APPLYING FOR REGISTRATION —

EXPLANATORY NOTES
Approved 19 June 2019
Version 2
CONTENTS
About Registration 1

How to apply 1

How to complete the form 1

Personal Details 1
Area of engineering and registration type 2
Education and employment status 2
Evidence of identity 2
Fitness to practise 2-3
Declaration 4
Checklist 4
Fees and payment 4
False or misleading statements in form or documents attached to form 4
Logdement 4

Processing Period 4

Amending form during processing period 4

Notifcation requirements during processing period 5

Criminal history checks and other inquiries 5

Registration decision 5

Registration period 5

Privacy 5

Consent to electronic communications 5

ABOUT REGISTRATION
The Professional Engineers Act 2000 (Qld) (PE Act) regulates the profession of engineering in Queensland.
Anyone providing a professional engineering service in Queensland or for Queensland must be registered
as registered professional engineer of Queensland (RPEQ). Registration helps maintain standards in the
profession and uphold public confidence in the services provided by engineers.
The Board of Professional Engineers of Queensland (BPEQ) administers the PE Act and registers engineers for
practice. Any individual may apply to become a RPEQ if they are assessed as being qualified and competent.
For more information on registration see BPEQ’s General Registration Process policy.

HOW TO APPLY
You must apply for registration by way of the approved form – Application for Registration Form 2.

HOW TO COMPLETE THE FORM

You must fully complete the form and attach all required documents. If you do not, your form will be invalid and
will not be processed.
The form must be mailed or delivered in person to BPEQ with your real (wet ink) signature. Emailed forms with
electronic signatures will not be accepted.
Do not staple or glue your form or affix sticky notes to your form. Ensure all documents you provide are on A4
paper.
Supporting documents you attach with this application (e.g. letter of assessment or proof of identity) need only
be provided as copies. Do not provide original documents unless requested. Original documents or copies of
documents in languages other than English must be translated.
Please contact BPEQ at admin@bpeq.qld.gov.au or call 07 3210 3100 if you have any questions or need help
filing out the form.

PERSONAL DETAILS
You must provide various personal details in the form.
Your residential address, business/employer address, and email address will be used by BPEQ to correspond
with you, including to give you notices under the PE Act. Your residential address cannot be a PO Box.
If your registration is restored, the following of your personal details will be kept in BPEQ’s register of RPEQs:

• your first name, middle name(s), and surname; and

• your preferred name (if any); and
• your business/employer name; and
• your business/employer address; and
• your business/employer telephone; and
• your business employer facsimile; and/or
• your business/employer email.

The register is open for inspection by members of the public. Details including name, RPEQ number, date of
registration, business/employer name and business/employer suburb/city, postcode, state/territory and
country also appears in the RPEQ search function on BPEQ’s website.
Your residential address will be used if you do not have a business/employer address (e.g. you are not
practising or are not practising predominantly at one place).
Your other personal information is collected to authenticate your identity when you contact BPEQ to discuss
your personal information and assist BPEQ in performing its functions under the PE Act.

The Board of Professional Engineers Applying for Registration — Explanatory Notes 1

AREA OF ENGINEERING AND REGISTRATION TYPE
You must state each area of engineering in which you seek registration. If you do not list an area of
engineering, you will not be registered in it. For each area of engineering, state the assessment scheme
against which you have had your qualifications and competencies successfully assessed, the date of
the assessment and attach a letter of assessment from the entity that administers the scheme. You cannot be
registered in an area of engineering for which you have not been assessed as qualified and competent.
You must indicate whether you are applying for registration as a practising professional engineer or non-
practising professional engineer.

EDUCATION AND EMPLOYMENT STATUS

You must provide details of your tertiary qualifications relevant to engineering and attach a copy of each
qualification.
You must provide details of your employment status.

EVIDENCE OF IDENTITY
You must provide the required evidence of identity documents – one Category A document and one Category
B document OR two Category B documents and one Category C document.

