Please fill in the information below and remember your PIRB Registration number. Once completed you need to click submit and a confirmation email will be sent to you.

Registration No

Your Name

Your Email

Your Tell

Activity

Attachment

Your Comments

I declare that the information contained in this CPD Activity Register form is complete, accurate and true to the best of my knowledge. I further declare that I understand that I must keep verifiable evidence of all the CPD activities for at least 2 years and PIRB may conduct a random audit of my activity(s) which would require me to submit the evidence to the PIRB.