aipd

MEMBERSHIP APPLICATION/RENEWAL

Australian Institute of Private Detectives

ACN 054 902 000    ABN 28 054 902 000

PO Box 276               FRENCHS FOREST    NSW    2086            AUSTRALIA

Ph: (61 2) 9975 6430     Fax: (61 2) 9975 2147

PLEASE SELECT ONE OF THE BOXES BELOW:

New Members I hereby apply for membership of the Australian Institute of Private Detectives Limited as a 

Existing Members 

Member #:
I wish to renew my current membership.
I wish to change/update my current membership details.

APPLICANT’S/MEMBER'S PERSONAL DETAILS:

Surname: DOB (dd/mm/yyyy):    //
First Name: Initial/s: 
Residential Address:
Suburb:       State:      P/Code:
Country:
Contact #ís: Ph: ( )     Fax: ()     Mob:
        
Business Name:
Business Address:
Suburb:       State:      P/Code:
Contact #ís: Ph: ( )   Fax: ()     Mob:
        
Postal Address:
Suburb:       State:      P/Code:
       
DX Address: DX #:               DX Suburb: 
       
Email Address:
Website Address:

APPLICANT’S/MEMBER'S LICENCE DETAILS:

1.

Licence type:

2.  

Licence type:
Licence #: Licence #:
Renewal date: // Renewal date: //
Issued at: Issued at:
Years held: years months Years held: years months

CLASSIFICATIONS:

A

Arson

FL

Family Law

PI

Public Investigator

CB

Criminal Briefs

Fr

Fraud

PL

Public Liability

CC

Criminal Consultant

HIF

Health Insurance Fraud

PS

Process Serving

CL

Criminal Law

I

Investigations

Rep

Repossessions

CrB

Credit Bureau

IC

Income Protection

RM

Risk Management

CTP

Compulsory Third Party

In

Insurance

S

Surveillance

D

Defamation

IP

Intellectual Property

Sear

Searches

DA

Debtor Assessment

LA

Loss Assessing

Sec

Security

DB

Debug

LD

Locate Debtors

SMV

Stolen Motor Vehicle

DDT

Dust Disease Tribunal

LMP

Locate Missing Persons

TI

Tax Investigations

DI

Domestic Investigations

LS

Legal Searcher

U

Undercover

DR

Debt Recovery

M

Medical

WC

Workers Compensation

DT Dog Training Mp Malpractice    

F

Factual

MVA

Motor Vehicle Accident Scene Investigation

 

 

I hereby solemnly and sincerely declare that all of the above details are true and correct in every particular and that I shall abide by the Memorandum and Articles of Association of the Code of Ethics of the Institute.

Signed: __________________________________ Dated (dd/mm/yyyy):  //

 MEMBERSHIP FEES

A fee of A$300.00 applies to BOTH New Membership Applications and Annual Membership Renewals.  Acceptance of applications/renewals is subject to clearance of payments received in full.  

Cheques/money orders should be made payable to AIPD and forwarded with Membership Application/Renewal forms to the above address.

Credit Card payments may be posted, faxed or phoned to the address/numbers shown above.

Please indicate payment method    

Credit Card Payments: Card Holder Details

Card Type:  
Card #:  Expiry Date:  /
Cardholder's Full Name:
Address:
Suburb:       State:      P/Code:
Amount Payable: A$300.00
Cardholders Signature: __________________________________ Dated:  //