Software Training Enrolment | Education in Building

Instagram

This field is for validation purposes and should be left unchanged.

Software Training Enrolment Form

This form confirms participation in software pre-recorded tutorial training.

Student Details

First Name*

Middle Name

Surname*

Date of Birth*

Home Address*

Suburb*

State*

Postcode*

Postal Address (if different)

Contact Telephone Number*

Email*

Unique Student Identifier Number

Course and Software

This enrolment is for pre-recorded tutorial energy rating software training delivered through the EIB Learning Management System.

Payment Method

Direct Deposit: ANZ Bank, BSB 014227, ACC 290278704. Please attach a copy of the receipt with this order form.

Credit Card: Contact our team to provide your card details to charge the selected course fee.

Receipt Attachment

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 64 MB.

Attach direct deposit receipt if paying by direct deposit.

Employment Details

Cultural Diversity and Language

If no, which country were you born in?

If no, what is the main language spoken within the home?

If Other RTO, please specify

Disability and Education

If outside Australia, name of country

Previous Qualifications Achieved

Qualification details (name and year achieved)

Study Reason

Privacy Notice

Information we collect is used only for the purpose stipulated at the time that the information is collected. EIB is required by law not to reveal, disclose, sell, distribute, rent, licence, share or pass on to any third parties, any personal information that you may have provided us unless we have your express consent to do so.

By signing this form and attesting to the validity of the information supplied, you are agreeing to the supply of this information for the stated purposes. No other disclosure will be made without your consent except as authorised or required by law. You have on request a right of access to personal information we hold about you.

Declaration Date*

Print Name*

Signature

hCaptcha*

Software Training – Enrolment Form