Register - Australian Kinesiology Association Inc.

MEMBERSHIP LEVEL*

Associate - $65.95 (AUD)Instructor/Trainer - $231.00 (AUD)

International - $210.00 (AUD)Level 4 KIP annual fee - $231.00 (AUD)

Level 5 KPP annual fee - $231.00 (AUD)Level 6 KSP annual fee - $231.00 (AUD)

Student - $65.95 (AUD)

PERSONAL DETAILS

First Name*

Surname*

E-mail Address*

Phone

ADDRESS

Address Line 1 *

Address Line 2

Suburb *

State *

Country *

Postcode *

Were you referred to the AKA by an AKA Member?

YesNo

Name of AKA member who referred you to join the AKA.

EDUCATION

Education Pathway

Name of RTO

Evidence of Student Enrolment (Students Only)

Upload

Study Expected Completion Date (Students Only)

Certificate(s) of Proficiency (Practitioners Only)

Upload

COMPLIANCE DOCUMENTS

Do you currently have Public Indemnity & Liability Insurance?

YesNo

Insurance Policy Start Date

Insurance Policy End Date

Insurance Certificate of Currency Upload

Upload

First Aid Expiry

First Aid Certificate Upload

Upload

*Abiding to Constitution

I have read and agree to abide by the current Constitution of AKA Inc

*Code of Conduct

I have read and agree to abide by the AKA Code of Conduct and Code of Ethics

*Convictions

I have NOT been convicted of a criminal offence

*Complaints

I have NOT had a complaint made against me which has involved a complaints/ disciplinary committee

*Legal Actions

I am NOT subject to disciplinary or legal action relating to my practice.

*Membership

I have NOT been refused membership and/or been expelled/suspended by another association.

*Declaration

I declare that the information in this application is true and correct.

*Non-refundable PRB fee

I acknowledge that PRB applications fee is non-refundable.

*Non-refundable membership fee

I acknowledge that Membership fee is non-refundable.

Practitioner Registration Board Application Fee KSP

Level 6 $92.35 (AUD)

Practitioner Registration Board Application Fee INTERNATIONAL

International Qualification $100.00 (AUD)

Practitioner Registration Board Application Fee INTERNATIONAL

International Qualification $100.00 (AUD)

Practitioner Registration Board Application Fee KPP

Level 5 $65.95 (AUD)

Practitioner Registration Board Application Fee INTERNATIONAL

International Qualification $100.00 (AUD)

Practitioner Registration Board Application Fee KIP

Level 4 $39.55 (AUD)