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)

Birth Date*

Date

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

YesNo

Residential address*

Postal address*

Postal

E-mail*

example@example.com

0XXXXXXXXX*

Contact Method*

Indigenous Status*

Country of birth*

EnglishOther

Proficiency in spoken English*

Are you in secondary school?*

Highest completed school level*

Emergency contact*

Emergency contact number*

Labour Force Status*

Have Disability*

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*

YesNo

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)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateCertificate III in Electrotechnology Electrician full transcript showing units attained OR A valid Unrestricted Electrical Licence

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR A current electrical mechanic licenceOther

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR A current electrical mechanic licence

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateCertificate III in Electrotechnology Electrician full transcript showing units attainedA valid Unrestricted Electrical LicenceCertificate IV in Electrical Instrumentation full transcript showing units attained(optional if you are doing the full Certificate III in Instrumentation)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical LicenceCertificate III in Instrumentation and control full transcript showing units attained

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateCertificate IV in Electrical Instrumentation OR Bachelor degree in Electrical/Instrumentation full transcript showing units attained

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence(Optional) For Credit Transfer if you have one of the following - Certificate IV in Electrical Instrumentation and/or EEHA Certificate upload the full transcript showing units attained

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical LicenceEEHA Certificate OR Certificate IV in Hazardous Areas - Electrical full transcript showing units attained

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate(Optional) A valid Unrestricted Australian Electrical Licence OR Competency in UEECD0007 (we will provide it at no extra cost). If you do not have either of those documents do not tick this box)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateUEEIC0013 - Basic PLC Certificate (optional if you are enrolling in Basic PLC and Advanced PLC at the same time)(Optional) A valid Unrestricted Australian Electrical Licence OR Competency in UEECD0007 (we will provide it at no extra cost). If you do not have either of those documents do not tick this box)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Australian Electrical LicenceStatement of attainment for : UEEIC0030 - Set up and adjust advanced PID process control loopsUEEIC0029 - Set up and adjust PID control loopsUEECD0045 - Solve problems in multiple path extra-low voltage (ELV) a.c. circuits

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateStatement of attainment for Electrical Test and Tag course (optional if you are enrolling in the Test and Tag and 3 phase Test and Tag courses at the same time)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateStatement of attainment for Electrical Test and Tag course (optional if you are enrolling in the Test and Tag and Plug Top Replacement courses at the same time)

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateStatement of attainment for Electrical Test and Tag course

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR an electrical engineering degree recognised by the Washington Accord OR a Statement of attainment for the following units: UEENEEE101A, UEENEEE102A, UEENEEE105A, UEENEEE107A AND UEENEEE104A, UEENEEEE108, UEENEEE137A

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR a Certificate III in Electrotechnology Electrician full transcript showing units attainedGrid Connected Solar PV Systems Design and Install Certificate full transcript showing units attainedSAA Accreditation Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR a Certificate III in Electrotechnology Electrician full transcript showing units attainedInstall Only Grid Connected Solar PV Systems Certificate full transcript showing units attainedSAA Accreditation Certificate

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateA valid Unrestricted Electrical Licence OR a Certificate III in Electrotechnology Electrician full transcript showing units attainedDesign Only Grid Connected Solar PV Systems Certificate Install Only full transcript showing units attainedSAA Accreditation Certificate

A photo for your Student ID Card, if possible, on a white background

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship Certificate

A valid photo ID (e.g. Drivers Licence)Offshore Technical Skills Record (OTSR)Electrical Work Training PermitCertificate of currency for resuscitation (CPR) within the last 12 monthsAppropriate visa to enrol in the course

A valid photo ID (e.g. Drivers Licence)Medicare Card, Australian Passport, Australian Full Birth Certificate, or Australian Citizenship CertificateElectrical Work Training PermitElectrical Fitter Licence

I acknowledge and consent to Ausinet's ability to share information regarding my attendance, course progress, fees payment and other relevant student matters with the representative agent/employer or parent/guardian.If I am a student whose training has been sponsored by a third party, I authorise Ausinet to send my certificate(s) via email to the third party that referred meI acknowledge that it is a requirement for me to complete a Student Feedback Form upon the completion of the courseI acknowledge that Ausinet has up to 7 days to issue my Certificate upon course completionI acknowledge that the information provided in this application is accurate and truthful to the best of my knowledge. Additionally, I acknowledge that providing any false statements may lead to the rejection or revocation of the certificateI acknowledge that I have access to relevant resources and Standards required for the course.I acknowledge failing to submit relevant licence and certificates may result in cancellation of your order and and full refund will be provided.I understand that all course materials will be provided in [digital format/online access] only, and I am responsible for accessing and reviewing the materials through the designated online platform or medium.

Student Signature

Signature*

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

Course code