Application for initial RTO registration
The Queensland Curriculum and Assessment Authority is a delegate of the Training and Employment
Recognition Council.
About this form
You should complete this form if you are a Queensland school applying to be registered as a
national VET regulator (NVR) registered training organisation (RTO) with the Queensland
Curriculum and Assessment Authority as delegate for the Australian Skills Quality Authority for
the first time.
There are five sections to this application form:
 Section 1: Applicant details
 Section 2: Ownership, management structure and control of the organisation
 Section 3: Applicant history
 Section 4: Proposed RTO details, scope and operating context
 Section 5: Statutory declaration by chief executive officer
You must refer to the Application guide: Application for initial RTO registration when preparing
your application.
Some of the questions in Section 2 require a free-text response. The text entry section will
expand to accommodate your response as you enter it.
Unless otherwise indicated, you must provide a response to each question and to each
part of each question.
 This symbol has been used to indicate that additional information must be attached to the
application.
Submitting the form
What to submit
Incomplete applications or applications completed incorrectly will be returned to you for
completion.
A Checklist for submitting an application for initial RTO registration has been provided at the back
of this form to help you ensure your application is complete.
150307
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your initial
RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011
and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in
accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the
NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal
government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and
for ASQA’s marketing activities.
Where to submit:
Scan this form and any other requested evidence (as detailed in the checklist) then submit by
email to vet@qcaa.qld.edu.au.
Help with this form
For assistance in completing this form, please refer to the Application guide: Application for initial
RTO registration. For further assistance please contact the VET Branch on (07) 3864 0381 or
vet@qcaa.qld.edu.au.
School to complete
Office use only
Date received
School name
/
/
Day / Month / Year
QCAA number
Section 1: Applicant details
Refer to Part C, Section 1 of the Application guide — Application for initial RTO
registration when completing this section.
1.1 Australian Business Number
ABN
1.2 Name of legal entity applying for registration
1.3 Australian Company Number (if relevant)
ACN
1.4 Type of legal entity
Natural person (sole trader)
Pty Ltd company
Ltd company
Incorporated association
Partnership
Trust
Cooperative association
Government entity
Other (specify below)
1.5 Registered business (trading) name/s
Registered business name / School name
QCAA school number

For each business/trading name listed, attach a copy or extract of the Certificate of the
Registration of a Business Name issued by the relevant state/territory body, which provides
current and correct business name details.
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 2 of 17
1.6 Address of head office of entity applying for registration
Head office (must be in Australia)
Street address
(mandatory)
Postal address
(if different from above)
Phone
Website
1.7 Principal place of business of entity applying for registration
(if different from head office)
Principal place of RTO business
Street address
Postal address
(if different from above)
Phone
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 3 of 17
Section 2: Ownership, management structure and
control of the organisation
Refer to Part C, Section 2 of the Application guide — Application for initial RTO
registration when completing this section.
2.1 Details of all NATURAL PERSONS who own or are influential in
the operation of the legal entity applying for registration
Please note that all company directors and shareholders must be listed and these details must
align to records held by the Australian Securities and Investments Commission (ASIC).

A Fit and Proper Person Requirements declaration must be completed by each executive
officer and high managerial agent and attached.
Owner/influential person 1
Title
Surname
Given name/s
Phone
Mobile
Email
Residential address
This person is best described as (select one):
Owner and executive officer
Owner and high managerial agent
Non-owner and executive officer
Non-owner and high managerial agent
Owner/influential person 2
Title
Surname
Given name/s
Phone
Mobile
Email
Residential address
This person is best described as (select one):
Owner and executive officer
Owner and high managerial agent
Non-owner and executive officer
Non-owner and high managerial agent
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 4 of 17
Owner 3/influential person 3
Title
Surname
Given name/s
Phone
Mobile
Email
Residential address
This person is best described as (select one):
Owner and executive officer
Owner and high managerial agent
Non-owner and executive officer
Non-owner and high managerial agent
Owner/influential person 4
Title
Surname
Given name/s
Phone
Mobile
Email
Residential address
This person is best described as (select one):
Owner and executive officer
Owner and high managerial agent
Non-owner and executive officer
Non-owner and high managerial agent
Tick this box if details of additional entities are attached.
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 5 of 17
2.2 Details of OTHER ENTITIES (not natural persons) that own the
legal entity applying to renew registration (if relevant)
Please note that all shareholders must be listed and these details must align to records held by
ASIC or other state or territory business registers as displayed on the Australian Business
Register (ABR).

A Fit and Proper Person Requirements declaration must be completed on behalf of each
non-natural person that owns the legal entity applying to renew registration and attached.
