Occupational Therapists Amendment Rules 1991 (WA)

15 November 1991] GOVERNMENT GAZETTE, WA 5813

HE303

OCCUPATIONAL THERAPISTS REGISTRATION ACT 1980 OCCUPATIONAL THERAPISTS AMENDMENT RULES 1991

Made by the Occupational Therapists Registration Board of Western Australia with the approval of His Excellency the Governor in Executive Council.

Citation

1. These rules may be cited as the Occupational Therapists Amendment

Rules 1991.

Principal Rules

2. In these rules, the Occupational Therapists Rules 1981* are referred to

as the principal rules.

[* Published in the Gazette on 11 December 1981 at pp. 5056-60.

For amendments to 13 September 1991, see 1990 Index to

Legislation of Western Australia, p. 324.]

Rule 15 amended

3. Rule 15 of the principal rules is amended in the Table by deleting the
entries numbered 2 and 3 and substituting the following entry —

2. Application to restore name to register (sections 17 (2), 21 (1) and 22 (3)).

Schedule 2 amended

4. Schedule 2 to the principal rules is amended by deleting Forms 2 and 3

and substituting the following form —

CC

OCCUPATIONAL THERAPISTS REGISTRATION ACT 1980

OCCUPATIONAL THERAPISTS RULES 1981

Form 2

APPLICATION TO RESTORE NAME TO REGISTER

TO: THE OCCUPATIONAL THERAPISTS REGISTRATION BOARD

CEASED PRACTISING 0

OF WESTERN AUSTRALIA

OF

QUALIFICATIONS

APPLY, UNDER SECTION 17 (2)/21 (1)/22 (3)* OF THE ACT, TO

HAVE MY NAME RESTORED TO THE REGISTER.

[*delete whichever is inapplicable]

REASON FOR PREVIOUS REMOVAL OF NAME FROM THE

REGISTER:

VOLUNTARY WITHDRAWAL 0

LEFT W.A. 0

5814 GOVERNMENT GAZETTE, WA [15 November 1991

NON-PAYMENT OF FEES 0

STRUCK OFF 0

OTHER (PLEASE SPECIFY)

NOTE FOR APPLICANTS FOR RE-REGISTRATION UNDER
SECTION 17 (2) OR 22 (3)

Under section 17 (3), you are entitled to be re-registered on paying the fee for this application. Under section 22 (3), you are entitle(' to be re- registered on paying all back fees and the fee for this application. The information sought below is to assist in the determination of whether your re-registration should be subject to conditions.

NOTE FOR APPLICANTS FOR RE-REGISTRATION UNDER
SECTION 21 (1)

The information sought on page 2 is mainly to assist in the determination of whether re-registration should be granted, while the information sought on page 1 below is to assist in the determination of whether conditions should be attached to re-registration, if granted.

Details of work history relative to the practice of occupational therapy during the last 5 years:

APPOINTMENT DATE APPOINTED DATE TERMINATED

Details of continuing education relative to the practice of occupational therapy during the last 5 years:

YEAR

NAMES OF TWO PROFESSIONAL REFEREES:

NAME ADDRESS

1.

15 November 19911 GOVERNMENT GAZETTE, WA 5815

STRICTLY CONFIDENTIAL:  RESPONSES TO THE FOLLOWING QUESTIONS WILL BE KEPT

1.Are you, or have you ever been, addicted to

any harmful drugs? Yes 0 No 0

2.Have you ever been convicted of any

offence? Yes 0 No 0

If yes to either question, please give details.

do solemnly and sincerely declare that the above statements are true and correct in every particular, that I am the person named in the qualifications and details of appointments relative to the practice of occupational therapy, and I make this solemn declaration by virtue of section 106 of the Evidence Act 1906.

Declared at this day of

19..., before me —

Justice of the Peace (or as applicable) Signature of applicant and declarant

By resolution of the Occupational Therapists Registration Board of Western Australia made on	1991.
The Common Seal of the Board) was affixed in the presence ) of

L. A. DONALDSON, Member.
L. SHERLOCK, Member.

K. BRADBURY, Registrar.

Approved by His Excellency the Governor in Executive Council. L. M. AULD, Clerk of the Council.