FITNESS TO PRACTISE
You must make various declarations about issues that might affect your fitness to practise as a RPEQ. For
these declarations:

bankruptcy means:

• you are a bankrupt in respect of a bankruptcy from which you have not been discharged, whether in
Australia or in an external territory of foreign country
• you have the status of an undischarged bankrupt under the law of an external territory or a foreign
country;
• your property is subject to control by the Official Trustee or another specified registered trustee or
a solicitor, whether under a personal insolvency or otherwise, under the Bankruptcy Act 1966 (Cth)
(Bankruptcy Act) or the corresponding law of an external territory or foreign country;
• you have executed a personal insolvency agreement under Bankruptcy Act or the corresponding
law of an external territory or foreign country, and the terms of the agreement have not been fully
complied with;
• you are party to a debt agreement under the Bankruptcy Act or the corresponding law of an external
territory or a foreign country.

control action means:

• execution of a deed of company arrangement under the Corporations Act 2001 (Cth) (Corporations
Act) or the corresponding law of an external territory or a foreign country;
• a winding-up, whether or voluntarily under court order, under the Corporations Act or the
corresponding law of an external territory or foreign country;
• appointment of an administrator, liquidator, receiver, or receiver and manager under the
Corporations Act or the corresponding law of an external territory or foreign country.

conviction means:
a conviction by or before any court for an offence, whether recorded, in Australia or overseas.

The Board of Professional Engineers Applying for Registration — Explanatory Notes 2

rehabilitation period, for a conviction, means—
(a) in relation to a conviction on indictment recorded against a person who in relation to that conviction
was not deal with as a child—
i. a period of 10 years commencing on the date the conviction is recorded; or
ii. where an order of a court made in relation to the conviction has not been satisfied within that period
of 10 years—a period terminating on the date the order is satisfied;

whichever period is the later to expire; or

(b) in relation to a conviction recorded against a person where paragraph (a) above does not apply—
i. a period of five years commencing on the date the conviction is recorded; or
ii. where an order of a court made in relation to the conviction has not been satisfied within that period
of five years—a period terminating on the date the order is satisfied;

whichever period is the later to expire.

revival, for any conviction for which a rehabilitation period has expired, means the following:
(1) Subject to paragraph (2) below, where a person who has incurred a conviction—
a. in relation to which the rehabilitation period is running; or
b. in relation to which the rehabilitation period has expired;

is again convicted for an offence in Australia or overseas—

c. in the case referred to in subparagraph (a) above—the rehabilitation period in relation to that
conviction commences again to run on the date the offender is again convicted and any part of the
rehabilitation period that elapsed between that conviction and that date is disregarded; and
d. in the case referred to in subparagraph (b) above—that conviction is taken to be revived and the
rehabilitation period in relation to that conviction commences again to run on the date of the revival
of that conviction.
(1A) However, if the subsequent conviction is quashed on appeal, the provisions of subparagraphs (c)
or (d) above (whichever is appropriate) do not apply and it is if the subsequent conviction had not
been incurred.
(2) Paragraph (1) above does not apply where the offence for which a person is subsequently convicted
is a simple offence or a regulatory offence or an offence that if committed in Queensland would
be a simple offence or a regulatory offence or an offence in respect of which the offender could be
dealt with in summary proceedings unless the court by which the person is subsequently convicted
is satisfied that, having regard to the public interest, previous convictions recorded against the
person, or any of them, should be revived and pronounces accordingly in its order.
(3) Where a court pronounces in its order that one or some only of several convictions recorded
against a person are to be revived the provisions of paragraph (1) above applies in respect of that
conviction or those convictions.

spent conviction means:

a conviction in Australia or overseas for which any rehabilitation period (or equivalent overseas concept) has
expired and that is not revived.

The list of issues that might affect your fitness to practise is not exhaustive. If you have any doubt about
whether an issue might affect your ability to competently and safely practise as a RPEQ, you must contact BPEQ
at admin@bpeq.qld.gov.au or call 07 3210 3100 to discuss before lodging your notice.

The Board of Professional Engineers Applying for Registration — Explanatory Notes 3

DECLARATION
Your form and all documents attached to it must be verified by declaration. If you do not make the declaration,
your form will be invalid and will not be processed.