Entity 1
Name
Entity type
Pty Ltd company
Cooperative association
Incorporated association
Ltd company
Trust
Other (specify):
Pty Ltd company
Cooperative association
Incorporated association
Ltd company
Trust
Other (specify):
% share
Entity 2
Name
Entity type
% share
Tick this box if details of additional entities are attached.
2.3 Other existing business registrations
Is the entity seeking registration also a registered entity or approved provider/supplier to deliver
training or education services under Commonwealth or state/territory legislation?
For example, the entity is:
 registered as a higher education provider under the Tertiary Education Quality Standards
Agency Act 2012 (Cth)
 registered as a registered provider under the Education Services for Overseas Students Act
2000 (Cth)
 approved to provided HELP assistance under the Higher Education Support Act 2003 (Cth)
 registered as a school under relevant state or territory legislation
No
Yes
If yes — describe the nature of those registrations in the space below.
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 6 of 17
Section 3: Applicant history
Refer to Part C, Section 3 of the Application guide — Application for initial RTO
registration when completing this section.
3.1 Does any natural person or other entity named in Section 2 have
a current association with any other RTO registeredorganisation, or organisation that has applied for registration
with ASQA or a state or territory registering body?
No
Yes
If yes — provide details in the table below.
Current association
Which person or entity?
Legal name of RTO
Trading name/s
RTO ID number
Registering body
Description of association
3.2 Does any natural person named in Section 2 have a past
association with any current or former RTO registered with
ASQA or a state or territory registering body?
No
Yes
If yes — provide details in the table below.
Past association
Which person or entity?
Legal name of RTO
Trading name/s
RTO ID number
Period of association
Registering body
From
to
Description of association
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 7 of 17
Section 4: Proposed RTO details, scope and
operating context
Refer to Part C, Section 4 of the Application guide — Application for initial RTO
registration when completing this section.
4.1 Type of training organisation (select one only)
School type
Non-state school:
Government school
Catholic school
Independent school
Australian technical college
4.2 Chief executive officer (Principal)
Chief executive (legally responsible person for registration — must be a person
nominated in Section 2.1)
Title
Surname
Given name/s
Position
Phone
Fax
Mobile
Email
4.3 Contact for general enquiries (Deputy responsible for senior
school)
Deputy principal (general enquiries contact)
Title
Surname
Given name/s
Position
Phone
Fax
Mobile
Email
4.4 Registration contact person (RTO manager)
RTO manager (registration contact)
Title
Surname
Given name/s
Position
Phone
Fax
Mobile
Email
The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as
part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012
(pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under
information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and
federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s
marketing activities.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 8 of 17
4.5 Proposed regular delivery site/s (within Australia where different
to head office)
Queensland
Delivery site 1
Street address
Delivery site 2
Street address
Delivery site 3
Street address
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 9 of 17
4.6 Proposed scope of registration
Cut and paste from training.gov.au the national codes and titles of training package qualifications,
accredited courses and the units of competency linked to these qualifications/courses the
organisation wishes to deliver as a full qualification/course outcome.
If the proposed scope of registration includes an accredited course, you must attach a copy
of the course copyright owner’s permission to use the course (this may be in the form of a licence
agreement).
Qualification/Accredited Course 1
National code of
qualification or accredited
course to be offered
Title of qualification or course to be added
Example: ICA20111
Certificate II in Information, Digital Media and Technology
Please ensure that the units of competency selected include all prerequisites and co-requisites,
and meet the qualification packaging rules.
Unit code
Unit title
Additional rows can be added to the tables if required, using the Tab key.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 10 of 17
Qualification/Accredited Course 2
National code of
qualification or accredited
course to be offered
Title of qualification or course to be added
Example: ICA20111
Certificate II in Information, Digital Media and Technology
Please ensure that the units of competency selected include all prerequisites and co-requisites,
and meet the qualification packaging rules.
Unit code
Unit title
Additional rows can be added to the tables if required, using the Tab key.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 11 of 17
Qualification/Accredited Course 3
National code of
qualification or accredited
course to be offered
Title of qualification or course to be added
Example: ICA20111
Certificate II in Information, Digital Media and Technology
Please ensure that the units of competency selected include all prerequisites and co-requisites,
and meet the qualification packaging rules.
Unit code
Unit title
Additional rows can be added to the tables if required, using the Tab key.
If you wish to add more than three qualifications or accredited courses, contact the VET Branch.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 12 of 17
4.7 Proposed operating context
Proposed operating context
No
Yes
Does your organisation intend to engage other parties to conduct training, assessment
or qualification issuance services on its behalf?
