Enrolment Form

Submission Date

Date

Prefix

First Name

Make sure your name matches the name on official documents (eg. Electrical licence, drivers licence)

Last Name

Make sure your name matches the name on official documents (eg. Electrical licence, drivers licence)

Have you ever been known by a different first or last (family) name?

Please Specify

Birth Date

Date

Gender

Residency Status:

Concession Status (Only applicable for students enrolling under the Career Start and Career Boost Programs)

USI

*The USI is a unique identifier consisting of ten numbers and letters. Get a USI: https://www.usi.gov.au/students/get-a-usi Find your USI: https://www.usi.gov.au/students/find-your-usi

Do you give Ausinet permission to locate your USI if it is Invalid?

Residential address

Postal address

Postal

E-mail

example@example.com

Phone Number

Contact Method

Indigenous Status

Country of birth

Language spoken at home

Other

Proficiency in spoken English

Are you in secondary school?

Highest completed school level

Emergency contact

Emergency contact number

Labour Force Status

Have Disability

Do you require any reasonable adjustments during training or assessment? (Examples: Additional time for assessments, reading or writing assistance, Large print materials, Assistive technology, Physical access arrangements, Interpreter or language support)

Please Specify

Have Prior Education

Previously Achieved Qualification

Study reason

How did you find Ausinet?

Please mention the course you are enrolling into

Please select the course you are enrolling into

Please select the course(s) you are enrolling into - Please cross check you have selected the correct course(s)

This is the course you have selected : {pleaseSelect93}

Make sure this is the correct course that matches your booking confirmation

Please confirm the *Employer Details including Company Name, Start Date and ABN

* Employer not to be confused with Labour Hiring Companies or Recruitment Firms.

Please confirm the Supervisor Details including Full Name, Direct Email Address, Mobile Number and Electrical Licence Number

Have you signed up for Exemplar Profiling?

Please confirm the *Employer Details including Company Name, Company email and ABN

* Employer not to be confused with Labour Hiring Companies or Recruitment Firms.

Please confirm the Supervisor Details including Full Name, Email Address, Mobile Number and Licence Number

UPLOAD YOUR DOCUMENTS - INSTRUCTIONS

Please make sure you upload ALL the required documents in the upload field or your enrolment will be delayed.
For any required certificates please make sure you upload the full certificate transcript from the training organisation stating the units attained*

*If you have lost your certificate you can do the following :

Contact the training organisation so they can send it to you again
If you have completed your training after 2015, you can give us access to your USI transcript https://www.usi.gov.au/students/give-provider-access enter Provider name : Ausinet and Provider code : 41457 then send us an email at support@ausinet.com.au to notify us you have given us permission

Please upload the documents required for your enrolment (see checklist below)

I confirm I have uploaded the following documents to confirm my enrolment in Certificate II In Electrotechnology (Career Start)

I confirm I have uploaded the following documents to confirm my enrolment in Certificate III In Electrotechnology Electrician

I confirm I have uploaded the following documents to confirm my enrolment in Certificate IV In Electrotechnology - Systems Electrician

I confirm I have uploaded the following documents to confirm my enrolment in the Electrical Contractors Course

Other

I confirm I have uploaded the following documents to confirm my enrolment in the Qualified Technical Person QTP Course

I confirm I have uploaded the following documents to confirm my enrolment in the UEEEL0002 Course

I confirm I have uploaded the following documents to confirm my enrolment in the Qualified Business Person QBP Course

I confirm I have uploaded the following documents to confirm my enrolment in Certificate IV in Electrical Instrumentation

I confirm I have uploaded the following documents to confirm my enrolment in Certificate III in Instrumentation and Control

I confirm I have uploaded the following documents to confirm my enrolment in Diploma of Electrical and Instrumentation

I confirm I have uploaded the following documents to confirm my enrolment in Instrumentation Refresher

I confirm I have uploaded the following documents to confirm my enrolment in Certificate IV in Hazardous Areas Electrical

I confirm I have uploaded the following documents to confirm my enrolment in EEHA - Electrical Equipment in Hazardous Areas

I confirm I have uploaded the following documents to confirm my enrolment in EEHA Refresher - Hazardous Areas Refresher

I confirm I have uploaded the following documents to confirm my enrolment in Hazardous Areas Awareness Training

I confirm I have uploaded the following documents to confirm my enrolment in Basic PLC

I confirm I have uploaded the following documents to confirm my enrolment in Advanced PLC

I confirm I have uploaded the following documents to confirm my enrolment in HMI - SCADA

I confirm I have uploaded the following documents to confirm my enrolment in Internship

I confirm I have uploaded the following documents to confirm my enrolment in Basic PLC (Non Accredited)

I confirm I have uploaded the following documents to confirm my enrolment in Electrical Test and Tag Course

I confirm I have uploaded the following documents to confirm my enrolment in 3 Phase Test and Tag Course

I confirm I have uploaded the following documents to confirm my enrolment in Plug Top Replacement

I confirm I have uploaded the following documents to confirm my enrolment in Test and Tag Refresher

I confirm I have uploaded the following documents to confirm my enrolment in Design & Install Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Install Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Design Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Design & Install Battery Storage Systems for Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Install Battery Storage Systems for Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Design Battery Storage Systems for Grid Connected Solar PV Systems

I confirm I have uploaded the following documents to confirm my enrolment in Certificate III in Instrumentation and Control

I confirm I have uploaded the following documents to confirm my enrolment in UEE33020 - Certificate III in Electrical Fitting

I confirm I have uploaded the following documents to confirm my enrolment in 11297NAT Course in Electrician – Minimum Australian Context Gap

I confirm I have uploaded the following documents to confirm my enrolment in Electrical Licence - Electrical Fitter to Electrical Mechanic Endorsement

I confirm I have uploaded the following documents to confirm my enrolment in Restricted Electrical Licence Course

Student Acknowledgement – Licensing and Work Experience Requirements ( Please read each statement carefully and tick each box to confirm your understanding and agreement.)

Declaration

Student Signature

Signature

Please make sure all the information you provided is correct before submitting the form.

Course code