CHECKLIST
You should complete the checklist to ensure you have fully completed the form and attached all required
documents.

FEES AND PAYMENT

Your form must be accompanied by the registration and application fees.
Registration fees are subject to change, up to date fee information can be found on the BPEQ website.
Registration fees are GST exempt.
You must complete the Tax Invoice/Direct Debit Request Form available online/attached with the registration
application form, otherwise your registration application will be invalid.

FALSE OR MISLEADING STATEMENTS IN FORM OR DOCUMENTS ATTACHED TO FORM

Making a false or misleading statement in your form or providing a false or misleading document with your
form is also an offence against the PE Act and is a ground for disciplining a RPEQ or cancelling registration.

LODGEMENT

You can lodge the form by post to:

PO Box 15213
CITY EAST QLD 4002
AUSTRALIA

by delivery to BPEQ’s office at:

Level 15, 53 Albert Street

BRISBANE QLD 4000
AUSTRALIA

PROCESSING PERIOD
BPEQ will endeavour to process your application as soon as practicable (the processing period). If there are
issues with your qualification for registration or fitness to practise, however, the processing period will be
longer.

AMENDING FORM DURING PROCESSING PERIOD

To amend your application during the processing period, email the amendments from your email address
stated in the form to admin@bpeq.qld.gov.au.

The Board of Professional Engineers Applying for Registration — Explanatory Notes 4

NOTIFICATION REQUIREMENTS DURING PROCESSING PERIOD
During the processing period, you must amend your application immediately if any of the information in your
application changes. This includes, but is not limited to:
• any of your personal or business/employer information changes; or
• a fitness to practise issue arises that you did not declare on the form.
If you are registered and it is subsequently revealed that information in your form or documents attached to
it changed but you did not amend the form, you can be prosecuted for the false or misleading statement/
document offence detailed above and disciplined and your registration can be cancelled.

CRIMINAL HISTORY CHECKS AND OTHER INQUIRIES

BPEQ may obtain your criminal history in Australia or overseas and conduct any other inquiries it considers
necessary regarding matters relevant to your application without consulting you.

REGISTRATION DECISION
BPEQ’s General Registration Process policy sets out how BPEQ will decide whether to register you and, in
registering you, whether to impose conditions on your registration.
BPEQ will notify you in writing whether it has registered or refused to register you and, if it registers you,
whether it has imposed conditions.
If BPEQ decides to register you it will give you a certificate of registration, which is evidence of your
registration. The certificate will list any conditions that are imposed on your registration.

REGISTRATION PERIOD
Registration is for a period of no more than 12 months and expires 30 June each year.

PRIVACY
The personal information you provide in your form will be used by BPEQ to administer the PE Act, including
but not limited to assessing whether to renew your registration and, if your registration is renewed, assessing
whether to impose conditions. BPEQ is authorised to collect the information by the PE Act.
BPEQ may use third parties to administer and deliver services and communications to you including, but not
limited to, maintaining BPEQ’s register of RPEQs, newsletters, updates, and online surveys. Some of these
third parties may be located outside Australia. Personal information you provide with this application may be
transferred to an entity outside Australia and stored outside Australia to administer and deliver these services
and communications. By completing the form, you agree to this transfer.
Please visit www.bpeq.qld.gov.au for more privacy information and information about how to access or amend
documents containing your personal information.

CONSENT TO ELECTRONIC COMMUNICATIONS

By completing the form, you consent to BPEQ giving you information, including notices under the PE Act, by
email to your email address.

The Board of Professional Engineers Applying for Registration — Explanatory Notes 5

 ABN 85 257 425 108
07 3210 3100 admin@bpeq.qld.gov.au
Level 15 53 Albert Street BRISBANE 4000
PO Box 15213, CITY EAST QLD 4002

APPLICATION FOR REGISTRATION

FORM 2
Professional Engineers Act 2002 (Qld) s 8(2)(a)
Approved 19 June 2019
Version 4

IMPORTANT INFORMATION BEFORE YOU FILL OUT THIS FORM

You must read the attached Explanatory Notes on Registration. The Explanatory Notes on Registration contain
information on the registration process under the Professional Engineers Act 2002 (Qld) (PE Act) and
definitions for terms contained in this form.

