Template for a declaration completed outside Australia

(This is not an official form. It should only be used as a template for an official declaration or affirmation from your country). 

	I _________________________________________________________________________
	(Applicant’s full name)

	of _________________________________________________________________________
	(Applicant’s residential address)

make the following declaration: 
•	I am seeking registration, or authorisation to teach, as a teacher in the Australian Capital Territory (ACT) in accordance with the ACT Teacher Quality Institute Act 2010; and
•	I have submitted my application to the ACT Teacher Quality Institute and I affirm that the information provided in that application is true and correct.