Invoice Form for DACCP Rural Health Workforce Scholarship

EFT Notification Form for DACCP (Early bird) Year 1 2025

Please fill out the form below to notify of intent to pay by EFT
Name*

First NameLast Name
Email
example@example.com
DACCP EFT Transfer

I agree to pay the following amounts as payment of my course fees on or before the dates associated with the chosen payment plan
EFT payment details:

ChiroPaeds Australia

BSB 633000 Account No 163110174

Please ensure you note your name or invoice number with the payment.
Payment Schedule*

1 payment @ $6600 Earlybird by the 18/1/2025 or @$7260 after 11/1/20252 payments @$3300 Earlybird by the 18/1/2025 and 30/6/2025 OR @$3630 after 18/1/2025 with second payment due 30/6/20254 payments @$1650 Earlybird by the 18/1/2025 0R 4 payments @$1815 after 18/1/2025 then 29/4/2025, 29/7/2025, and 29/10/2025 for remaining 3 payments.
Should be Empty:

EFT Notification Form for DACCP (Early bird) Year 1 2025