You must complete every section of this form, attach all required documents, and make the declaration at
Section F. If you do not, your application will not be accepted and you will not be registered. Do not provide
original documents unless requested.

The Board of Professional Engineers of Queensland (BPEQ) can refuse your registration if any of the statements
or information in this form are materially false or misleading or any document or information provided is
materially false or misleading. If you are registered because of a materially false or misleading representation
or document your registration can be cancelled.

You must provide this form as an original hard copy complete with an original/wet ink signature (i.e. you
cannot lodge this form by email with an electronic signature). You can lodge this form, accompanied with all
necessary documents by post to PO Box 15213 CITY EAST QLD 4002, by delivery to BPEQ’s office at Level 15,
53 Albert Street, BRISBANE QLD 4000.

PRIVACY STATEMENT

The Board of Professional Engineers of Queensland (BPEQ) will use the personal information you provide in
and with this form to:

• update and maintain your name and contact details in its records and in its register of persons who are,
or have been, registered professional engineers of Queensland (RPEQ);
• assess whether to restire your registration as a RPEQ and, in restoring your registration, whether to
impose a condition or conditions on your registration;
• if BPEQ decides to restore your registration—receive payment of your annual registration fee;
• assess whether to investigate, or authorise, in writing, an investigator to conduct an investigation of,
your conduct or of your compliance with the Professional Engineers Act 2002 (Qld)
• assess whether to investigate, or authorise, in writing, an investigator to conduct an investigation of, a
possible disciplinary ground of conviction for an offence related to the practice of engineering;
• assess whether to require you to undergo a health assessment;
• provide you with important information about matters affecting your registration and services offered by
BPEQ; and
• provide you with services and communications including, but not limited to, newsletters, updates, and
online surveys via post, electronic and telecommunications means.

BPEQ is authorised to collect this information by section 18(3) and 18(6) of the PE Act. BPEQ will publish your
name and contact details in its register of persons who are, or have been, RPEQs, which is available to the
public. BPEQ may use third parties to administer and deliver services and communications to you including,
but not limited to, newsletters, updates, and online surveys. Some of these third parties may be located
outside Australia. Personal information you provide with this application may be transferred to an entity
outside Australia and stored outside Australia to administer and deliver these services and communications.
By completing this application, you agree to this transfer.

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SECTION A — PERSONAL DETAILS

Title (Mr/Mrs/Miss/Ms/Prof/Dr)*

First name*

Middle name(s)*

Surname (family name)*

Preferred name*

Previous name(s) known by

Date of birth

Country of birth

City/Town/Suburb of birth

State or Territory of birth

If in Australia

Gender^ Male Female

Is English your first language?^ Yes No

If no, what is your first language?

Do you identify as Aboriginal or Torres

Yes No
Strait Islander?^
Residential address
Must be a street address – PO Box not accepted

Postal address

Telephone
Include area code

Mobile telephone

Fax number

Email

Business/employer name*

Business/employer address*
Must be street address – PO Box not accepted

Business/employer telephone*
Include area code

Business/employer fax number*

Business/employer email*

The information marked with an Asterix (*) will be kept in BPEQ’s register of RPEQs, which is open for inspection to the public. Some of this
information will also appear in the RPEQ search on BPEQ’s website. The questions marked with a Caret (^) are optional to answer but by
providing a response you will assist BPEQ. Your answers will be treated confidentially.

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SECTION B — AREA OF ENGINEERING AND REGISTRATION TYPE

What area(s) of engineering do you seek registration in?

List each area of engineering for which you are applying for registration. For each area of engineering, state
the assessment scheme against which you have had your qualifications and competencies successfully
assessed and the date of the assessment and attach a copy of the letter of assessment from the assessment
entity that administers the scheme.

AREA OF ENGINEERING ASSESSMENT SCHEME AND DATE OF ASSESSMENT

ASSESSMENT ENTITY

The areas of engineering and BPEQ’s assessment schemes are listed on BPEQ’s website.

