Western Australian Consolidated Regulations The fees to be paid by
persons under and in accordance with these rules shall be the fees set forth
respectively in the Third Appendix.
[First Appendix deleted in Gazette 30 Dec 1983 p. 5134.]
Form No. 1
Painters’ Registration Act 1961
REGISTER OF PAINTERS
Name .................................................................
Registered Number ....................
Address .............................................................. Date of
Registration ..................
Qualification(s) Sec. 12 (......)............................ Minute Book
Folio ....................
Remarks
.................................................................................................................
................................................................................................................................
Painters’ Registration Board — Register of Painters
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Form No. 2
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Western Australia PAINTERS’ REGISTRATION ACT 1961 and Rules APPLICATION FOR REGISTRATION AS A PAINTER (Individual) |
OFFICE USE: Rect. No. .......... Paid .................. Date .................. Approved: Date .................. Number ............ |
To the PAINTERS’ REGISTRATION BOARD,
18 Harvest Terrace,
West Perth,
Western Australia 6005
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(a) Full name of applicant in Block Letters. (b) Address. (c) Occupation. |
1. I (a)
.....................................................................................
............................................................................................
of (b)
.................................................... Post Code ............ in the State of Western Australia (c)
.................................. hereby apply to be registered as a painter
under the provisions of the Painters’ Registration Act 1961 . |
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(d) Place of birth. (e) Date of birth. |
2. My qualifications for such registration are as
follows: —
(A) I am over the age of 21 years, having been born at
(d) .......................................................................
in the State of
................................................................ on the
(e) ............................. day of .........................
19............. and |
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(B) I am a person of good character as evidenced by the
2 testimonials annexed to this application and |
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(C) I have completed the prescribed course of training and have passed
the prescribed examination as laid down by the Board, and |
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* (i) I have completed
the prescribed course of training and passed the examination as laid down by
the Industrial Arbitration Act 1912 2 for apprentices to the painting
trade. or * (ii) I have had
5 years practical experience other than as an apprentice. |
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3. The prescribed application fee accompanies this
application. |
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(f) Date of Application. |
Dated the (f) .......................... day of .............................
20....... |
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(g) Signature. |
(g)........................................................Applicant |
DECLARATION
I, the abovenamed applicant, do solemnly and sincerely declare that the
particulars contained in my above application and accompanying statements are
true and correct.
And I make this declaration under the provisions of section 106 of the
Evidence Act 1906 .
DECLARED at Perth in the State of Western Australia
this........................................................
day of....................................................
.........................................................
Applicant
20..................
Before
me.........................................................................................
J.P. or Commissioner for Declarations
[Form 2 inserted in Gazette 30 Jan 1976
p. 238-9; amended in Gazette 2 Dec 1983 p. 4800;
24 Dec 1991 p. 6396; 15 Jun 2007 p. 2780.]
Form No. 3
Western Australia
Painters’ Registration Act 1961
Painters’ Registration Board
CERTIFICATE OF REGISTRATION
No. ...........
This is to certify that
..............................................................................................
has this day been registered as a painter under the provisions of the
Painters’ Registration Act 1961 .
................................................
Chairman.
................................................
Registrar.
Date....................................................
Form No. 4
Western Australia
Painters’ Registration Act 1961
APPLICATION FOR LEAVE TO SIT FOR EXAMINATION AS A QUALIFICATION FOR
REGISTRATION AS A PAINTER
To the Painters’ Registration Board,
18 Harvest Terrace,
West Perth,
Western Australia 6005
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(a) Full name of applicant. (b) Address. (c) Occupation. (d) Date of commencement of examination. |
1. I (a)
..................................................................................
of (b)
..........................................................................................
in the State of Western Australia, (c)
........................................ being desirous of qualifying for
registration as a painter under the Painters’ Registration Act 1961
, hereby apply for leave to sit as a candidate at the next prescribed
examination to be held by the Board, commencing on the (d) ....................................... day of ..................................... 20............. |
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(e) Age. (f) Place of birth. (g) Date of birth. |
2. I am (e) ........................... years of
age, having been born at (f) ........................................ in the State of
........................... on the (g) ...................... day of ...........................
19............. |
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(i) Name of employer or instructor. (k) Occupation. (l) Period during which training undertaken. |
3. I have undertaken the course of training
prescribed by the Board at (h) ............................................... in the said
State under the supervision or instruction of (i) ................................. of (j) ......................................................................
in the State of Western Australia, (k)
.........................................................., between the (l) ..................... day of ........................
