Individual Registration

Please enter information in the form below to process registration for event CPCWHS1001 Prepare to work safely in the construction industry (white card) .

THIRD PARTY BOOKING INFORMATION

Organisation

Person booking

Phone Number

Email Address

Correspondence Email Address (if you would like to receive a copy of the student's booking confirmation)

STUDENT DETAILS

First Name *

Last Name *

Phone *

Email (please ensure this is accurate as all correspondence will by via this email address) *

Comment

HAS THE STUDENT:

Reviewed the relevant course information available on this website to make sure their chosen course is suitable for them?Yes/No *

Checked that they can provide the required identification documents or cards required for their chosen course? Yes/No *

Been advised that they will receive a booking confirmation email within an hour of booking their course? Yes/No *

Been advised that they must complete the enrolment application form included in their booking confirmation email within 48 hours of booking their course? Yes/No *

Understood and agreed to meet their rights and responsibilities as outlined in the Student Handbook available on this website? Yes/No *

If choosing 'Purchase Order' - then you MUST attach the PO or Authority to Invoice here

Payment Information

Coupon

Amount

Discount Amount

Gross Amount

Payment Method *

Purchase Order (you MUST attach your PO with this payment method) Paypal (Credit Cards Accepted)

By registering for this event, I accept Terms and Conditions

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Individual Registration

THIRD PARTY BOOKING INFORMATION

STUDENT DETAILS

HAS THE STUDENT:

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