Does your organisation intend to engage other parties to conduct marketing, learner
recruitment, student enrolment or other administrative services on its behalf?
Does your organisation intend to apply for government training contracts?
Does your organisation intend to apply for approval to enrol students under VET FeeHELP arrangements?
What modes of delivery does the organisation intend to use?
(Select all relevant modes):
Face-to-face at RTO premises
Face-to-face at workplace
Online
Distance
Does your organisation intend to deliver training and/or assessment services to
overseas students studying in Australia?
Does your organisation intend to require students to prepay more than $1500 prior to
commencing training or at any time thereafter?
Does your organisation intend to deliver training and/or assessment services to school
students?
Does your organisation intend to deliver training and/or assessment services to
apprentices or trainees employed under a training contract?
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 13 of 17
Section 5: Declaration by chief executive officer
This statutory declaration must be completed by the chief executive of the legal entity applying for
initial RTO registration. If the legal entity applying is a person, that person must complete the
declaration.
This declaration may not be completed on screen.
Please print it and complete it by hand.
Commonwealth of Australia
STATUTORY DECLARATION
Statutory Declarations Act 1959
1
Insert the
name, address
and occupation
of person
making the
declaration
I, 1 ____________________________________________________________
_______________________________________________________________
_______________________________________________________________
make the following declaration under the Statutory Declarations Act 1959
1. I declare that I have read and understand the VET Quality Framework, as
amended from time to time, comprising:
a. the Standards for NVR Registered Training Organisations
b. the Australian Qualifications Framework
c. the Fit and Proper Person Requirements
d. the Financial Viability Risk Assessment Requirements
e. the Data Provision Requirements.
2. I declare that I understand that:
a. I will be required to submit to a Financial Viability Risk Assessment to
determine if my organisation meets the financial viability requirements
of the Australian Skills Quality Authority, and that I will need to provide
statements and evidence requested by ASQA’s contracted supplier of
this service in order for the assessment to be conducted.
b. the results of the Financial Viability Risk Assessment will be taken into
consideration in the assessment of my application.
3. I declare that if registration is granted I will:
a. accept responsibility for ensuring my organisation’s compliance with the
VET Quality Framework and the conditions of registration as defined
within Part 2, Division 1, Subdivision B — Conditions of registration of
the National Vocational Education and Training Regulator Act 2011 (the
Act); as amended from time to time.
b. ensure my organisation cooperates with ASQA, as the national VET
regulator:
i. in the conduct of audits and the monitoring of its operations
ii. by providing information about significant changes to its operations
iii. by providing information about significant changes to its ownership
iv. in the retention, archiving, retrieval and transfer of records
consistent with ASQA’s requirements
v. by providing a statement demonstrating its financial viability and/or
financial statements and/or business plan on the request of ASQA.
4. I declare that I understand that ASQA, as the national VET regulator:
a. may impose conditions on the registration of a registered training
organisation (RTO)
b. may share information about this application with other state and
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 14 of 17
territory registering bodies and with other relevant authorities, bodies,
persons and agencies in accordance with the ACT
c. may audit my organisation to assess compliance with the VET Quality
Framework
d. may refuse this application if my organisation fails to provide true and
correct information of a material nature in this application or fails to fulfil
the undertakings made in this declaration.
I understand that a person who intentionally makes a false statement in a
statutory declaration is guilty of an offence under section 11 of the Statutory
Declaration Act 1959, and I believe that the statements in this declaration are
true in every particular.
2
Signature of
person making
the declaration
3 Place
4 Day
5 Month and
2
Declared at 3
on 4
of 5
year
6 Signature of
person before
whom the
declaration is
made
7 Full name,
qualification and
address of the
person before
whom the
declaration is
made (in printed
letters)
Before me,
6
7
Note 1: A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for
which is imprisonment for a term of 4 years — see section of the Statutory Declaration Act 1959.
Note 2: Chapter 2 of the Criminal Code applies to all offences against the Statutory Declaration Act 1959 — see section A of
the Statutory Declarations Act 1959.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 15 of 17
A statutory declaration under the Statutory Declarations Act 1959 may be made before:
1.
a person who is currently licensed or registered under a law to practice in one of the following occupations:
 Chiropractor
 Dentist
 Legal practitioner
 Medical practitioner
 Nurse
 Optometrist
 Patent attorney
 Pharmacist
 Physiotherapist
2.
