Tech Skills Australia

Section 1 - Personal Details

Title *

Mr

Mrs

Ms

Miss

Other

Surname *

Middle Name

Given Names *

Gender:

Male

Female

Other

Date of Birth: *

Section 2 - Identification

Have you completed a Course with TSA previously? *

Yes

No

TSA is required by law to verify your Unique Student Identifier (USI) before we can issue certification.

Do you have a USI? *

Yes

No

Your USI No.:

Click here to apply for USI?

I will obtain my own USI from http://www.usi.gov.au/. I understand that delay in supplying my USI to TSA may result in delay in course participation and certification.

ID Type: *

ID Number #:

File: Allowed format jpg, png. Max file size 1 MB

Are you an Australian Qualified Electrician?: *

Yes

No

If yes, please upload a photo of your license Allowed format jpg, png. Max file size 1 MB

Section 3 - Qualification / Course Details

I wish to enrol in the following course:

Qualification / Course Name: *

Preferred Date: *

Section 4 - Contact Details

Personal Contacts

Phone: (Home)

Mobile:

Email: *

Home Address:

Address:

Suburb:

State:

Postcode:

Mailing Address:

Address:

Suburb:

State:

Postcode:

Section 5 - Workplace Details (if applicable)

Is your company paying for this course *

Yes

No

Company Name:

Address:

Suburb:

State:

Postcode:

Email Address:

Contact Person:

Work No:

Section 6 - Marketing Feedback

How did you hear about this course?

Email Received

Internet Search

Employer

Work Colleague

Family / Friend

I am a Past Student

Other:

Section 7 - Payment

Responsibility for Payment *

Client (myself)

My Employer

My Parent / Guardian

Other: (Please identify)

Fee Type:

Funded Rate

Fee For Service

Upload Funding Evidence: Allowed format jpg, png. Max file size 1 MB

Do you currently hold a concession card?

Yes

No

If yes, upload here: Allowed format jpg, png. Max file size 1 MB

Centrelink No.

Job Seeker No.

Health Care Card No.

Total of Fees:

Invoices/receipts will be raised and sent within 2 days of enrolment date.
Payment is expected within 14 days.
Payment must be made before commencement of course.
The Admin and resource fees are payable immediately. No refund is applicable for these fees.
Cancellation fees may apply, refer to refund policy.
Access to the training portal / material will only be granted once payment has been made.

Section 8 - Personal Information

Section 9 - Client Enrolment and Policy Acceptance Declaration

I, , declare that I have answered all questions truthfully to the best of my knowledge. I understand that these details are confidential and are protected by relevant privacy laws. I give my consent to TSA to release my name, date of birth, contact details and statistical information to the relevant State Government bodies for the purpose of auditing, regulation of training, obtaining feedback and as statistical information.

I declare that I have read, understood and agree with the following: *	Initial
All enrolments are confirmed in writing before the course starts, giving details of the course start times and venue. In the unlikely event you do not receive confirmation of a course prior to the commencement date, please contact us immediately.
PRIVACY: The primary purpose of collecting personal information that you supply on this form is to process your enrolment and government reporting. We may also use these details to keep you informed of upcoming events and will not disclose your information to a third party. I have read and understood TSA Privacy Policy visit www.techskillsau.com.au.
REFUND POLICY: Clients who withdraw from a course prior to the commencement of the course may be entitled to a part refund. Refunds are provided on a sliding scale determined by the amount of notice you provide. For a full copy of the Refund Policy visit www.techskillsau.com.au.
COLLECTION FEES: By signing this enrolment form, you acknowledge that you will be liable for all collection fees and charges should non-payment of our invoice(s) result in the matter being handed to our Debt Collection Agency.

Date: *

Client Signature:

Tech Skills Australia RTO (52737) Enrolment Form

Section 1 - Personal Details

Section 2 - Identification

Section 3 - Qualification / Course Details

Section 4 - Contact Details

Personal Contacts

Home Address:

Mailing Address:

Section 5 - Workplace Details (if applicable)

Section 6 - Marketing Feedback

Section 7 - Payment

Total of Fees:

Section 8 - Personal Information

A. Indigenous Status (Please choose the boxes that apply to you) *

B. Employment Status (Please choose the boxes that apply to you) *

C. Disability Status (Please choose the boxes that apply to you)

D. Language and Literacy (Please choose the boxes that apply to you)

E. Education

G. Reason for Study

Section 9 - Client Enrolment and Policy Acceptance Declaration

Thank you for enrolling.