Are you applying for registration as a practising professional engineer or non-practising professional
engineer?

practising professional engineer non-practising professional engineer

Non-practising professional engineers must not carry out, or be responsible for the carrying out of, professional engineering services. Different
registration fees apply.

SECTION C — EDUCATION AND EMPLOYMENT STATUS

What are your tertiary qualifications?

List your engineering qualifications. For each qualification, state the full name of the qualification, the name
and country of the institution, and the year of graduation.

Attach a copy of each qualification.

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What is your employment status?

• consulting engineering practice ☐ retired

☐ partner ☐ teaching institution
☐ sole practitioner ☐ unemployed
☐ employee ☐ locum
☐ consultant ☐ other (please specify)
☐ in-house engineer
☐ local government
• State government
☐ government department
☐ government agency
• Commonwealth government
☐ government department
☐ government agency

SECTION D — EVIDENCE OF IDENTITY

You must provide evidence of your identity.

You must provide one Category A document and one Category B document OR two Category B documents and
one Category C document. Indicate below which evidence of identity documents you are submitting.

CATEGORY USED
DOCUMENT
A B C

Australian or foreign birth certificate

Record of Australian immigration status

Foreign passport

Travel documents and current Australian visa

Certificate of evidence of Australian residence status

Citizenship certificate

Australian drivers licence

Australian passport

Firearms licence

Queensland government public service identification card with

photograph and signature

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Commonwealth public service identification card with photograph
and signature

Medicare card

Change of name certificate

Credit or account card or bank passbook

Centrelink or Department of Veterans Affairs card

Security guard/crowd control licence

BSM issued marriage certificate

Tertiary identification card (less than one year old and issued by an
Australian university)

Council rates notice

Letter from employer

Telephone directory

Electoral roll entry

Attach a copy of the proof of identity forms you are using.

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SECTION E — FITNESS TO PRACTISE

OFFENCES
Do you have a conviction, other than a spent conviction, in Australia or overseas for:

• an indictable offence?
• an offence against the Professional Engineers Act 2002 (Qld) or the Professional Engineers Act
1988 (Qld)?
• an offence, relating to the practice of engineering, against a law applying, or that applied, in
Australia or overseas?

Yes No

If YES, attach a copy of your criminal history and for each conviction attach a copy of your criminal history
sentence remarks/sentencing transcript. If NO, proceed to the next question.

PROFESSIONAL REGISTRATION
Has your registration to practice as a professional engineer under a law applying, or that applied, in
Queensland, a State or Territory of Australia, the Commonwealth of Australia, or a foreign country ever been
suspended, cancelled, refused, or revoked?

Yes No

If YES, attach a copy of the notice of suspension, cancellation, refusal, or revocation from the registration body
and the reasons for the registration body’s decision for each suspension, cancellation, refusal, or revocation.
If NO, proceed to the next question.

Are you otherwise personally prohibited from practising as a professional engineer in Australia or overseas?

Yes No

If YES, attach a copy of all relevant documents and provide details. If NO, proceed to the next question.

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Is your registration to practise as a professional engineer in Australia or overseas subject to any conditions?

Yes No

If YES, attach a copy of all relevant documents stating the condition, a copy of the notice of decision you
were given by the registration authority and the reasons for the registration authority’s decision. If NO,
proceed to the next question.

Have you ever contravened any of the conditions on your registration to practise as a professional engineer in
Australia or overseas?

Yes No

If YES, attach a copy of relevant documents stating the condition and provide details about how and why you
contravened it, if you were disciplined, and how you were disciplined. If NO, proceed to the next question.

Are you the subject of disciplinary proceedings (including any preliminary investigations or actions that
might lead to disciplinary proceedings) in relation to your registration to practise as a professional engineer
in Australia or overseas?

Yes No

If YES, attach a copy of the disciplinary charges against you for each disciplinary proceeding. For each
preliminary investigation or action that might lead to disciplinary proceedings, provide details of the
allegations being investigated or action being taken that might lead to disciplinary proceedings and attach
relevant documents. If NO, proceed to the next question.

Have you ever been subject to a disciplinary decision or order in relation to your registration to practise as a
professional engineer in Australia or overseas?

