The Australian Institute of Quantity Surveyors (ABN 97 008 485 809)

Continuing Professional Development Compliance Record

Triennium: 1 July 2015 – 30 June 2018

Instructions: 1. Enter details of each activity you undertake 2. Enter category and credit hours on each line 3. Sub-total each credit category and total the hours 4. Sign and return completed record to Head Office. 5. You may return the record as soon as you have achieved 40 CPD points in a triennium. 6. A Certificate will ONLY be issued to Fellow, Associate and Affiliate complying self-certifiers. 7. You may also use your own form but remember to sign it and use the same references as those on this form

ACTIVITIES UNDERTAKEN, PLACE AND DATE CATEGORY

(a-e) CREDIT HOURS

Examples 1/7/15 CPD Seminar NSW Chapter – Tax Depreciation a 2

9/9/15 Construction Safety Supervision Course e 5

DATE

I certify that I have complied with the Institute CPD requirements as evidenced above.

Summary/Categories; CPD Rule 2 a) Attend professional association lectures,

courses, symposia, conferences (max 40)

b) Author published works (max 15)

c) Deliver lectures (max 15)

d) Obtain Tertiary qualifications (max 40)

e) Other lectures/courses (max 25)

f) CPD Study Papers and Essay Scheme Overseas and Remote members (max 40) Other members (max 10)

g) On the job experience (max 25) MUST ATTACH CERTIFICATION LETTER SIGNED

BY EMPLOYER

TOTAL HOURS (Min 40)

ID No. ……………………………

FULL NAME (please print) …………………………………………………………………..

Signature ..........................................................................................................

Please photocopy this form as and when required

Office Use only: Approval for issue of Compliance Recognition Certificate Signature …………………………………………………….. Date……………………………………………………………..

Certificate No. …………..

Please send completed form to the Australian Institute or Quantity Surveyors: Suite 303, Level 3, 70 Pitt Street, Sydney NSW 2000 Australia

or email to contact@aiqs.com.au