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Short Course Fast

CPR Brunswick 628

Included Courses

CPR

Price Free

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Includes

1 Course

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Name *

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Email *

Phone Number *

Number Email Phone

Reason for reissue *

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- Step 1 of 4

Innovative Institute of Australia

CRICOS Provider No: 03807C

RTO: 45549

Email: [email protected]

WhatsApp Message: +61423175666

Office Phone: +61399739110

Website: www.innovative.edu.au

Enrollment Detail

Enrollment ID

Name *

First

Last

Single Name Only: If you have only one name, fill your name in the Family Name section.

Gender *

Male
Female

Date f Birth *

Country of Birth *

ID Type *

Passport
Driving Linse

ID Number *

you have the

Address in Australia *

Address Line 1

City

State / Province / Region

Postal Code

Australian Phone Number *

Email *

Are you an Australian Citizen? *

Yes
No

If you are not an Australian Citizen, do you hold a vaild Australian Visa? *

Yes
No

If yes, type of Visa:

Expire date

EMERGENCY CONTACT DETAILS

Name *

First

Last

Relationship *

Family Member
Friend

Australian Phone Number *

Email *

LANGUAGE AND CULTURAL DIVERSITY

Are you of Aboriginal or Torres Strait Islander origin? *

Yes
No

Is Engilsh your first language? *

Yes
No

If not, what is your first language?

How well do you speak English? *

Not at all
Not well
Well
Very well

DISABILITY, SPECIAL NEEDS AND STUDENT SUPPORT

Do you consider yourself to have a disability, impairment, or long-term condition? *

Yes
No

If yes, please specify:

Do you need any support in Language, Literacy and Numeracy or digital skills support?

Yes
No

If yes, please specify:

EDUCATION AND CAREER

What is your highest completed qualification (Tick one box only)? *

Bachelor of higher
Advanced Diploma
Diploma
Certificate IV
Certificate III
Certificate II
Certificate I
Year 12 or equivalent
Year 11 or equivalent
Others

Language of instruction *

English
Others

Where did you complete your highest qualification? *

Offshore
Australia

Reason of studying this course *

To get a job
Self-development
For my own business
Career Development
Other reason

If you have any other reason, please specify

Of the following categories, which BEST describes your current employment status? *

Student
Unemployed
Employed
Business owner

Your USI Number *

According to the Australian government requirement, we CANNOT issue a nationally recognised VET qualification or statement of attainment if you do not have a Unique Student Identifier (USI).

If you do not have a USI, you can apply for a USI number at www.usi.gov.au.

If you forget your USI number, use this link to get your USI back https://www.usi.gov.au/faqs/i-have-forgotten-my-usi

APPLICATION CHECKLIST

Please bring your original ID to attend the class. Only an original passport or driving license is accepted.

I will bring my current original passport or Australian driving license to attend the class. *

Yes

Short Course Fees and Refund Policy, Disability Supplement Policy, Privacy Policy and Applicant’s Declaration.

I have read and accepted the Short Course Fees and Refund Policy, Disability Supplement Policy, Privacy Policy and Applicant’s Declaration. *

Yes

If I need more information, I may contact the institute by [email protected]. *

Yes

Thank you for your order! Please confirm to proceed.

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