\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u533b\u7642\u7ba1\u7406\u4f1a<\/a>\uff08Australia Health Practitioner regulation agency\uff09\u306e\u30db\u30fc\u30e0\u307a\u30fc\u30b8\u304b\u3089\u30aa\u30f3\u30e9\u30a4\u30f3\u7533\u8acb\u304c\u3067\u304d\u308b\u3002<\/p>\n![\"\"](\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2019\/12\/00.jpg\")
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\u5168\u6587\u3092\u304a\u898b\u305b\u3059\u308b\u3068\u3001<\/p>\n
Consent to nationally coordinated criminal history check
\nI authorise AHPRA and the National Board to carry out a nationally coordinated criminal history check for the purpose of assessing this application.<\/p>\n
I acknowledge that:<\/p>\n
a complete criminal history, including resolved and unresolved charges, spent convictions, and findings of guilt for which no conviction was recorded, will be released to AHPRA and the National Board,
\nmy personal information will be extracted from this form and provided to the Australian Criminal Intelligence Commission (ACIC) and Australian police agencies for the purpose of conducting a nationally coordinated criminal history check, including all names under which I am or have been known
\nmy personal information may be used by police for general law enforcement purposes, including those purposes set out in the Australian Crime Commission Act 2002 (Cth),
\nmy identity information provided with this application will be enrolled with AHPRA to allow for any subsequent criminal history checks during my period of registration
\nif and when this application for registration is granted, AHPRA may check my criminal history at any time during my period of registration as required by the National Board for the purpose of assessing my suitability to hold health practitioner registration; or in response to a Notice of Certain Events; or an application for Removal of Reprimand from the National Register,
\nI may dispute the result of the nationally coordinated criminal history check by contacting AHPRA in the first instance
\nConsent
\nIf I provide the National Board details of an English language test I have completed, I authorise the National Board to use the information I provide to verify those results with the test provider.<\/p>\n
I understand the test provider may be overseas.<\/p>\n
I consent to the National Board and AHPRA making enquiries of, and exchanging information with, the authorities of any Australian state or territory, or other country, regarding my practice as a health practitioner or otherwise regarding matters relevant to this application.<\/p>\n
I acknowledge that:<\/p>\n
the National Board may validate documents provided in support of this application as evidence of my identity, and
\nfailure to complete all relevant sections of this application and to enclose all supporting documentation may result in this application not being accepted.
\nnotices required under the National Law and other correspondence relating to my application and registration (if granted) will be sent electronically to me via my nominated email address
\nAHPRA uses overseas cloud service providers to hold, process and maintain personal information where this is reasonably necessary to enable AHPRA to perform its functions under the National Law. These providers include Salesforce, whose operations are located in Japan and the United States of America.
\nI undertake to comply with all relevant legislation and National Board registration standards, codes and guidelines.<\/p>\n
I understand that personal information that I provide may be given to a third party for regulatory purposes, as authorised or required by the National Law.<\/p>\n
I confirm that I have:<\/p>\n
met the English language skills pathway requirements indicated on this form, and
\nread the privacy and confidentiality statement for this form.
\nI declare that:<\/p>\n
the above statements, and the documents provided in support of this application, are true and correct, and
\nI am the person named in this application and in the documents provided.
\nI make this declaration in the knowledge that a false statement is grounds for the National Board to refuse registration.<\/p>\n
\u3068\u66f8\u3044\u3066\u3044\u308b\u3002<\/p>\n
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