Yes No

If YES, attach a copy of each decision or order and reasons for each decision or order. If NO, proceed to the
next question.

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MEMBERSHIP ASSOCIATION
Has your membership of an association of professional engineers in Australia or a foreign country been
suspended, cancelled, refused, or revoked under the association’s rules for disciplinary reasons?

Yes No

If YES, attach a copy of the notice of suspension/cancellation/refusal/revocation you were given by the
association and the reasons for the association’s decision for each suspension/cancellation/refusal/
revocation. If NO, proceed to the next question.

Are you the subject of disciplinary proceedings (including any preliminary investigations or actions that
might lead to disciplinary proceedings) in relation to your membership of a association of professional
engineers in Australia or overseas?

Yes No

If YES, attach a copy of each of the disciplinary charges against you. For each preliminary investigation or
action that might lead to disciplinary proceedings, provide details of the allegations being investigated or that
might lead to disciplinary proceedings and attach relevant documents. If NO, proceed to the next question.

Have you ever been subject to a disciplinary decision or order of an association of professional engineers in
Australia or overseas?

Yes No

If YES, attach a copy of each decision or order and reasons for decision or order. If NO, proceed to the next
question.

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BANKRUPTCY
Are you affected by bankruptcy action in Australia or overseas?

Yes No

If YES, attach a copy of the trustee’s report to creditors (or equivalent) and for each bankruptcy action and
provide a statement about the reasons for the bankruptcy action and how your conduct caused or contributed
to it. Attach any other relevant documents. If NO, proceed to the next question.

INSOLVENCY
Are you, or in the past six years have you been, an executive officer of a corporation affected by control action
in Australia or overseas?

Yes No

If YES, attach a copy of the report to creditors of the administrator/liquidator/receiver/receiver and manager
(or equivalent) for each control action and any other relevant documents and provide a statement about the
reasons for the control action and how your conduct caused or contributed to it. If NO, proceed to the next
question.

HEALTH
Have you ever been required by BPEQ to undergo a health assessment?

Yes No

If YES, attach a copy of all relevant documents and provide details. If NO, proceed to the next question.

Is there any other issue relevant to your ability to competently and safely practise as a RPEQ, including, for
example, your mental or physical health?

Yes No

If YES, attach a copy of all relevant documents and provide details. If NO, proceed to the next section.

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SECTION F — DECLARATION

I declare as follows:

1. I apply for registration as a RPEQ in the area(s) of engineering stated in this form.

2. The information on this form and the documents with this form are true and correct.

3. I have read and understand this form and the Explanatory Notes on Registration.

4. I authorise BPEQ to make inquiries of and exchange information with any entity in Australia or overseas
regarding matters relevant to this application and consent to the making of these inquiries and the
exchange of this information.

5. I authorise any entity with whom BPEQ makes inquiries regarding matters relevant to this application to
disclose information to BPEQ and consent to this disclosure.

6. I authorise BPEQ to obtain my criminal history in Australia and overseas.

7. For applicants applying for registration as a non-practising professional engineer only—I will not carry
out, or be responsible for the carrying out of, professional engineering services in or for Queensland
within the registration period to which this application relates.

8. I consent to BPEQ giving me information, including notices under the Professional Engineers Act 2002
(Qld), by email to my email address.

9. I consent to BPEQ transferring my personal information outside Australia for the purposes stated in the
Explanatory Notes on Registration.

10. I understand it is an offence to state anything on this form, or give BPEQ any document with this form, that
I know is false or misleading in a material particular, and that doing so is a ground for BPEQ to refuse to
register me or, if I am registered, to discipline me or cancel my registration.

Signature Print Full Name Date

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SECTION G — CHECKLIST

Complete the following checklist to ensure you have correctly completed this form.

Have you read the attached Explanatory Notes on Registration? Yes No

Are your personal details correct? Yes No

Have you listed all areas of engineering in which you seek registration and provided Yes No
details of the assessment entity?

Have you indicated whether you are applying for registration as a practising or non- Yes No
practising professional engineer?

Have you provided the required details about your education and employment Yes No
status?