20............, and the ...................... day of ...................................
20............. The prescribed examination fee accompanies this
application. Dated the ......................... day of
............................. 20....... |
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(m) Signature of applicant. |
(m).......................................................... |
[Form 4 amended in Gazette 30 Jan 1976
p. 239; 24 Dec 1991 p. 6396; 15 Jun 2007 p. 2780.]
Form No. 5
Western Australia
Painters’ Registration Act 1961
CERTIFICATE OF EXAMINATION
Painters’ Registration Board
This is to certify that
..............................................................................................
of
............................................................................................................................
in the State of Western Australia, ........................................,
has duly undertaken
the course of training prescribed by the Board for persons
desirous of being registered as painters under the Painters’
Registration Act 1961 , and that the said
.........................................................................................................................
has successfully passed the examination held by the Board on the
.......................
day of .....................................
20........., as a qualification for such registration.
Dated the
......................................... day of
........................................ 20........
........................................................
Chairman.
........................................................
Registrar.
Form No. 6
Western Australia
Painters’ Registration Act 1961
APPLICATION BY A PARTNERSHIP FOR REGISTRATION AS A PAINTER
To the Painters’ Registration Board,
18 Harvest Terrace,
West Perth,
Western Australia 6005
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1. .......................................
(Trading Name), a partnership trading or about to trade as a painter, hereby
applies to be registered under the provisions of the
Painters’ Registration Act 1961 . | |
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2. The partnership is or is not registered under
the provisions of the Business Names Act 1962 . |
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3. The membership of the partnership
comprises: — |
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4. The partnership agreement authorises it to
engage in the business of trading as a painter. |
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Name of registered partner. |
5.
................................................. (Full name, block letters)
..................................................................................
(Address), a registered painter,
number............................, — |
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Strike out inapplicable. |
(i)
is a partner; (ii)
is a person employed by the partnership, who will manage and supervise painting undertaken by the partnership. |
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6. The prescribed application fee accompanies this
application. Dated the ..................... day of
......................... 20............. .................................................. |
DECLARATION
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Full name of declarant. |
I,
...........................................................................................
of
.........................................................................................,
the person making the above application for and on behalf of the partnership
do solemnly and sincerely declare that the particulars contained therein are
true and correct. | |
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Declared at ................................ in .................................................. Before me — ........................................................ | |
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OFFICE USE: Approved............................... Number.................................. |
[Form 6 amended in Gazette 30 Jul 1963
p. 2209; 30 Jan 1976 p. 239; 2 Dec 1983
p. 4800; 24 Dec 1991 p. 6396; 15 Jun 2007 p. 2780.]
Form No. 7
Western Australia
Painters’ Registration Act 1961
APPLICATION BY AN INCORPORATED COMPANY OR BODY CORPORATE FOR REGISTRATION AS A
PAINTER
To the Painters’ Registration Board,
18 Harvest Terrace,
West Perth,
Western Australia 6005
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Name of Company. |
1.
.........................................................................
Limited, a company registered under the Corporations Act 2001 of the
Commonwealth, and having its registered office situate at
.................................................. hereby applies to be
registered under the provisions of the Painters’ Registration
Act 1961 . | |
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2. The company is not prohibited by its
constitution from engaging in the business of trading as a painter. | |
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Name of registered painter. |
3.
................................................. (Full name, block letters)
..................................................................................
(Address), a registered painter, number
....................................................., under the provisions of
the said Act — | |
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Strike out inapplicable. |
(i)
is a director; (ii)
is a member of the board of management; or (iii)
is a person employed by the company, who will manage and supervise painting undertaken by the company. | |
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4. The prescribed application fee accompanies this
application. | |
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Common seal. |
5. The Common Seal of the Company was hereunto
affixed by authority of the directors the
........................................ day of
.............................................................. 20.............
............................................. | |
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OFFICE USE: Approved...............................
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[Form 7 amended in Gazette 30 Jan 1976
p. 239; 2 Dec 1983 p. 4800; 24 Dec 1991
p. 6396; 4 Jan 2002 p. 4; 15 Jun 2007 p. 2780.]
[Form 8 deleted in Gazette 30 Dec 2004 p. 7019.]
[Heading
inserted in Gazette 23 Jun 2009 p. 2452.]
The following fees are prescribed for the purposes of these rules —
[Third Appendix inserted in Gazette
23 Jun 2009 p. 2452.]