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LICENCE APPLICATION FORM – INDIVIDUAL

00152 LA Indiv BHDBD v17_6/21 Page 1 of 7 LICENCE APPLICATION form INDIVIDUAL FOR ALL BUILDER, HYDRAULIC DESIGN AND BUILDING DESIGN LICENCE CLASSESPLEASE NOTEYou are not able to apply for a LICENCE if you are not a citizen, permanent resident or do not have a current Australian work visa. PRIVACY NOTICEThe QBCC is collecting information on this form to determine whether you are entitled to a LICENCE . This is authorised by the Queensland Building and Construction Commission Act 1991 (QBCC Act). Your personal information may be shared with other interstate or New Zealand licensing bodies. Some of this information will be included in the licensee register. You may receive information from us for educational purposes in accordance with the QBCC Act.

Please ensure the correct fee accompanies this application form - refer to attached fee schedule. Do you require a licence certificate? If a certificate is required, you will be required to pay the additional fee - refer to attached fee schedule. Yes No PAYMENT OPTIONS I will pay at a QBCC office when returning this form in person Credit card

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