Have you provided the required evidence of identity? Yes No

Have you answered all fitness to practise questions and provided all required Yes No
documents?

Have you made the declaration? Yes No

Have you provided payment details for your application and registration fees on the
Yes No
attached Tax Invoice/Direct Debit Request Form?

OFFICE USE ONLY Recommending:

RPEQ #: IMIS ID: Date:

TRANS #: IMIS Checked: Signed:

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 ABN 85 257 425 108

t 07 3210 3100 e admin@bpeq.qld.gov.au

Level 15 53 Albert Street BRISBANE 4000

PO Box 15213, CITY EAST QLD 4002

TAX INVOICE NEW APPLICANT

REGISTRATION INFORMATION

Amount due Registration valid to

$235.60 + $63.80 30 June 2020

RPEQ Practising and application fee Registration is valid for a period
(GST exempt)mp of no more than 12 months,
expiring end of financial year.
$117.80 + $63.80
RPEQ Non-Practising and
application fee
(GST exempt)

HOW TO PAY
Credit: Enter credit card payment details below and post to PO Box 15123 CITY EAST QLD 4002

VISA Mastercard

Cardholder name

Card # Card expiry /

Total fees A$ Signature

 Complete Direct Debit Request Form and post to PO Box 15213, CITY EAST QLD 4002 with
Tax Invoice

Credit card and account information is not stored by BPEQ and will be destroyed after payment
has been accepted.
A receipt will be issued following registration.

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Version 4 (May 19)

 ABN 85 257 425 108

t 07 3210 3100 e admin@bpeq.qld.gov.au

Level 15 53 Albert Street BRISBANE 4000

PO Box 15213, CITY EAST QLD 4002

DIRECT DEBIT REQUEST FORM

Request and authority to debit the account named below to pay the Board of Professional Engineers of
Queensland (“BPEQ”).

Request and Surname and company name (if applicable)

authority to debit

Given names and ACN/ARBN (if applicable)

request and authorise BPEQ to arrange, through its own financial

institution, to direct debit your nominated account for all registration,
renewal or restoration application fees deemed payable by you during
to
This debit or charge will be made through the Australian Payments Clearing
System Association Limited (APCA) from your account held at the financial
institution you have nominated below, subject to the terms and conditions of
the below Direct Debit Request Service Agreement. APCA services provided by
SecurePay Pty Limited (ACN 088 101 875) on behalf of the Board of Professional
Engineers of Queensland.
Insert the name Financial institution name
and address of the
financial institution
at which the account Address
is held

Insert details of Name of account

account to be debited

BSB number (must be 6 Digits) Account number

Acknowledgment By signing this and/or providing us with a valid instruction in respect to

your Direct Debit Request, you have understood and agreed to the terms
and conditions governing the debit arrangements between you and BPEQ
as set out in this Direct Debit Request Form and in your Direct Debit Request
Service Agreement.

Insert your signature Signature

and address
(If signing for a company, sign and print full name and capacity for signing e.g. director)
Address Date

Second account Signature

signatory (if required)
(If signing for a company, sign and print full name and capacity for signing e.g. director)
Address Date

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Direct Debit Request – Service Agreement
This is your Direct Debit Service Agreement with the Board of Professional Engineers of Queensland.
It explains what your obligations are when undertaking a Direct Debit arrangement with us. It also
details what our obligations are to you as your Direct Debit provider.
Please keep this Agreement for future reference. It forms part of the terms and conditions of your Direct Debit
Request and should be read in conjunction with your authorisation on your Direct Debit Request Form.

Definitions Account means the account held at the Financial Institution from which we
are authorised to arrange for funds to be debited.
Agreement means this Direct Debit Request Service Agreement between you
and us.
Banking Day means a day other than a Saturday or a Sunday or a public
holiday listed throughout Australia.
Debit Day means the day that payment by you to us is due.
Debit Payment means a particular transaction where a debit is made.
Direct Debit Request means the Direct Debit Request Form between
us and you.
Financial Institution is the financial institution where you hold the Account
that you have authorised us to arrange to debit.
us or we means the Board of Professional Engineers of Queensland,
that you have authorised by signing your Direct Debit Request.
you means the customer who signed the Direct Debit Request.

