New South Wales Repealed Regulations

This legislation has been repealed.

OPTICAL DISPENSERS REGULATION 2002 - SCHEDULE 1

SCHEDULE 1 – Forms

(Clause 3)

Form 1 - Application for restoration to register

(Clause 12)

Application for restoration to register

( Optical Dispensers Act 1963 , section 23)

I,, apply for my name to be restored to the Register of Optical Dispensers of New South Wales on the following grounds:

I also apply for a waiver of the fee paid in relation to this application on the following grounds:

Signed:
Address:

Date: