2019 - Harrison Training Group Pre - Enrollment Form
Once you have completed this form we will be in touch with you to confirm the acceptance of your application.
Surname *
Please ensure your name details are as they appear on your License/Passport
Your answer
Given Names *
Please ensure your name details are as they appear on your License/Passport
Your answer
Title
Gender
Date of Birth *
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DD
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YYYY
Email *
Your answer
Home Address *
Your answer
Suburb *
Your answer
State *
Postcode *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Mobile Phone *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Number *
Your answer
USI Number *
International Students *
Are you in Australia on a Student Visa?
Enrollment Option *
Your Preferred Study Option *
*RPL/Upgrade Option (Only)
* In choosing one of the below RPL options you agree to the RPL conditions as found at http://harrisontraininggroup.com.au/rpl-information-page/
Payment Options *
How will you be paying
Please enter in any RPL/Credit Units you may already hold.
Please enter both (Subject Code & Title) Elective or Core Units that you would like to use towards your studies/RPL *
Your answer
Do You have a disability, impairment or long term medical condition? *
This will help us support you throughout the course with whatever needs you have.
Training Dates *
Privacy Declaration *
Required
Cancel & Refund Policy *
Required
Course Commencement & Extension Policy *
Required
Withdraw & Refund Policy *
Required
Client Declaration *
Required
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