 Psychologist
 Trade marks attorney
 Veterinary surgeon
a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of
Australia, as a legal practitioner (however described) or
3.
a person who is in the following list:























Agent of the Australian Postal Corporation who is
in charge of an office supplying postal services to
the public
Australian Consular Officer or Australian
Diplomatic Officer (within the meaning of the
Consular Fees Act 1955)
Bailiff
Bank officer with 5 or more continuous years of
service
Building society officer with 5 or more years of
continuous service
Chief executive officer of a Commonwealth court
Clerk of a court
Commissioner for Affidavits
Credit union officer with 5 or more years of
continuous service
Employee of the Australian Trade Commission
who is:
(a) in a country or place outside Australia; and
(b) authorised under paragraph 3 (d) of the
Consular Fees Act 1955; and
(c) exercising his or her function in that place
Employee of the Commonwealth who is:
(a) in a country or place outside Australia; and
(b) authorised under paragraph 3 (c) of the
Consular Fees Act 1955; and
(c) exercising his or her function in that place
Fellow of the National Tax Accountants’
Association
Finance company officer with 5 or more years of
continuous service
Holder of a statutory office not specified in
another item in this list
Judge of a court
Justice of the Peace
Commissioner for Declarations
Magistrate
Marriage celebrant registered under Subdivision
C of Division 1 of Part IV of the Marriage Act
1961
Master of a court
Member of Chartered Secretaries Australia
Member of Engineers Australia, other than at the
grade of student
Member of the Association of Taxation and
Management Accountants















Member of the Australasian Institute of Mining
and Metallurgy
Member of the Australian Defence Force who is:
(a) an officer; or
(b) a non-commissioned officer within the
meaning of the Defence Force Discipline Act
1982 with 5 or more years of continuous
service; or
(c) a warrant officer within the meaning of that
Act
Member of the Institute of Chartered Accountants
in Australia, the Australian Society of Certified
Practising Accountants or the National Institute of
Accountants
Member of:
(a) the Parliament of the Commonwealth; or
(b) the Parliament of a State; or
(c) a Territory legislature; or
(d) a local government authority of a State or
Territory
Minister of religion registered under Subdivision A
of Division 1 of Part IV of the Marriage Act 1961
Notary public
Permanent employee of the Australian Postal
Corporation with 5 or more years of continuous
service who is employed in an office supplying
postal services to the public
Permanent employee of:
(a) the Commonwealth or a Commonwealth
authority; or
(b) a State or Territory or a State or Territory
authority; or
(c) a local government authority; with 5 or more
years of continuous service who is not
specified in another item in this list
Person before whom a statutory declaration may
be made under the law of the State or Territory in
which the declaration is made
Police officer
Registrar, or Deputy Registrar, of a court
Senior Executive Service employee of:
(a) the Commonwealth or a Commonwealth
authority; or
(b) a State or Territory or a State or Territory
authority
Sheriff
Sheriff’s officer
Teacher employed on a full-time basis at a school
or tertiary education institution.
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 16 of 17
Checklist for submitting an Application for initial
RTO registration
To avoid any delay in the processing of your application, please ensure that your application is
complete and check that all of the required documents have been attached. Applications not
accompanied by the required attachments will be returned to your organisation for completion.
Section 1: Applicant details
Yes
1.1 – 1.7
Full and accurate responses have been provided to all questions
1.4
Evidence of the type of legal entity, as described in the application guide, has been
attached
1.5
A copy or extract of a Certificate of the Registration of a Business Name, as issued by
the relevant authority for each business/trading name, has been attached
Section 2: Ownership, management structure and control of the organisation
2.1 – 2.3
Full and accurate responses have been provided to all questions
2.1
A Fit and Proper Person Requirements declaration has been completed by each
person listed in 2.1 and attached
2.2
A certificate of incorporation and historical company extract has been attached for
each shareholder that is a Pty Ltd or Ltd company
Section 3: Applicant history
3.1 – 3.2
Full and accurate responses have been provided to all questions
Section 4: RTO details, scope and operating context
4.1 – 4.7
Full and accurate responses to all questions have been provided
4.6
Tables
Full and correct codes and titles have been used
Only currently endorsed training package products and/or currently accredited courses
have been included
Permission from course owners to use listed accredited course/s has been attached
Supporting documentation from industry regulatory/licensing bodies has been
attached (if relevant)
Section 5: Statutory declaration by chief executive officer (Principal)
The statutory declaration has been completed by the chief executive officer and
witnessed by an authorised person
Application for initial RTO registration
Queensland Curriculum & Assessment Authority
February 2015
Page 17 of 17