Allied Health Assistants' National Association Ltd

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Please declare all Suitability Issues here (or N/A for none). Failure to declare all relevant issues may be found to breach the AHANA Code of Conduct.

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Most accurate description of your current Allied Health Assistant (AHA) status:

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If you have or are studying an Australian Certificate III or above in Allied Health Assistance, provide the year you finished or will finish.

Please supply confirmation of enrolment showing you are studying or enrolled in an Australian Certificate III or above in Allied Health Assistance.

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If you are currently studying, please select the qualification type or level you are studying for.

If studying an 'International' or 'Other' qualification, please provide further details.

Please select the qualification you are studying for or are enrolled in.

Indicate the year in which you believe you will finish studying for your qualification

Upload evidence of name change, if any supporting documents you provided are for a previous name to the one you are applying under.

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Student Declaration. By submitting this application, I declare (all must be ticked):

That the contents of and attachments to this application are accurate and not misleading

That I agree to the terms of the privacy statement provided in the Important Information on the previous page

That I believe my application and the evidence I have provided supports eligibility for AHANA membership

That I will inform AHANA within 14 days if I become aware of an issue affecting my eligibility for membership

That I have declared all membership Suitability Issues

That I am not practising as an AHA and that if I commence practise will apply for a Practising Membership within 30 days of commencing practise

That I will comply with the AHANA Code of Conduct

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Membership Fee:	complete home address to see fee

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NOTE: A surcharge of 1.864% is added to all Credit Card transactions.

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