Request For Validation of License-Registration-Diploma - CES
Request For Validation of License-Registration-Diploma - CES
Request For Validation of License-Registration-Diploma - CES
My CGFNS ID number
NMW0001837503
License/Registration/Diploma number
84 WOONDOOMA ST
Address
BUNDABERG WEST
Queensland
4670
City
State/Province
Post/Zip Code
Australia
Country
to practice as a
number
on
/
Month
/
Month
/
Day
/
Month
Year
National/Provincial/State examination
Registration
Diploma
Active/Current
Expired
Inactive
Year
/
Day
Year
/
Day
Year
(NOTE: Please attach a copy of the original language diploma/certificate with literal English translation)
/
Day
Other
Restricted*
*Please attach an explanation if the applicant's registration/license/diploma has ever been revoked, suspended, limited, or placed on probation.
5. Graduation date
/
Month
/
Day
Year
Yes
No
Approval date
By whom?
Is this educational program accredited or government approved?
7. Program type:
Diploma
Baccalaureate degree
Yes
No By whom?
Associate Degree
Other (specify)
SEAL
OR
STAMP
Date
Do not print, sign entire name. Licensing or school authority seal or stamp must cover signature.
Print name
Licensing or school authority title
/
Month
/
Day
Year
Email address
Web address
CGFNS International
3600 Market Street, Suite 400,Philadelphia,
PA 19104-2651 USA
My CGFNS ID number
0487205
License/Registration/Diploma number
84 WOONDOOMA ST
Address
BUNDABERG WEST
Queensland
4670
City
State/Province
Post/Zip Code
Australia
Country
to practice as a
number
on
/
Month
/
Month
/
Day
/
Month
Year
National/Provincial/State examination
Registration
Diploma
Active/Current
Expired
Inactive
Year
/
Day
Year
/
Day
Year
(NOTE: Please attach a copy of the original language diploma/certificate with literal English translation)
/
Day
Other
Restricted*
*Please attach an explanation if the applicant's registration/license/diploma has ever been revoked, suspended, limited, or placed on probation.
5. Graduation date
/
Month
/
Day
Year
Yes
No
Approval date
By whom?
Is this educational program accredited or government approved?
7. Program type:
Diploma
Baccalaureate degree
Yes
No By whom?
Associate Degree
Other (specify)
SEAL
OR
STAMP
Date
Do not print, sign entire name. Licensing or school authority seal or stamp must cover signature.
Print name
Licensing or school authority title
/
Month
/
Day
Year
Email address
Web address
CGFNS International
3600 Market Street, Suite 400,Philadelphia,
PA 19104-2651 USA