Student Registration Form - AE871 Skill Set

Welcome to Central Regional TAFE's Online Student Registration Form
By completing and submitting this form, you enable us to create or update your student record within our Student Management System. This step enables us to provide you with a quote and proceed to enrolment.

To successfully complete this form, please ensure you have the following information handy:
1. Unique Student Identifier (USI): Here's how to get one.
2. Proof of Australian Citizenship or Permanent Residency: (e.g., Green Medicare Card, Passport or Birth Certificate). If you are not an Australian citizen or permanent resident, please provide evidence of your current visa subclass status.
3. Proof of Name Change: If applicable
4. Proof of Concession (if eligible): This includes any proof of age ID for persons between 15 and 24 years of age
5. Proof of Western Australian Residency: (e.g., Current Driver's Licence or Utility Bill held in your name). Students must reside in WA to be eligible for state-funded training.
Please note: these documents are considered highly confidential and will be stored securely against your student record.

It should take you about 5-10 minutes to complete this form. If you need assistance completing the form, please don't hesitate to:
- call us on 1800 672 700, or
- email us at clientsupport@crtafe.wa.edu.au

Personal and Contact Details
Legal Name (this name should match the name you used to create your USI)*

TitleFirst NameMiddle NameLast Name
Preferred Name
Preferred Name
Date of Birth*

DayMonthYear
DOB
Gender*

FemaleMaleNon-BinaryOther
Do you have preferred pronouns? Please let us know.
Email*
example@example.com.au
Phone Number*
Please enter a valid phone number. If a landline, please include your area code.
Permanent Home Address*

Street Address

Street Address Line 2

Town/CityState

Post CodeCountry
Is your postal address the same as above?*

YesNo
Postal Address*

Postal Address

Postal Address Line 2

Town/CityState

Post CodeCountry
Emergency Contact*

First NameLast Name
Emergency Contact Relationship to You*

Nominated ContactParent/GuardianPartner/Spouse
Emergency Contact Phone Number*
Please enter a valid phone number. If a landline, please include your area code.
Emergency Contact Email*
example@example.com.au

Payment Details

Please tell us how you plan to pay for your enrolment.
Payment Options

Central Regional TAFE (CRT) offers a range of payment options. These include:
- Cash
- Card
- Cheque or money order
- Direct credit
- Direct debit
- Purchase order
If enrolment fees are not paid in full at the time of enrolment, Central Regional TAFE requires a minimum deposit of $100 per enrolment for Lower Fees Local Skills courses and concession card holders. All other courses require a $200 deposit. A payment plan arrangement will also need to be in place.

If you aren't able to pay a deposit and/or enter into a payment arrangement, you are encouraged to meet with our Student Services team to negotiate a repayment plan.

Outstanding Fees

Any expenses, costs or disbursements incurred by Central Regional TAFE in recovering any outstanding monies including debt collection fees and solicitor's costs shall be paid by the student or guarantor if the student is under 18 years of age.
Will you be paying in full at the time of enrolment, or entering into a payment plan arrangement with Central Regional TAFE?

Payment in fullPayment plan
Full Payment Options*

Please call me so I can pay over the phoneI will come into the campus to pay in personI will be providing a purchase order from my employer or Job Seeker Agency (JSA)I will pay by direct credit to the College bank account
Payment Plan Options*

PaySmart Direct Debit Instalment Plan for the balance of my feesCombination - purchase order from my employer or Job Seeker Agency (JSA) and PaySmart Direct Debit Instalment Plan
Please tell us the name of your employer or JSA and a best contact name or number.
Once we provide you with your enrolment quote, you can use the details below to make payment. Our bank account details are:

Account Name: Central Regional TAFE

Bank: Commonwealth Bank

BSB: 066-040

Account No: 1980 7768

Please use your student ID as the reference.

You will need to send us a copy of your bank transfer receipt so we know you have paid and can confirm your enrolment.
PaySmart is a direct debit payment system that allows you to set up regular instalments from either your bank account or credit card. If you choose this option we make all of the arrangements for you, you will just need to fill in the form we provide you with.
Please tell us the name of your employer or JSA and a best contact name or number.
Student Declaration and Consent*
Name

First NameLast Name
Signature: Signature* Date: Date*
Should be Empty:

Welcome to Central Regional TAFE's Online Student Registration Form

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Personal and Contact Details

Citizenship and Cultural Details

Disability and Health Care Information

Educational Background

Previous qualifications achieved

Payment Details