STUDENT INFORMATION (Please print neatly)
3. STUDY REASONS
4. PLACE OF BIRTH
6. MEDICAL CONDITION / DISABILITY
7. EMERGENCY CONTACT
8. PAYMENT DETAILS
Who is paying for for fees associated with this course (including student tuition contribution fees):
9. Do you intend to enter into a payment plan for the student tuition fees?
PLEASE COMPLETE ALL SECTIONS OF THE FORM
SWQ Training P/L acknowledges the importance you attach to information that identifies you (personal identifiers such as name, address, date of birth, email address). We are committed to protecting and managing the personal information you choose to share with our organisation. Through providing this information, we seek to ensure that you will be able to deal with our organisation in full confidence that your personal information will only be used by us in the ways we have described to you, that it will be held securely, and when there is no longer any legitimate purpose in retaining such information it will be disposed of appropriately.I consent to SWQ Training P/L using the information I provide and subsequently gather, for the purpose it was collected, to assist in the administration of products and services and to carry out all necessary activities associated with their operational business activities, workplace compliance and legal governance issues. I hereby acknowledge that I have received all Learning Material and Student Information/Handbook and have read the policies and procedures contained in the Student Handout including the training and assessment process, fee structure, refund policies and appeals and grievance policies. I agree to be bound by these policies and procedures and I acknowledge that I have been given a site induction and that SWQ Training has agreed to destroy my identification after using it for USI purposes.
• I certify that the information on this form is correct and that I understand and agree to the terms of this document and I hereby give permission to SWQ Training to create and/or verify a USI on my behalf
• I hereby agree to SWQ Training P/L using my identity, testimonials and photograph in any advertising or promotional material.