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Enrolment

Application Enrolment Form

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Step 1 of 15 – Courses Applying For

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Before we begin
Throughout this document, Australia Institute of Business & Technology will be referred to as AIBT.
The information you provide to AIBT will remain private and confidential under the requirements of the Privacy Act 1988. Your personal details will be used for the purpose of processing your enrolment and facilitating the training and assessment services requested by you. Your personal information will not be released unless required by law or approval is provided by you. Your information will never be sold to a third party. Your information may be provided to a third party who has entered into a legally binding agreement with AIBT to provide services to either you or AIBT and who agrees to keep your personally information confidential except as required by law. Your personal information will be collected and used for the purpose of collection of data for statistical information under the requirements of the Data Provision Requirements 2012 and in line with current AVETMISS requirements however, this information is reported in a manner that does not identify you.
Course Name 1*
Course Code 1
Course Name 2
Course Code 2
Course Name 3
Course Code 3
Course Name 4
Course Code 4
Campus*
- Brisbane
- Sydney
- Hobart
- Ghana
- Distance
Expected Start Month*
Applying for RPL?*
- Yes
- No

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Agent Information
Has an Agent or Representative of AIBT assisted with this application?*
- Yes
- No
Name of Agent / Company*
Contact Name*

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About You
Gender*
- Male
- Female
Name*
Title First Name Family Name (Surname)
Former Family Name (if applicable)
Date of Birth*
DD slash MM slash YYYY

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Address Information
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address (if different to above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Student Contact
Phone*
Mobile
Email*
Enter Email Confirm Email

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Emergency Contact
Name*
Prefix First Last
Phone*
Mobile

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Language and Cultural Diversity
In which country were you born?*
- Australia
In which city were you born?*
Are you an Australian Citizen?*
- Yes
- No
Are you an Australian Permanent Resident?*
- Yes
- No
Non Australian Passport Number*
Country of Passport*
Do you speak a language other than English at home?*
- Yes
- No
Please specify*
How well do you speak English?*
- Very well
- Well
- Not well
- Not at all
Are you of Aboriginal or Torres Strait Islander origin?*
- No
- Aboriginal
- Torres Strait Islander
- Both
Are you an overseas fee paying student?*
- Yes
- No

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Disability and Mental Health
Do you consider yourself to have a disability, impairment or long-term condition?*
- Yes
- No
Please indicate the area of disability, impairment or long-term condition. You can select more than one area.*
- Hearing / Deaf
- Physical
- Intellectual
- Learning
- Mental Illness
- Acquired brain impairment
- Vision
- Medical condition
- Other
Please specify*
Do you require special assistance?*
- Yes
- No

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Schooling
What is your highest completed secondary school level?*
- Year 12
- Year 11
- Year 10
- Year 9
- Year 8 or below
- Never attended school
What year did you complete that secondary school level?*
Are you still attending secondary school?*
- Yes
- No

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Previous Qualifications Achieved
Have you successfully completed any of the qualifications below?*
- Yes
- No
Please select the qualifications you have achieved. You can select more than one.
- Bachelor degree or higher degree
- Advanced diploma or associate degree
- Diploma or associate diploma
- Certificate IV or advanced certificate / technician
- Certificate III or trade certificate
- Certificate II
- Certificate I
- Certificates other than the above
Year completed*
Training Organisation*

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Employment
Of the following categories, which best describes your current employment status?*
- Full-time employee
- Part-time employee
- Self-employed
- Employer
- Employed (unpaid worker in a family business)
- Unemployed (seeking full-time work)
- Unemployed (seeking part-time work)
- Not employed (not seeking employment)

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Reason for Study
Of the following categories, which best describes your main reason for undertaking this course?*
- To get a job
- To develop my existing business
- To start my own business
- To try for a different career
- To get a better job or promotion
- It was a requirement of my job
- I wanted extra skills for my job
- To get into another course of study
- For personal interest or self-development

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Unique Student Identifier
From 1st January 2015, AIBT can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/ or have AIBT apply for it on your behalf.
Enter your USI
If you would like AIBT to apply for a USI on your behalf, please provide details for one of the forms of identify below
- Australian Drivers License
- Medicare Card
- Australian Passport Number
- Non-Australian Passport ( with Australian Visa )
- Immicard Number
State*
License Number*
Medicare Care Number*
Individual Reference Number (Next to your name on your Medicare card)*
Card Colour*
- Green
- Yellow
- Blue
Expiry Date*
Expiry Date*
DD slash MM slash YYYY
Passport Number*
Country of Issue*
Card Number*
In accordance with section 11 of the Student Identifiers Act 2014, AIBT will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose, unless we are required by or under any law to retain it.
If you would like us (AIBT) to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx
If you agree with both statements, please select both boxes*
- I authorise Australia Institute of Business & Technology (AIBT) to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf.
- I have read and I consent to the collection, use and disclosure of my personal information pursuant to the information detailed at http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx

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Upload Documentation
International Students
– Copy of Passport
– Evidence of English (IELTS, TOEFL, iBT, PTE Academic, Cambridge English: Advanced, OET, Study in English, AIBT English Entrance Test or Equivalent) if English is not your first language.
– Academic Certificates and Transcripts

Domestic Students
– Academic Certificates and Transcripts
Copy of Passport
Max. file size: 10 MB.
Evidence of English
Max. file size: 10 MB.
Academic Certificates and Transcripts
Drop files here or
Max. file size: 10 MB.
Other documents which may be relevant
Drop files here or
Max. file size: 10 MB.

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Declaration
In signing this form I acknowledge and declare that:
1. I have read and understood and have completed all questions and details on the enrolment form.
2. I agree that the information herein provided is to the best of my knowledge true, correct and complete at the time of my enrolment (including information provided to assess my eligibility).
3. I agree that arrangements have been made to pay all fees and charges applicable to this enrolment.
4. I have read, understand and agree to follow the Information, Rules, Regulations, Policies and Procedures located in the Important Enrolment Information.
5. I am 18 years of age or older, or have permission to apply for enrolment from my parent(s) or guardian(s) if under 18.
6. I agree that my participation in this course/s is subject to the right of AIBT to cancel or amalgamate courses or classes. I agree to abide by all rules and regulations of AIBT.
7. I confirm I have been informed about the training, assessment and support services to be provided and about my rights and obligations as a student at AIBT.
8. I authorise AIBT or its agent, in the event of illness or accident during ant AIBT organised activity, and where emergency contact or next of kin cannot be contacted within reasonable time, to see ambulance, medical or surgical treatment at my cost.
9. I agree that my academic results will be withheld until my debit is fully paid and any property belonging to AIBT has been returned.
Signed By:*
First Last
Date*
DD slash MM slash YYYY

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Prefer a paper application?

Download Enrolment Form

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Brighton Pacific Pty Ltd T/A Australia Institute of Business and Technology (AIBT) RTO: 41138 | CRICOS: 03430J | ABN: 37 168 731 048

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Privacy Policy

Australia Institute of Business and Technology acknowledges and pays respect to the past and present Traditional Custodians and Elders of this nation and the continuation of cultural, spiritual and educational practices of Aboriginal and Torres Strait Islander peoples.