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ENROLMENT FORM – Fee For Service
1. PRIOR CONTACT WITH PRECISE TRAINING
Are you or have you ever been a student or staff member at Precise Training? *
2. COURSE REQUESTED
Course Name (Course Code): *
Course Location: *
3. PERSONAL DETAILS required for your Unique Student Identifier (PLEASE USE BLOCK LETTERS)
Title *
Family name: *
Your answer
Middle names:
Your answer
First name: *
Your answer
Unique Student Identifier:
Your answer
Proof of Identity
(at least one form of proof must be cited)
Australian Birth Certificate Number:
Your answer
Drivers License Number:
Your answer
Australian Passport Number:
Your answer
Medicare Card Number:
Your answer
Visa (with non-Australian passport) Number:
Your answer
Citizenship Certificate Number:
Your answer
ImmiCard Number:
Your answer
Previous name
(if different from the name shown above – you must attach clear certified documentary evidence):
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Gender:
Company:
Your answer
Occupation:
Your answer
Please choose one of the following: *
4. CONTACT DETAILS
(PLEASE USE BLOCK LETTERS)
Email Address:
Your answer
Email Type:
Home telephone number:
Your answer
Mobile telephone number:
Your answer
Work telephone number:
Your answer
Fax:
Your answer
Permanent home address: *
No and street:
Your answer
. *
Suburb/town:
Your answer
. *
State:
. *
Post Code:
Your answer
Mailing address:(If your Mailing Address is the same as your Permanent home address please leave blank.)
No and street:
Your answer
.
Suburb/town:
Your answer
.
State:
.
Post Code:
Your answer
5. EMERGENCY CONTACT DETAILS
Name:
Your answer
Relationship:
Your answer
Home Telephone:
Your answer
Address:
Your answer
Work/mobile telephone number:
Your answer
6. CITIZENSHIP STATUS
In which country were you born? *
In which town/city were you born?
Your answer
Do you speak a language other than English at home? *
Are you an Australian Citizen? *
Are you a New Zealand Citizen? *
Have you been granted a Permanent Residency in Australia? *
Are you of Aboriginal or Torres Strait Islander Origin: *
7. ENGLISH PROFICIENCY
Is English your first language? *
Have you completed an English proficiency test?
Type of test (e.g. IELTS/TOEFL):
Your answer
Score:
Your answer
How well do you speak English?
How well do you speak English?
How would you rate your English written/numeracy proficiency?
8. EDUCATION
Are you still attending secondary school?
.
If yes what year are you in?
Your answer
What is your highest COMPLETED school level?
Have you SUCCESSFULLY completed any of the qualifications listed below?
If yes choose applicable one:
9. DISABILITY
Do you consider yourself to have a disability impairment or long-term condition?
If YES please indicate the area of disability impairment or long-term condition: (You may indicate more than one area.)
If YES do you require assistance because of the disability?
If YES what assistance do you require?
Your answer
10. EMPLOYMENT TYPE
Please select which BEST describes your current employment status:
11. STUDY REASON
Of the following categories which BEST describes your main reason for undertaking this course?
12. RECOGNITION OF PRIOR LEARNING
If you have significant experience/knowledge/current training/real life experiences in any of the units of your requested course you may wish to apply for Recognition of Prior Learning (RPL) or Credit Transfer.
Do you wish to apply for RPL or Credit Transfer:
If you choose “Yes” Precise Training will contact you to discuss your needs. For further information regarding RPL please refer to your Learner Handbook or speak to your Trainer or the Training Coordinator.
13. PAYMENT DETAILS
Name to appear on invoice: *
Your answer
Contact Number: *
Your answer
Full course cost:
Your answer
14. STUDENT DECLARATION
1. Refund and Fee Policy
• Please read the refund policy in Precise Trainings Leaner Handbook which is available at the time of enrolment or at www.precisetraining.com.au prior to signing this form.

2. Important information
• All enrolments are confirmed before the course starts giving details of the course start times and venue. In the unlikely event that you do not receive confirmation of a course prior to the commencement date please contact us immediately.

3. Privacy Statement
• The primary purpose of collecting personal information that you supply on this form is to process your registration including for your Unique Student Identifier (USI). We may also use these details to keep you informed of upcoming events and will not disclose your information to a third party. For our full Confidentiality/Privacy Policy please visit our website at www.precisetraining.com.au.

4. Learner Handbook
• I have read the Learner Handbook and understand my rights and responsibilities in relation to assessment student fees and the refund and fee policy. By signing below Iam confirming that I understand these elements in full.

Print Name:
Signature: *
Your answer
Date:
MM
/
DD
/
YYYY
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