your details have been sent
First Names
Surname
Mobile Phone
Email
Date of Birth (DD/MM/YYYY)
Sex
If you have completed a course with us in the past and your details have remained the same you may skip this section.
Trade Licence #
Trade
State Issued
Address
Postal Address
Home Phone
Fax
Company Name
Company Contact
Phone
Course Name
Area Please Select Area Townsville Brisbane Mackay Cairns Other
Course Date
Please select where the invoice/receipt should be sent
Please select where the qualification should be sent
If you were referred to us by a previous student of ours, please name here:
Students Name
The Unique Student Identifier (USI) is a new Australia-wide student number which will introduce the capacity for students to track their training records across all Australian states and territories.
If known please state your Unique Student Identifier (USI). Your USI is 10 characters long and is a combination of numbers and letters:
USI - Unique Student Identifier
If you do not know your Unique Student Identifier (USI), please complete the fields below and our staff will check to see if you have a USI. If you do not have a USI our staff will create one for you.
Town/City of Birth
Drivers licence details (If you do not hold a current drivers licence please contact our office (07 4724 4543) for an alternative document for proof of your identity:
Drivers Licence Number
Expiry Date
As part of our data collection requirements we ask that you please answer the following questions, should you have any concerns please contact our office (07 4724 4543).
1. In which country were you born?
If Other please specify
2. Do you speak a language other than English at home?
If Yes please specify
3. How well do you speak English?
4. Are you Aboriginal or Torres Strait Islander origin?
5. Do you consider yourself to have a disability, impairment or long-term condition?
6. If YES, then please indicate the areas of disability, impairment or long-term condition:
7. What is your highest COMPLETED school level?
8. In which YEAR did you complete that school level?
9. Are you still attending secondary school?
10. Have you SUCCESSFULLY completed any of the following qualifications in Question 11?
11. If YES, then select ANY applicable boxes.
12. Of the following categories, which BEST describes your current employment status?
13. Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?
UEE20111 Certificate II in Air Conditioning Split Systems
RPL process, classroom and practical delivery.
Total Fee: $1,650.00
Note: The supply of an Education Course is a GST-free supply and therefore the course fee does not include GST
I wish to pay by:
Payable to:
Electro-Training Institute Post to: 43 Primrose Street, Belgian Gardens Qld. 4810
Company Order Number
Direct Deposit:
Electro-Training Institute BSB: 064817 Account: 10650796
NOTE - If you are paying by Direct Deposit, please use your surname as a reference so we can align the payment to you.
Credit Card:
Electro-Training Institute will contact you for your credit card details.
Please note: Full payment is required one week prior to commencement of this course.
To be eligible for this course, students must be a trade qualified Electrician
Recognised Prior Learning (RPL) process: The RPL process is a pre-requisite of the course. Information required will be explained at initial contact.
Late Arrivals: The course commences at 8am, any students arriving later than 30 minutes after course commencement will not be able to attend the course and will not be eligible for a refund of the course fee.
Student Cancellation: A fee of 20% of total course will apply for written cancellations received seven-fourteen days prior to commencement of the course. Cancellations received less than seven days prior to the course are not refundable however substitutes on same dates are welcome.
Institute Cancellation: The Electro-Training Institute guarantees that the training and assessment will be completed by a qualified person on the date specified on the student’s confirmation. Should the Electro-Training Institute not provide the training and assessment on the specified date a full refund will be given to the student within two working days of their bank details being received in writing by the Electro-Training Institute office.
Confirmation: Full confirmation details and course instructions will be sent to you upon receipt of booking.
Certificates/Statements of Attainment and Academic Records of Achievement: Upon successful completion, of the course, Electro-Training Institute will provide a qualification in the form of a Certificate/Statement of Attainment as well as an Academic Record of Achievement. This qualification will be mailed out to the indicated address on the students enrolment form. It is the responsibility of the student to provide Electro-Training Institute with the correct mailing address. A fee of $35.00 will apply for any re-prints of the Certificate/Statement of Attainment and Academic Record of Achievement.
Student deemed Unsuccessful/Not Yet Competent: If a student fails to complete an assessment or is unsuccessful in completing an assessment task/exam they are deemed as ‘Not Yet Competent’ by the assessor and the assessor will nominate a time for re-assessment within class time. This second assessment will be free of charge. If the student remains ‘Not Yet Competent’ after the second assessment, he or she will be notified that this result is final and he or she will be unable to successfully complete the unit of competency in which they are enrolled. Any further assessment will be fee for service and the student will need to have a meeting with the Institute Director to create an individual learning plan before their re-enrolment in the course is confirmed.
Please note: Venues to be confirmed upon registration. Instructors may change without notice. Electro-training institute has no affiliation with suppliers or manufacturers and therefore presents a completely unbiased factual view of the industry.
Professional development: This course is designed to meet your Qualification requirements of the Australian Refrigeration Council to apply for a RSS03 Restricted Gas Handling Licence. A document recording your attendance and results will be awarded at the end of the course.
Access of records and progress: If at any time you wish to have access to your records or you have any questions regarding your participation or progress please contact our office.
Complaints and Appeals: We welcome any feedback about the course delivery and/or content, if you have any complaints or you wish to appeal any decision made regarding your participation please view our complaints and appeals procedure on our website or contact our office for a hard copy.
Privacy Notice: Under the Data Provision Requirements 2012, Electro-Training Institute is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).
Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Electro-Training Institute for statistical, regulatory and research purposes. Electro-Training Institute may disclose your personal information for these purposes to third parties, including:
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. You may opt out of the survey at the time of being contacted.
NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).
Student Declaration and Consent