1. Debiting your Account 1.1 By signing a Direct Debit Request or by providing us with a valid
instruction, you have authorised us to arrange for funds to be debited
from your Account, either directly or through Secure Pay. You should
refer to the Direct Debit Request and this Agreement for the terms of
the arrangement between us and you.

1.2 We will only arrange for funds to be debited from your Account as
authorised in the Direct Debit Request.
or
 will only arrange for funds to be debited from your Account if we have
We
sent to the address nominated by you in the Direct Debit Request, a
billing advice which specifies the amount payable by you to us and when
it is due.

1.3 If the Debit Day falls on a day that is not a Banking Day, we may direct
the Financial Institution to debit your Account on the following Banking
Day. If you are unsure about which day your Account has or will be
debited you should ask the Financial Institution.

2. Amendments by us 2.1 We may vary any details of this Agreement or your Direct Debit Request
at any time by giving you at least fourteen days written notice.

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3. Amendments by you You may change*, stop or defer a Debit Payment, or terminate this Agreement
by providing us with at least fourteen days notification by writing to:
The Board of Professional Engineers of Queensland, Level 15, 53 Albert
Street, Brisbane QLD 4000
or
by telephoning us on 07 3210 3100 during business hours;
or
arranging it through the Financial Institution, which is required to act
promptly on your instructions.
*Note: in relation to the above reference to ‘change’, the Financial Institution
may ‘change’ your Debit Payment only to the extent of advising us of your
new account details.

4. Your obligations 4.1 It is your responsibility to ensure that there are sufficient clear funds
available in your Account to allow a Debit Payment to be made in
accordance with the Direct Debit Request.
4.2 If there are insufficient clear funds in your Account to meet a Debit
Payment:
(a) 
you may be charged a fee and/or interest by the
Financial Institution;
(b) 
you may also incur fees or charges imposed or incurred
by us; and
(c) 
you must arrange for the Debit Payment to be made by another
method or arrange for sufficient clear funds to be in your Account
by an agreed time so that we can process the Debit Payment.
4.3 You should check your Account statement to verify that the amounts
debited from your Account are correct.

5 Dispute 5.1 If you believe that there has been an error in debiting your Account,
you should notify us directly on 07 3210 3100 and confirm that notice
in writing with us as soon as possible so that we can resolve your
query more quickly. Alternatively you can take it up directly with the
Financial Institution.
5.2 If we conclude as a result of our investigations that your Account has
been incorrectly debited we will respond to your query by arranging for
the Financial Institution to adjust your Account (including interest and
charges) accordingly. We will also notify you in writing of the amount by
which your Account has been adjusted.
5.3 If we conclude as a result of our investigations that your Account has
not been incorrectly debited we will respond to your query by providing
you with reasons and any evidence for this finding in writing.

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6. Account You should check:
(a) 
with the Financial Institution whether direct debiting is available
from your Account as direct debiting is not available on all
accounts offered by financial institutions;
(b) 
your Account details which you have provided to us are correct by
checking them against a recent Account statement; and
(c) 
with the Financial Institution before completing the Direct Debit
Request if you have any queries about how to complete the Direct
Debit Request.

7. Confidentiality 7.1 We will keep any information (including your Account details) in
your Direct Debit Request confidential. We will make reasonable
efforts to keep any such information that we have about you secure
and to ensure that any of our employees or agents who have access
to information about you do not make any unauthorised use,
modification, reproduction or disclosure of that information.
7.2 We will only disclose information that we have about you:
(a) to the extent specifically required by law; or
(b)  the purposes of this Agreement (including disclosing
for
information in connection with any query or claim).

8. Notice 8.1 If you wish to notify us in writing about anything relating to this
Agreement, you should write to The Board of Professional Engineers of
Queensland, Level 15, 53 Albert Street, Brisbane QLD 4000.
8.2 We will notify you by sending a notice in the ordinary post to the
address you have given us in the Direct Debit Request.
8.3 Any notice will be deemed to have been received on the third
Banking Day after posting.

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