Ultimate 4WD Training
The Ultimate 4WD Training Experience
 ABN 38 419 862 998
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 Registered Training Organisation
 National Provider Number: 51464

Online Enrolment Form

 

We would like the take this opportunity and sincerely apologies for producing such an enrolment form - online.

This collection of your personal information/data is now a requirement of The Department of Training.

Certificates (Statement of Attainments) now will not be issued until this online form is completed. Sorry for the inconvenience this may cause.

 

Personal Details
 
1. Enter your full name
Client Title
Client Last Name
Client First Name
Telephone Number - Home
Telephone Number - Work
Telephone Number - Mobile
E-mail Address
   
2. Enter your date of birth and sex  
Date of Birth
Sex
   
4. What is the address of your usual residence?
Address Location - Suburb, Locality or Town
Postcode
   
5. What is your postal address?
Address First Line
Address Second Line
Address Location - Suburb, Locality or Town
Postal Postcode
   
6. In which Country were you born?
Country Identifier
   
7. Do you speak a language other than English at home?
No, English only
Main Language other than English Spoken at Home Identifier
   
8.How well do you speak English?
Proficiency in Spoken English Identifier
   
9. Are you Aboriginal or Torres Straight Islander origin?
Indigenous Status Identifier
   
10. Do you consider yourself to have a disability, impairment or long term condition?
Disability Flag
   
11. If YES, then please indicate the area of disability, impairment or long term condition?
Disability Type  Identifier
   
Schooling
   
12. What is your highest COMPLETED school level?
Highest School level Completed.
   
13. In which YEAR did you complete that school level?
Year Highest School Level Completed.  
   
14. Are you still attending secondary school?
At School Flag
   
Previous Qualifications Achieved
   
15. Have you SUCCESSFULLY completed any of the following qualifications
Prior Educational Achievement Flag
   
16. If YES, then select below  
Prior Educational Achievement Identifier
   
Employment
   
17. Of the following categories, which BEST describes your current employment status?
Labour Force Status Identifier
   
Study Reasons and Housekeeping
   
18. Of the following categories, which BEST describes your main reason for undertaking this course?
Study reason Identifier
   
Units of Competencies
19. Please choose a unit/course.
Resource and Infrastructure RII09  
RIIVEH201A - Operate light vehicle - BHPB MinEx Star Driver Compliant - level 2
RIIVEH305A - Drive and maintain a four wheel drive vehicle - BHPB MinEx Star Driver Compliant - level 3
RPL - Recognition of Prior Learning (if applicable)
Outdoor Recreation Industry SRO03  
SRODRV001B - Drive and recover a 4WD vehicle
SROODR002A - Plan outdoor recreation activity (delivered with the above unit)
SRODRV002B - Drive a 4WD vehicle in difficult terrain using advance techniques
SRODRV003B - Coordinate recovery of a 4WD vehicle using advance techniques
RPL - Recognition of Prior Learning (if applicable)
Course Date's (online planning calendar)
  
 


Why Nationally Recognised 4WD Training?
 

Phone/Fax: 08 9402 9248 | info@ultimate4wdtraining.com.au | Mobile: 0428 519 250

This page was last updates on Tuesday December 06, 2011 16:44:47 +0800 by Geoff
 2002 Ultimate 4WD Training. All rights reserved.
 

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