Name ^*

Date of birth^*

Email ^*

Phone number ^*

Alternative phone number

Address ^*

Select state

Select country

In which state or territory are you registered as a veterinarian? ^*

Select registered state

Upload a copy or a screeenshot of your veterinary registration^*

Veterinary registration file upload can accept pdf and word docs as well.

Click or drag file to this area to upload.

You can upload up to 2 files.

Registration number ^*

Registration expiry date ^*

Please write a bio (see the examples below for suggested content) ^*

Bios are displayed in the app and on the website.

Example bio

Kendall Smith-Jones BVSc MVS PhD
Senior Veterinarian at All Creatures Surgical in Goolongeel, Victoria, Australia
Graduated University of Cotswald in 1997 with second class honours. Have worked in small and large animal practice in Australia and the UK and did a 12-month stint in India volunteering at a street dog rescue clinic. I have post graduate qualifications in small animal medicine and have a special interest in oncology. I am happy to provide advice on all companion animal species including fish..

Your qualification(s) ^*

e.g. BVSc MVS PhD

Select the species you are able to advise on ^*Other species you are able to advise on

Proof of Identity document requirements^*

Images of your valid (not expired) driver’s license must be uploaded in full colour (i.e. no black-and-white scans) and must be clear and large enough to read. Photocopies of identity documents are not acceptable. Both front and back of a driver's license or the entire personal information page of a passport. Documents can be uploaded in .png or .jpg format (photos and colour scans acceptable).

Click or drag image to this area to upload.

You can upload up to 4 images.

If you have a change of address on your license, please provide additional documentation such as a utility bill with your name and the new address.

Your ABN ^*

Are you registered for GST? ^*

YesNo

Your bank account details ^*

Comments/Questions

Confirmation ^*

I confirm the information provided is true, complete and accurate

Suggested content for the bio

Example bio