Student Enrolment Form Enrolment Form Student Enrolment Form Privacy Notice COURSE AVAILABLE CPC Construction Course CPC31320 Certificate III in Wall and Floor Tiling Owner builder license CPP Real Estate Course and FNS Finance Course CPP41419 Certificate IV in Real Estate Practice FNS40821 Certificate IV in Finance and Mortgage Broking Certificate of Registration (COR) CPD Class 1 CPD Class 2 CPD Assistant Agent Real Estate CPP51119 Diploma of Property (Agency Management) Students Name Name * Name Legal name as per photo ID, which will need to be sighted to verify legal name Legal name as per photo ID, which will need to be sighted to verify legal name Name Single Name Only (Tick this box if you have one name only that cannot be written in the above format. Write your single name in the ‘Family name section’) Student Details Title: * Ms Miss Mrs Mr Date of Birth * Gender * Female Male Not Specified Town/City of Birth * Phone home * Moblie * Email * Residency Status * Australian citizen Australian permanent resident Humanitarian visa New Zealand citizen Other Visa Holder Other Visa Holder Residency Status Residental Address Street NO/Name * Suburb * State * Postcode * Postal Address Is your postal address the same as your residential address? * Yes No, please specify below Street NO/Name Suburb State Postcode Emergency Contact Details Emergency Contact Name * Relationship * Contact Number * * Yes No In the event of an emergency do you give the RTO permission to organise emergency transport and treatment and agree to pay all costs related to the emergency? Unique Student Identifier USI * Click here to see if you already have a USI. Alternatively you can create one now. From 1 January 2015, we Complete Qualifications can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device. Please note that if you would like to specify your gender as “other” you will need to contact the USI Office for assistance. In providing my USI, I confirm Complete Qualifications is authorised to collect, use and disclose my student identifier for the purposes required under the Student Identifiers Act 2014 If apply for NSW real estate CPD point, NSW Fair Trading Licence / Certificate Number If you are human, leave this field blank. Next
