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ENROLLMENT FORM – Fee For Service
Email address *
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: *
Required
Course Start:
MM
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YYYY
Course End:
MM
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DD
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YYYY
Course Mode: *
Course Location:
3. PERSONAL DETAILS required for your Unique Student Identifier (PLEASE USE BLOCK LETTERS)
Title *
Family name: *
Middle names:
First name: *
Unique Student Identifier:
Proof of Identity
(at least one form of proof must be cited)
Australian Birth Certificate Number:
Drivers License Number:
Australian Passport Number:
Medicare Card Number:
Visa (with non-Australian passport) Number:
Citizenship Certificate Number:
ImmiCard Number:
Previous name
(if different from the name shown above – you must attach clear, certified documentary evidence):
Date of Birth: *
MM
/
DD
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YYYY
Gender:
Clear selection
Company:
Occupation:
Please choose one of the following: *
4. CONTACT DETAILS
(PLEASE USE BLOCK LETTERS)
Email Address: *
Email Type:
Clear selection
Home telephone number:
Mobile telephone number:
Work telephone number:
FAX:
Permanent home address: *
No and street:
. *
Suburb/town:
. *
State:
. *
Post Code:
Mailing address:(If your Mailing Address is the same as your Permanent home address please leave blank.)
No and street:
.
Suburb/town:
.
State:
.
Post Code:
5. EMERGENCY CONTACT DETAILS
Name:
Relationship:
Home Telephone:
Address:
Work/mobile telephone number:
6. CITIZENSHIP STATUS
In which country were you born? *
In which town/city were you born?
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?
Clear selection
Type of test (e.g. IELTS/TOEFL):
Score:
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?
What is your highest COMPLETED school level?
Have you SUCCESSFULLY completed any of the qualifications listed below?
Clear selection
If yes, choose applicable one:
9. DISABILITY
Do you consider yourself to have a disability, impairment or long-term condition?
Clear selection
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?
Clear selection
If YES, what assistance do you require?
10. EMPLOYMENT TYPE
Please select which BEST describes your current employment status:
Clear selection
11. STUDY REASON
Of the following categories, which BEST describes your main reason for undertaking this course?
Clear selection
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.
Clear selection
13. PAYMENT DETAILS
Name to appear on invoice: *
Contact Number: *
Full course cost:
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: *
Date: *
MM
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A copy of your responses will be emailed to the address you provided.
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