IMPORTANT INFORMATION FOR EXAMINATION CANDIDATES
Read this information before filling in your application form
● As information on this application form is used for statistical purposes after the
examination, any incomplete application forms may be returned.
● 9192/9193 Candidates who have completed National Certificate - attach a copy
of your certificate with your examination application.
● 9192/9193 Candidates who have completed an apprenticeship prior to 1998 –
attach a copy of your certificate of completion with your examination application.
● 9194/9195/9196/9198 Candidates – no extra documentation required with your
● 9197 Licensed Drainlayer candidates – attach a copy of your National Certificate in
Drainlaying or theory completion letter with your examination application.
● Candidates must immediately notify the Board in writing to email@example.com of any
change of address between the time of application and 31 January 2012. Failure to do
so may result in important examination information and/or documentation not
● Examination dates and venues, past examination question papers, answer schedules
and examination guidance documents are available from the Board’s website
www.pgdb.co.nz under the Examinations section.
● Guidance information regarding candidate eligibility for the plumbing, gasfitting and/or
drainlaying examinations is available under the Examinations section of the website, in
the Examination information booklet.
● If you have difficulty filling in this form please contact the Trade Competency Officer
on (04) 494 2970.
● Your completed entry form must be posted or reach the Plumbers, Gasfitters and
Drainlayers Board, PO Box 10655, Wellington 6143, by 30 September 2011.
Faxed or emailed examination application forms are not accepted.
● The closing date for application forms is strictly 30 September 2011. Please note forms
must be post-marked no later than 30 September 2011 or hand delivered at the
Board's office no later than 5pm on Friday 30 September 2011.
Confirmation or otherwise of acceptance of examination application will be forwarded
to the applicant on or about 10 October 2011.
Your admission slip (issued by 25 October 2011) must be taken into each
examination session along with your photo identification (i.e. driver’s licence).
Entry for Plumbers, Gasfitters and Drainlayers Board Examinations
1.FULL NAME (Last name, first name) Registration/Licence/Exemption (Authorisation) Number
Email Date of Birth
Postal Address (for examination correspondence) Name & Address of Employer
Mobile phone(*) _________________________ Phone number __________________________
*We will send examination information by SMS to this number
LICENSED PLUMBER/GASFITTER REGISTRATION EXAMINATIONS ONLY (2-5)
2a. I am a candidate with overseas qualifications assessed and approved by the Board □ Go to 9 OR
2b. I have held a limited certificate/exemption under supervision to work at plumbing and/or gasfitting for a
continuous period of 5 years (This excludes any apprentice that is/was in a training agreement) Go to 9 OR □
2c. I have a Certificate of Due Completion prior to 1998 (Attach copy) □ Go to 9 OR
If you are current trainee or have completed National Certificate indicate the highest level of training you have
3. Stage 1 Stage 2 Stage 3 National Certificate attained
Plumbing □ □ □ □ (year _____) TICK ONE ONLY
Gasfitting □ □ □ □ (year _____) TICK ONE ONLY
4. I am undertaking/or have completed my plumbing and/or gasfitting National Certificate through:
INDUSTRY TRAINING ORGANISATION □ MASTERLINK □ TICK ONE ONLY
APPRENTICESHIP TRAINING TRUST □ UNITEC □ CPIT □ SIT □
5. Theory training package completed or being undertaken through:
UNITEC WINTEC WELTEC CPIT SIT MIT Go to 9
□ □ □ □ □ □
CERTIFYING REGISTRATION EXAMINATIONS ONLY (6)
6a. I have not undertaken any study through a training provider □ OR
6b. In the last 12 months I have undertaken study for the examination(s) through: Go to 9
(Do NOT include any weekend refresher courses)
UNITEC WINTEC OPEN POLYTECHNIC WELTEC
□ □ □ □
Closing date for entries: 30 September 2011
LICENSED DRAINLAYER REGISTRATION EXAMINATION ONLY (7-8)
7a. I confirm that I have worked at drainlaying for an aggregate period of 12 months. □
7b. What organisation did you register with to complete your National Certificate:
INDUSTRY TRAINING ORGANISATION □ TICK ONE ONLY
UNITEC □ CPIT □
8. I completed my theory training through: TICK ONE ONLY
OPEN POLYTECHNIC UNITEC WINTEC CPIT (Attach copy)
□ □ □ □
9. Tick which examination you are sitting by completing the table below
Examination code Subject Name Tick Fee $306.67 each exam (GST incl.)
9192 Licensed Plumber
9193 Licensed Gasfitter
9194 Certifying Common
9195 Certifying Plumber
9196 Certifying Gasfitter
9197 Licensed Drainlayer
9198 Certifying Drainlayer
I want my examination paper(s) to be returned by courier (Add $8)
10. Tick where you will be sitting your examination
Examination Centre Tick Examination Centre Tick
Auckland – Massey University, Albany Nelson – Nelson Marlborough Institute of
Christchurch – Christchurch Polytechnic New Plymouth – Western Institute of
Institute of Technology Technology at Taranaki
Dunedin - Otago Polytechnic Palmerston North – Universal College of
Hamilton – Waikato Institute of Technology Rotorua – Waiariki Institute of Technology
Invercargill – Southern Institute of Technology Wellington - Weltec Petone
Napier – Eastern Institute of Technology Whangarei – Northland Polytechnic
Method of Payment
Cheque Please debit Visa Master Card
Please make cheque
Name on credit card _________
Phone No _________
Plumbers, Gasfitters and
Credit Card No ________
Expiry Date ________________
I declare that the above particulars given are true and correct. I have read the Examination Information Booklet and
agree to abide by the rules and conditions for the examinations, and to the release of my results to my training
institution and/or training facilitator (ITO, ATT, MASTERLINK, UNITEC, CPIT, SIT).
Privacy Act 1993.
The Plumbers, Gasfitters and Drainlayers Act 2006 requires the Board to make public the following information on it's register: full name, postal address, contact phone number,
email address, registration number, registration status, current licence or exemption status. Unless otherwise notified, your mobile phone number will be the default contact
telephone number for the purposes of the register. In the event you object to any of the above information appearing on the public register, please email the Registrar on
firstname.lastname@example.org with specific details outlining the reasons for removal of the information.
Candidate’s Signature: Date:
Before sending your application back to the Board have you:
Read the information in the cover sheet □ Enclosed your fee □
Completed all relevant sections □ Signed and dated this page □
Closing date for entries: 30 September 2011