Membership Supplementary 2026

This form is to be completed by candidates who have previously sat Membership Examinations and were informed are eligible to sit a supplementary exam.

Membership Supplementary Examination applications, along with payment, must be lodged before 31 October 2025.

Note: An AU$50.00 Late Fee applies if lodged between 1 to 30 November 2025.

Please Note: To complete this form you will be required to submit a payment through PayPal of AU$869.50 (AU$840.00 Supplementary Exam fee + AU$29.50 PayPal card surcharge).

Your Details

Name(Required)

First Last

Gender

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Testamur Name

Exact name to be printed on your testamur (Note: No titles or postnominals accepted)(Required)

Examination

Supplementary Subject(Required)

Permission and Declarations

Permission to provide name and email

In the course of preparing and sitting examinations, members or candidates who wish to offer assistance and support may request your contact details. (Note: This is not a mailing list)

Opt Out (please do not provide my details)

Examination guidelines, policies and procedures(Required)

I understand that it is my responsibility to read and abide by the Examination guidelines, processes and policies located on the College website

Link to ANZCVS Membership Examination Resources

Signed(Required)

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Date(Required)