Update to Personal Infromation
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Home Phone Number
Email
*
example@example.com
Birthday
*
-
Day
-
Month
Year
Date
Please upload your Resume/ CV with copies of all licenses/ Qualifications.
Browse Files
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Job Information
Title
Working Type
Please Select
Full time
Part time
Contractor
Remote
Start Date
-
Month
-
Day
Year
Date
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Company Details
All company details for soul trader, Company, Pty Ltd
Legal Name:
Company Legal Name:
Trading Name (if applicable)
Trading as name.
ABN:
ACN:
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Bank/ Payroll Details
Name of Bank:
Account Name:
BSB Number:
Account Number:
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Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
What is your relationship with this person?
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Unique Student Identifier
USI Number
*
I give Connection Group Australia the authority to Locate and verify my USI. If Connection Group Australia is unable to locate my USI I will be required to obtain it and provide it to them.
*
Yes
No
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Decleration
Due to privacy laws, we require your permission to share your information contained in these forms to State and Commonwealth agencies and third parties.
I delcare:
*
You agree and provide your consent for Connection Group Australia to provide your information to State and Commonwealth Government agencies in the course of our business as a registered training organisation (RTO)
You understand that penalties apply to the provision of false and misleading information
The information you have provided in this form is true and correct to the best of your knowledge
If any of this information changes in the future, you will provide the details
I hereby declare that the information above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, I shall be liable to termination with penalties.
*
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Should be Empty: