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Enrolment - Learning Solutions
Part 1: Student Details
Title
if Other, please specify
Surnameas per drivers licence/ other ID document
Given Nameas per drivers license/ other ID document
Preferred Nameoptional
Residential Addressincluding postcode
0 / 400
Postal Address
Postal Addressincluding postcode
0 / 400
Home Phone Number
Mobile Phone Number
Work Phone Number
Date of Birth
Part 2: Course Details
Course 1 Start Date
Course 1 End Date
City
Course 2 Start Date
Course 2 End Date
City
Course 3 Start Date
Course 3 End Date
City
Have you met the course pre-requisite requirementsIf yes, please upload evidence
Upload
Are you applying for RPL, RCC or CTRPL: Recognition of Prior Learning, RCC: Recognition of Current Competencies, CT: Credit Transfer
If RPL, please complete and submit an RPL Application Form and your evidence, and submit with this enrolment
Upload
How did you hear about our course?
Part 3: Employer Details
Business/Company Name
Contact Name
Phone Number
Company Addressinclude postcode
0 / 400
Employment Status
If 'Other', please specify
Part 4: Cultural and Language Diversity
Do you identify as Aboriginal or Torres Strait Islander origin?
Were you born in Australia?
If 'No', Country of Birth?
Do you speak a language other than English at home?
If 'Yes', which language?
How well do you speak English?
Part 5: Disability
Do you identify as having a disability we should know about?
If you have indicated yes above, please indicate the nature of the disability
Is this a permanent disability?
Part 6: Learning Assistance required
While undertaking training, please tick if you require assistance in:
Please detail how we can best support you with your selected course/s:
Part 7: Education History
What is your highest COMPLETED school level?
In which year did you complete that school level?
Since leaving school, have you COMPLETED any of the following qualifications?
Explain in 25 words or less why you have selected to attend this particular course(s)
0 / 400
Do you have any dietary requirements?
Part 8: Unique Student Identifier (USI)

Students studying a nationally recognised training unit/course in Australia from 1 January 2015, are required to have a Unique Student Identifier (USI). The USI is linked to the National Vocational Education and Training (VET) Data Collection, and this means an individual's nationally recognised training and qualifications gained anywhere in Australia, from different training organisations, will be kept all together. Creating a USI: To create a USI or if you have queries in reference to this, please go to http://usi.gov.au/Students/Pages/default.aspx

Student USI
Cancellation Conditions
Cancellation by Student: Should the student be unable to attend the course, they should let Global-Mark know at least 14 days prior to the scheduled start date of the course. In this case, Global-Mark will either offer a refund less a 20% cancellation fee, or transfer the course booking to the next scheduled course date. No refund or transfer is provided for cancellations made 0-13 days of the scheduled start date of the course.

Cancellation by Global-Mark: There may be instances where Global-Mark may cancel a course, due to lack of attendees or unforseen circumstances. In these cases, Global-Mark will advise the student within 3 working days of the course start date and transfer the student’s booking to the next available course date, or offer a full refund.
Part 8: Payment Details
Invoice to be made out to
please specify
* 10% discount applies for multiple courses or multiple students from one organisation
Part 9: Declaration
I, (Name)Full name

verify that the information I have provided in this form is true and correct, I acknowledge and agree to the following terms and conditions:

- I have read, understood and agree to the Cancellation Conditions detailed above.

- I have received, read and understood the Student Handbook.

- Reasonable adjustment within the training package will be made if I have any special needs, and I have notified Global-Mark of these requirements.

- I understand that the information collected in this form is private and confidential and will be provided to the Government regulatory bodies for Government proposes relating to education. 


I acknowledge that unless otherwise directed below:

Personal details will be released to non-government bodies for data collection purposes. 

Photos or videos may be taken of me, and any feedback given, whether verbal or written, along with my name and company name, may be used for marketing purposes not limited to newsletters, website, social media.

Declaration
Date of form completion
Select as appropriate
Please tick this box if you do not wish to recieve information from Global-Mark Pty Ltd
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