<p>ValEx Valuer Application Checklist Please complete the following in full</p><p>VALUER INFORMATION First Name: Last Name: </p><p>Email Address: ABN: </p><p>Val Firm Company Name: </p><p>Phone: Fax: Mobile: </p><p>Val Firm Address: </p><p>Status: Consultant Salaried/Employed Commencement Date at Val Firm: </p><p>VALUER QUALIFICATIONS API Status AAPI FAPI LFAPI PMAPI </p><p>Certified Practising Valuer (AAPI and FAPI only) Residential Property Valuer (PMAPI only)</p><p>API No: QRV No: NSWRV No: WA Licence No: QRV Expiry: NSWRV Expiry: WA Licence Expiry:</p><p>Current Certificates (please provide documentary evidence/copies ) API Membership and confirm if currently paid up to date – yes no </p><p>Confirmation in writing of RPV/CPV accreditation</p><p>API CPD and Year completed 20__</p><p>Risk Management Module completed 20__</p><p>Residential Standing Instructions Module completed 20__ (Residential Valuers Only)</p><p>State Registration (NSW, Qld, ACT & WA)</p><p>Current CV Details of experience in last 12 months: </p><p>Details of experience in the proposed area that the Valuer will be undertaking Valuations in: </p><p>Date Valuer elevated to current API qualification: </p><p>Name last of Valuation Firm worked (if any): </p><p>ValEx - New Valuer Checklist V2013.4 Page 1 of 4 31 Jan 2014 Name of Valuation Firm appointed to: </p><p>Postcodes/Suburbs of Proposed Coverage Area: </p><p>Please provide a brief explanation for the purpose of your application: (ie existing Valuer leaving your firm) APIV Limited Is the Valuer a current member of APIV Limited – Limited Liability Scheme? yes no</p><p>If YES, what is the Valuer’s VAL CAP amount under the Limited Liability Scheme? $</p><p>VALUER PI INSURANCE (Consultants only) Does the Val Firms PII Policy provide cover for the Val Firm for work conducted by the abovementioned Consultant/Contract Valuer? yes no</p><p>VALUER SIGNATURE</p><p>Please sign twice within the boxes provided:</p><p>COUNTER SIGNATORY FOR PMAPI [RPV], and AAPI without [CPV] VALUER REPORTS</p><p>Note, you will be required to send (or select via the ValEx report interface) the appropriate counter signatory/supervising Valuers details to ValEx for each Valuation Report where applicable.</p><p>VALUATION FIRM AUTHORISATION / ACCEPTANCE </p><p>I hereby certify that the information provided is true and correct as at the date of signing below.</p><p>Please note that Valuation Exchange may seek approval of the third parties prior to approval to the Valex Panel.</p><p>ValEx - New Valuer Checklist V2013.4 Page 3 of 4 31 Jan 2014 VERIFICATION – Valuation Firm</p><p>Authorised Signature Name Date</p><p>Please return the completed checklist along with all relevant documentation to [email protected] </p>