Application for the Register of Consultants

Application for registration as a Land Management consultant under Section 40-670 of the new business tax system (Capital Allowances) Act 2001

NAME:

COMPANY NAME (if applicable):

ADDRESS:

CONTACT: telephone:
Email:

QUALIFICATIONS:

RELEVANT EXPERIENCE (in sustainable land management plan preparation):

MEMBERSHIP DETAILS OF PROFESSIONAL ASSOCIATIONS:

OTHER RELEVANT DETAILS (stated briefly):

NAMES AND CONTACT DETAILS OF TWO (2) PROFESSIONAL
REFEREES:

A copy of your CV can be attached to this application
_______________________________________________________________________
RECOMMENDATION (office use only) Date: / /

RECOMMENDED:

NOT RECOMMENDED (include statement of reasons)