Accl 30 2026

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The document ACCL-30 is a request form for international medical graduates with limited or provisional registration in Australia, seeking to apply for a variation in their registration circumstances. It outlines the process for submitting minor changes, the necessary supporting documentation, and privacy considerations. The form includes sections for personal details, changes in practice location or supervision, and declarations from both the applicant and their employer sponsor.

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Click ‘Get Form’ to open the accl 30 document in the editor.
Begin with Section A: Personal Details. Fill in your name, date of birth, and registration number. Ensure all fields marked with an asterisk (*) are completed as this information will appear on the public register.
Proceed to Section B if you wish to appoint a third party to act on your behalf. Indicate 'YES' or 'NO' and provide the necessary details if applicable.
In Section C, address any changes in your practice location. Answer the questions regarding additional sites and provide addresses as needed.
Continue through Sections D and E for changes in supervision and role respectively, ensuring you attach any required documentation as specified.
Finally, complete Sections F and G by providing the proposed commencement date for changes and signing the applicant’s declaration.

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Versions	Form popularity	Fillable & printable
2021	4.4 Satisfied (37 Votes)
2017	4.4 Satisfied (42 Votes)
2016	4.5 Satisfied (54 Votes)

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