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Course in Restricted Electrical


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Course in Restricted Electrical - Enrolment Form

First Names


Mobile Phone


Date of Birth (DD/MM/YYYY)



Personal Details

If you have completed a course with us in the past and your details have remained the same you may skip this section.


Postal Address

Home Phone


Company Details

If you have completed a course with us in the past and your details have remained the same you may skip this section.

Company Name

Company Contact


Postal Address




Course Details

Course Name


Course Date

Please select where the invoice/receipt should be sent

Company Address
Student Address

Please select where the qualification should be sent

Company Address
Student Address

If you were referred to us by a previous student of ours, please name here:

Students Name

USI - Unique Student Identifier

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

State Issued

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?

No, English Only - Go to Question 4

If Yes please specify

3. How well do you speak English?

Very Well
Not Well
Not at all

4. Are you Aboriginal or Torres Strait Islander origin?

Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Both

5. Do you consider yourself to have a disability, impairment or long-term condition?

No - Go to Question 7

6. If YES, then please indicate the areas of disability, impairment or long-term condition:

Mental Illness
Acquired Brain Impairment
Medical Condition

7. What is your highest COMPLETED school level?

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or equivalent
Never attended school – Go to question 9

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.

Bachelor Degree or Higher Degree
Advance Diploma or Associate Degree
Diploma or Associate Diploma
Certificate IV (or Advanced Certificate/Technician)
Certificate III (or Trade Certificate)
Certificate II
Certificate I
Certificates other than the above

12. Of the following categories, which BEST describes your current employment status?

Full-time employee
Part-time employee
Self employed – not employing others
Employed – unpaid worker in a family business
Unemployed – seeking full-time work
Unemployed – seeking part-time work
Not employed – not seeking employment

13. Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?

To get a job
To develop my existing business
To start my own business
To try for a different career
To get a better job or promotion
It was a requirement of my job
I wanted extra skills for my job
To get into another course of study
For personal interest or self-development
Other reasons

On-the-job hrs and modules completed will vary according to the endorsement on the students Training Permit. Nil hours unsupervised.

Students must hold a current Restricted Electrical Work Training Permit issued by the Queensland Electrical Safety Office in order to complete this course

Please contact our office (07 4724 4543) or the Electrical Safety Office (1300 362 128) if you require further information in regards to the Training Permit

Module 1 Compulsory: UEENEEE101A - Apply Occupational Health and Safety regulations, codes and practices in the workplace

Module 2 Compulsory: Disconnect - reconnect equipment connected to low voltage installation wiring (UEENEEP010A, UEENEEP012A, UEENEEP013A, UEENEEP014A, UEENEEP015A)

Module 3: Locate and rectify faults in low voltage equipment using set procedures (UEENEEP016A, UEENEEP017A, UEENEEP018A, UEENEEP019A, UEENEEP020A)

Module 4: Attach cords and plugs to electrical equipment for connection to a single phase 230 Volt supply (UEENEEP024A)

Module 5: Attach cords, cables and plugs to electrical equipment for connection to 1000 Va.c. or 1500 Vd.c. supply (UEENEEP025A)

Please select the modules you would like to complete:

Basic Electrical Principles and Regulations - $1,200 - All Students
Module 1 - (Health and Safety) - $200 - All Students
Module 2 - (Disconnect/Reconnect) - $500 - Plumbers, Refrigeration, Fitters & Electronics
Module 3 - (Locate & rectify faults) - $300 - Plumbers, Refrigeration, Fitters
Module 4 - (Plugs & leads 250V) - $300 - Refrigeration, Electronics
Module 5 - (Plugs & leads 650V) - $300 - Refrigeration, Electronics

Members of the Master Plumbers' Association Queensland, MPAQ members are eligible for a discounted course fee. Please complete the box below if you are applying for this discount:


Membership Number

Students have 12 months from the first day of class to satisfactorily complete the assessment requirements of the course. The modules/units of competency above are assessed using Competency Based Assessment (CBA). Each student is given two opportunities to satisfactorily complete a task or answer a question. Should a student receive an unsatisfactory result on both attempts or not complete any assessment item within the required 12 month period then the student may receive a Not Yet Competent (NYC) result for the module/unit of competency. Should the student wish to resit any of the theoretical or practical assessments then the student may incur an additional fee of $375.00 per module/unit of competency (This fee is charged at the discretion of the trainer).

Note: The supply of an Education Course is a GST-free supply and therefore the course fee does not include GST.

Payment Details

I wish to pay by:

Company Order Number
Direct Deposit
Credit Card

Please note: Full payment is required one week prior to commencement of this course.

Pre requisites of course

  • Students must hold an Electrical Work Training Permit from the Electrical Safety Office prior to course commencement. The Electrical Work Training Permit ensures that the student holds the prior knowledge required to apply for a Restricted Electrical Work License. See our detailed course outline or the Electrical Safety Office website (http:// further information.

Course details

  • Course starts at 8.00am and finish at 4.45pm.
  • Registration is from 7.50am on the day.
  • The course fees are per delegate and include all reference manuals, and handouts.
  • Abusive or offensive behavior is not tolerated by the course facilitators. Please see our policies and procedures (published on our website or you may request a copy from our office) for further information.

Recognised Prior Learning (RPL) process: Please contact our office 4724 4543 and ask to speak with the Business Trainer should you believe that you may have already met the requirements of the unit of competency from prior learning and/or experience.

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.

Professional development: This course is designed to meet your Electrical Safety Office requirements. A Statement of Attainment documenting your attendance and results will be awarded at the end of the course. This will serve as evidence as to your eligibility to apply for the Restricted Electrical Work license.

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:

  • School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
  • Employer – if you are enrolled in training paid by your employer;
  • Commonwealth and State or Territory government departments and authorised agencies;
  • NCVER;
  • Organisations conducting student surveys; and
  • Researchers.

Personal information disclosed to NCVER may be used or disclosed for the following purposes:

  • Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
  • facilitating statistics and research relating to education, including surveys;
  • understanding how the VET market operates, for policy, workforce planning and consumer information; and
  • administering VET, including program administration, regulation, monitoring and evaluation.

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

Student Declaration and Consent

I declare that the information I have provided to the best of my knowledge is true and correct.
I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.