatoryMsg": "" }, "textDisplay_27": { "htmlLabel": "For conditions on registration, please contact the ACT Veterinary Practitioners Board", "label": "For conditions on registration, please contact the ACT Veterinary Practitioners Board", "mandatoryMsg": "" }, "textDisplay_28": { "htmlLabel": "
Reference code
\n\n

{{data.isCollab?\"\":\"When you saved your form you should have been provided a reference code.\"}}

\n", "label": "Reference code", "mandatoryMsg": "" }, "textDisplay_29": { "htmlLabel": "
Security question
\n\n

Your answer to this question must match the information you previously provided.

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For your records

", "label": "For your records", "mandatoryMsg": "" }, "textDisplay_32": { "htmlLabel": "

Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

\n\n

If you didn't receive it or would like another copy, just select the option below.

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Send yourself a reminder email

\n

Enter your email address and we'll send you you instructions on how to return to your form.

", "label": "Send yourself a reminder email\nEnter your email address and we'll send you you instructions on how to return to your form.", "mandatoryMsg": "" }, "textDisplay_34": { "htmlLabel": "

Check your email

\n\n

We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

\n\n

If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

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in the Australian Capital Territory
pursuant to the Veterinary Practice Act 2018.

 

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Issued under the common seal of the Board at Canberra.

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