Add  Auditor Record  
	Username:  
		Password:  
		Confirm password:  
		Title:  
	
		Select  Mr Mrs Miss Ms Dr Hon 
	 First name:  
	Last name:  
	Position:  
	Organisation:  
	Address:  
	Suburb:  
	State:  
	
		Select  New South Wales Victoria Queensland South Australia Western Australia Northern Territory Tasmania Australian Capital Territory Not in Australia 
	 Postcode:  
	Country:  
	
		Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democractic Republic of the   Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Korea, North  Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau S.A.R. Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis And Futuna Islands Yemen Yugoslavia Zambia Zimbabwe 
	 Phone:  
	Fax: (Opt )
	 
	Email: (Opt )
	 
	Level of certification:  
		Level 1Definition of the levels  Areas
		of Expertise:  Other (please specify):  
		If you think a new area of expertise should be added, please enter
		it here and we will consider your request  Relevant Experience: 
		
		 
		Example: John Smith has 10 years experience in road design 
		(specializing in intersection design). Prior to consulting work, he worked in the area
		 of crash site investigation for 3 years. Do you have five years of relevant industry experience?: 
			Attendance at an Approved Road Safety Audit 
				Training Program  Date:  
		1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  19  20  21  22  23  24  25  26  27  28  29  30  31 
						January  February  March  April  May  June  July  August  September  October  November  December 
						1990  1991  1992  1993  1994  1995  1996  1997  1998  1999  2000  2001  2002  2003  2004  2005  2006  2007  2008 
						Course run by:  
		
			Select  
		IPWEA (NSW Division) Course 
		VicRoads / LGPro course 
		Austroads National Road Safety Engineering Course 
		QLD Uni of Technology/Department of Main Roads Course 
		IPWEA (WA Division) / WA Main Roads Course 
		Transportation System Centre, Uni of SA Course 
		Stuart Fraser of Transit NZ Course 
		Other (fill in box below) 
		 Location:  
		Attendance at an Approved Road Safety Audit 
				Refresher Course  Date: (Opt )
		 
		1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  19  20  21  22  23  24  25  26  27  28  29  30  31 
						January  February  March  April  May  June  July  August  September  October  November  December 
						1990  1991  1992  1993  1994  1995  1996  1997  1998  1999  2000  2001  2002  2003  2004  2005  2006  2007  2008 
						Course run by: (Opt )
		 
		
			
		Select  
		IPWEA (NSW Division) Course 
		VicRoads / LGPro course 
		Austroads National Road Safety Engineering Course 
		QLD Uni of Technology/Department of Main Roads Course 
		IPWEA (WA Division) / WA Main Roads Course 
		Transportation System Centre, Uni of SA Course 
		Stuart Fraser of Transit NZ Course 
		Other (fill in box below) 
		 Location: (Opt )
		 
		Regions I am
			Available to Work In: