Application for a Certificate of Registration Assistant Agent
Property and Stock Agents Act 2002
Checklist for new application form
Identification Documents
Documents cannot be used twice (e.g. if and Australian Passport is presented under List 1, it
cannot be presented
again under List 2).
The required forms of identification are:
1 Photo ID from List 1 OR 1 Commencement of Identity document from list 2 AND 1 document from List 3. Please ensure
all copies are clear and legible.
List One (1) - Photo ID
Provide a copy of one (1) of the following documents:
Australian State / Territory issued Drivers Licence
Australian Passport
Immicard
Australian Issued Citizenship Certificate
List two (2) - Commencement of identity
Provide a copy of one (1) of the following documents
Australian Issued Birth Certificate
Australian Passport
Australian Issued Citizenship Certificate
Travel Visa (supported by foreign passport)
List three (3) - Community documents
Provide a copy of one (1) of the following documents
Medicare
Any document listed in list 2 - Commencement of Identity, if not used elsewhere OR
List One (1) - Photo
ID document categories, if not used elsewhere.
List four (4) - only if required e.g. Change of Name
An Australian Marriage Certificate
Birth Certificate
Change of Name Certificate
Decree Nisi/Decree Absolute Divorce Papers
Deed Poll Papers (change of name)
Commonwealth Victims Certificate
1
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
Qualifications
Provide one (1) copy of the following Documents:
Qualifications from a Registered Training Organisation (RTO)
This document must be a transcript of your academic record that confirms you have completed the required
competencies. This document must also display the nationally recognised accreditation triangular logo.
Fees
For current licence fees click here or visit the website at https://www.fairtrading.nsw.gov.au/help-centre/fees2/Property-
and-stock-agent-fees. Fees are GST exempt and include a non-refundable processing component.
Processing Time
Please allow up to 30 business days for this information to be processed in accordance with Fair Trading customer service
standards.
Lodgement
This form and supporting documentation can be lodged via email to: propertylicensing@customerservice.nsw.gov.au
Enquiries: call NSW Fair Trading on 13 32 20
2
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
Application for a Certificate of Registration Assistant Agent
Property and Stock Agents Act 2002
Please complete all sections of this form, including the disclosure and declaration.
For the purposes of this application the Property and Stock Agents Act 2002 will be referred to as the Act.
SECTION 1.
Certificate Type
What certificate are you applying for?
Assistant Real Estate Agent
Assistant Strata Managing Agent
Assistant Stock and Station Agent
Adding to existing certificate
Applying for additional certificate only
What are you adding to your existing certificate? Certificate number:
SECTION 2.
Applicant Details
Given Name/s: Surname:
Other names you have been known
by (if any) including maiden name: Preferred Name:
Date of Birth:
Drivers Licence Number: Drivers Licence State/Territory of Issue
Residential Address Postcode
3
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
Email Address:
This is the primary channel for all correspondence
Postal Address:
If no email address is provided, all correspondence will be sent here Postcode
Preferred Telephone contact number: Unique Student Identifier (USI):
Note: You must advise NSW Fair Trading of any changes to your email, mobile number or address details.
SECTION 3.
Previous Certificate or Licence held
Do you or have you previously held a certificate or licence under the Property, Stock and Business Agents Act 1941 or
under the Property, Stock and Business Agents Act 2002?
Yes - Please provide certificate or licence number below No
Previous certificate or licence number:
SECTION 4.
Employment details
Are you currently employed by or have an offer of employment in the real estate industry from a licensee under
the Property and Stock Agents Act 2002?
Yes - Please complete address below No
Street address in NSW where you are/intend to be employed: Postcode
4
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
SECTION 5.
Disclosure
If you answer yes to any of the following questions, please provide full details in Attachment Section 5.
Yes No
Have you been convicted in NSW or elsewhere of ANY offence that was recorded in the last 10 years?
Yes No
Have you had a conviction recorded in the last 5 years for an offence of licence or certificate lending
under this Act?
Yes No
Are you disqualified from holding a licence, certificate of registration, permit or other authority under
legislation administered by the Minister responsible for Fair Trading or under a corresponding law?
Yes No
Do you owe an amount to the Crown for the recovery of payments from the Compensation Fund?
Yes No
Do you owe a monetary penalty payable in relation to disciplinary proceedings or have you failed to
comply with a direction given by the Commissioner under the Property, Stock and Business Agents Act 2002?
SECTION 6.
Attachments
The following items must be attached to this application for progression:
A clearly legible copy of your qualifications (not applicable if you are applying under mutual recognition
legislation)
Proof of Identification as set out in the checklist
SECTION 7.
Declaration
I apply for the grant of a licence under the Property and Stock Agents Act 2002 and certify that the particulars
specified in this application and all attachments are, to the best of my knowledge, true and correct in every detail.
Statement under the Privacy and Personal Information Protection Act 1998.
The applicant for this licence:
1. authorises NSW Fair Trading to make any inquiries and to receive and disclose any information which
is relevant to the applicant's initial and ongoing eligibility to hold this licence;
2. acknowledges that information will be placed on a register open to the public in accordance with the
Property and Stock Agents Act 2002;
3. accepts that failure to supply information required on this application form may delay the processing of
the application and;
4. has a right to seek access to and correction of information supplied.
5
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
It is an offence under the Crimes Act 1900 to make a false or misleading statement in this document. The
maximum penalty is imprisonment for two years or a fine of $22,000 or both.
Full Name:
Signature: Date:
It is an offence under the Property and Stock Agents Act 2002 for you to be, represent as, act as or exercise any of the
functions of an assistant agent if you do no hold the relevant certificate of registration under the Act.
6
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
click to sign
signature
click to edit
Attachments Section 5.
7
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
Attachments Section 5. Continued
8
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y
Fees
For current licence fees click here
or visit the website at https://www.fairtrading.nsw.gov.au/
help-centre/fees2/Property-and-stock-agent-fees.
Payment
A fee must be paid on lodgement of the application form.
Pay by credit card or PayPal using the following link:
www.fairtrading.nsw.gov.au/applicationpayments
Step 1 – Click on the link or type the URL into your web browser
Step 2 – Follow the instructions online to complete the payment
Step 3 – When the lodgement fee is paid online you will receive a receipt number.
Please record the receipt number below before lodging the application, not providing this
information may result in delays in processing your application.
Receipt number:
Note: If you are having difficulty lodging the application please contact NSW Fair Trading on 13 32 20.
9
July 2020
Application for Certificate of Registration: 1 Year - PL200005-1Y, 3 Year - PL200005-3Y, 5 Year - PL200005-5Y