Fillable Application for a Licence Agent Checklist for new (Innovation and Science Australia)

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Application for a Licence Agent Checklist for new (Innovation and Science Australia)

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Checklist for new application v1.0 12032020
Application for a Licence – 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 documents 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 Commencement of Identity Document, if not used elsewhere OR
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
If you do not have the required documents from lists 1 and 2, please call NSW Fair Trading on 13 32 20.
Checklist for new application v1.0 12032020
Business Name
If you own the business that will be carried on at the specified business address and that
business will be carried on
under a business name;
☐Provide one (1) copy of a document issued by the Australian Securities and Investment Commission
(ASIC) that
confirms you are the proprietor of the business name.
Partnership Details
If you intend to carry on business in a partnership under the Property and Stock Agents Act 2002;
☐Provide the Notification of Partnership Particulars form
Qualifications
☐Provide one (1) clear and legible copy of your 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
1
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
Application for a Licence – Agent
Property and Stock Agents Act 2002
The Agent Licence consists of the following categories:
Real Estate Agent
Strata Managing Agent
Stock and Station Agent
Please complete all sections of this form, including the disclosure and declaration.
To apply for accreditation as an Auctioneer, please submit an Application for Accreditation as an Auctioneer
For the purposes of this application the Property and Stock Agents Act 2002 will be referred to as the Act.
SECTION 1.
Licence Type
What Licence are you applying for?
Class 1 Agent Class 2 Agent
☐ Real Estate Agent ☐ Real Estate Agent
☐ Strata Managing Agent ☐ Strata Managing Agent
☐ Stock and Station Agent ☐ Stock and Station Agent
☐ Adding to existing licence ☐ Adding to existing licence
Applying for addition licence only
What are you adding to your existing licence? Licence number:
Are you applying for a licence for a term of 1, 3, or 5 years?
☐ 1 year ☐ 3 years ☐ 5 years
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:
2
Drivers Licence Number: Drivers Licence State/Territory of Issue
Residential Address Postcode
Email Address:
This is the primary channel for all correspondence
Postal Address:
If an email address is not 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
Have you previously held a licence or Certificate of Registration under the Property, Stock and Business Agents Act
1941 or under the Property and Stock Agents Act 2002?
☐ Yes - Please provide licence or Certificate number below ☐ No
Previous licence number:
SECTION 4.
Employment details
A licensee must have a registered office in New South Wales. The address specified below will be taken to be the
registered office of the licensee. If the applicant intends to carry on business at more than one place of business, the
address nominated below will be taken to be the principal place of business and the registered office of the licensee for
the purposes of the Act.
Street address in NSW where you intend to be employed or propose to carry on business: Postcode:
Business Phone Number Business Mobile Number:
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
3
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 now, or have you been in the preceding 3 years, an undischarged bankrupt?
Yes No
☐ ☐ Have you in the preceding 3 years applied to take the benefit of any law for the relief of bankrupt or
insolvent debtors, compounded with your creditors or made an assignment of your remuneration for their
benefit?
Yes No
☐ ☐ In the last 3 years, did you cease to be concerned in the management of, or a director of, ANY
corporation that became an externally administered body corporate within 12 months of the date you ceased?
Yes No
☐ ☐ Are you now, or were you at any time in the preceding 3 years a director or person concerned in the
management of ANY externally administered body corporate (within the meaning of the Corporations Act
2001)?
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 hold a licence, certificate of registration, permit or other authority that is suspended 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:
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
4
• 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
• A clearly legible copy of your Logbook to demonstrate experience requirements
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.
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 agent if you do no hold the relevant licence under the Act
Accreditation as an Auctioneer
If a licensee intends to conduct auctions under both a stock and station agent class (auctioning both stock and rural
land) and a real estate agent class of licence, evidence of having completed all required competencies must be
provided. For more information click here or visit the Australian Business and Licence Information Service website at
https://ablis.business.gov.au/service/nsw/accreditation-as-an-auctioneer-real-estate-stock-and-station/16608
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
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5
Attachments Section 5.
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
6
Attachments Section 5. Continued
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
7
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.
Application for a Licence - Individual: 1 Year - PL20003-1Y, 3 Year - PL20003-3Y, 5 Year - PL20003-5Y
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.
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Application for a Licence Agent Checklist for new (Innovation and Science Australia)

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