Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editing platform.
2. Fill in your contact details, including your membership number, surname, maiden name, given names, title (Mr/Mrs/Ms/Miss/Other), date of birth, residential address, town/suburb, state, postcode, home phone number, work phone number, mobile number, and email address.
3. Complete Part A by indicating the year and month when you took the vascular level 1 examination.
4. In Part B, provide a statement of your clinical experience. Include your certification that you have performed over 150 vascular angiography examinations within the specified 12-month period, along with the start and end dates.
5. Have your supervisor verify your clinical experience by filling in their details. They should include their name, position, site name, and contact details, along with their signature and date.
6. Complete the payment authority section by selecting your payment method and providing relevant details, such as credit card information if applicable.
7. Once all sections are completed, review your application for accuracy. Save your changes, and either download or print the form if necessary.
8. Submit your completed application form via email to angio@asmirt.org, or use the provided option to send the file.

Complete your AU ASMIRT Application For Angiography online to advance your certification process.