RST Application Form
In light of the current health risks due to Covid-19; you must answer the following health questions before enroling.
Have you or any of the additional candidates or members of their household returned from any international travel in the past 14 days?
Yes
No
Have you or any of the additional candidates or members of their households been in contact with a confirmed Coronavirus case In the past 14 days?
Yes
No
Have you or any of the additional candidates or members of their households shown signs of tiredness, fever, dry cough, aches and pains, nasal congestion, runny nose, sore throat, diarrhoea and difficulty breathing?
Yes
No
Risk
No registration is possible if a health risk is present.
Course Date
Please Select
Call Mike on 0406787070 for alternative date
14/6/2024
Depending on attendance and weather, course can stretch to two days. Winter practicals conducted on Moore River.
Primary Candidate Surname
Primary Candidate First Name
Primary Candidate DOB
*
-
Day
-
Month
Year
Date Picker Icon
Primary Candidate Contact Number
*
Primary Candidate Email
*
example@example.com
Additional Candidate details
Surname
First Name
M/F
DOB
Contact Number
email
2nd
3rd
4th
5th
6th
7th
8th
On the day, all clients
must
provide
PROOF OF IDENTITY
either by:
One
full proof identity document,
or
One
primary
and
One
secondary proof of identity document
No documents - no assessment
FullProof Identity Document Examples
Please Select
Photographic Australian drivers licence (current)
Australian passport
Document of ID issued by passport office
ADF ID card
Australian police officer ID card
Police warrant card
Proof of age card issued by DoT
Marine cert of competency (photo)
WA security licence issued by WA police service
Primary POI Document Examples
Please Select
Overseas passport, not more than 2 years out of date
Photographic Australian drivers licence, not more than 2 years out of date
Australian citizenship or naturalisation document issued by DIMIA or passport office
WA firearms licence
WA Motor Driving Licence learners permit
Birth certificate or certified copy
Consular ID card issued by Dept Foreign Affairs & Trade
WA security licence , not more than 2 years out of date
Secondary POI Document Examples
Please Select
Entitlement card (Medicare) (current)
Bank card (current)
Bank passbook, not more than 12 months old
Water or local rates notice, not more than 2 years old
Electoral card or equivalent, not more that 2 years old
Certificate of accomplishment from educational institution
Letter from principal of an educational institution, not more than 12 months old
Training Requirement - check one only - Group discounts apply
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