ENROLMENT FORM

Qualification you are seeking *

Personal Details

Surname: *

Given Name(s): *

Usual residential address (where you usually reside)

Building/property name:

Street number and name: *

Suburb/town: *

Postcode: *

State/territory: *

Postal address (if different from above)

Building/property name:

Flat/unit number:

Street/lot number:

Street name:

Suburb/town:

Postcode:

State/territory:

Date of Birth (dd.mm.yyyy): *

Contact details:

Email: *

Mobile: *

Phone:

Unique Student Identifier

All clients are required to have a Unique Student Identifier (USI). You can apply for this at http://www.usi.gov.au/create-your-USI/.

I have an existing USI or have created an Unique Student Identifier number (preferred by CIT) *

Yes

No

USI Number

If you cannot remember your USI, please click on the following link to access your USI account:

https://portal.usi.gov.au/student/

Or tick yes if you give permission for Core Industry Training to look your USI up for you.

*

Yes

No

I would like Core Industry Training to obtain a USI on my behalf *

Yes

No

If you would like Core Industry Training to apply for a USI on your behalf, you must authorise us to do this and declare you have read and understood the USI Privacy Statement (including the collection, use and disclosure of my personal information)

Please complete the USI Privacy Notice below:

USI PRIVACY NOTICE

Please note that clients without a USI cannot be issued with their completion documentation.

There are a small number of RTOs, courses and individuals that are exempt from USI requirements. Some examples of training exempt from the USI are - national security and defence courses and single day courses completed in 2015 or 2016. For more information on USI exemptions go to the website https://www.usi.gov.au/training-organisations/training-organisation-requirements/exemptions-reporting-usi

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