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Nationally recognised training registration

Click here to download and print the student enrolment form.

1. Select a course

Personal details

1. Surname(required)
2. Given Name(s)(required)
3. Date of birth(required)
4. Gender
5. Male Female
6. Are you an Australian Citizen / Permanent Resident?
7. Yes No
8. * If no, indicate your primary country of residence
9. Main Language Spoken:
10. Year Arrived in Australia:
11. Are you an Aboriginal or Torres Straits Islander?
12. Yes No
13. Home address(required)
14. Suburb(required)
15. State(required)
16. Postcode(required)
17. Home phone(required)
18. Mobile
19. Email(valid email required)

Employment details

1. Employed
2. Full time Part time Unemployed
3. Current Employer / Organisation
4. Job Title
5. Street Address
6. Suburb
7. State
8. Postcode
9. Work phone
10. Work fax
11. Mobile
12. Work email(valid email required)
13. Which postal address should we use for correspondence
14. Home Work

Original Source of Information

1. Please indicate where you first heard about this qualification
2. Direct Mail / Email Website Word of Mouth / Personal Referral
3. Other
4. Indicate the main reason(s) for undertaking the course
5. Career Progression Personal Development
6. Other
7. Please advise if your employer is providing financial sponsorship for the program
8. Full Partial None

Professional Qualifications

1. Please provide details of any courses or academic qualifications which you have undertaken
2. Course/Program
3. Provider/Instution
4. Year
5. Outcome
6. Completed Partially Completed
7. Course/Program
8. Provider/Instution
9. Year
10. Outcome
11. Completed Partially Completed
12. Course/Program
13. Provider/Instution
14. Year
15. Outcome
16. Completed Partially Completed
17. Have you achieved your Higher School Certificate(HSC) or recognised equivalent?
18. Yes No
19. If yes, year completed
20. Do you wish to apply for Recognition of Prior Learning
21. Yes No

Other Information

1. Do you need special assistance to complete your course successfully?
2. Yes No
3. If yes, please provide details:
4. Language needs Literacy needs Numeracy needs Other needs
5. If other, nominate your requirement - i.e. learning assistance, carer, interpreter, wheel chair access
6. Please provide details of any special dietary requirements

Unit fees

1. See website for fee details. Customer Contact Solutions reserve the right to alter any arrangements for Units before or during the program, to cancel or terminate a Unit or refuse any enrolment.

Method of Payment

1. Select a payment method
2. Please invoice our organisation Cheque to follow Please contact me for Credit Card details

 

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Withdrawl/Refunds

Where withdrawal from a Unit is 14 calendar days prior to the Unit commencement date, up to 80% of the fees payable may be refunded. Where withdrawal from a Unit is less than 14 calendar days prior to the Unit commencement date, no refund is eligible. Please refer to the full policy in the current Student Handbook. Payment must be received prior to the Unit commencing.

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