Enrolment Form


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Personal Details
I am enrolling in:
Student Name
Student Name
Your legal name that appears on your Medicare Card
Special Needs
Do you consider yourself to have a disability, impairment or long term condition? (Answering these questions will not affect your enrolment)
If yes, please indicate the area of disability, impairment or long term condition.
Language and Cultural Diversity
Are you Aboriginal, Torres Strait Islander or South Sea Islander?
How well do you speak English?
Education Details
Have you studied with Biphasic Training previously?
To obtain a USI please visit www.usi.gov.au
What is your highest level of schooling?
What is your highest level of Qualification achieved?
Payment Options
Choose your preferred date
Payment Method
Cardholder Name
Cardholder Name
As it appears on the card
I agree to the following amount to be charged to my card.
Terms and Conditions *
BiPhasic Training makes its best efforts to ensure that the information available on its website is accurate. However, we cannot and do not guarantee that the website is free from any errors, faults or omissions and reserves the right to change information published. BiPhasic’s Policy for cancellations made prior to 72 hours of the commencement of course no charge shall apply. For cancellations made within 72 hours of the day of the course full course fees apply. Biphasic Training will make every reasonable attempt to contact students of any changes made to their selected program. BiPhasic does not accept liability for any indirect or consequential loss arising out of the use of or connected with its website or for any products or services purchased from its website at any time. The Customer must be at least 18 years of age to make a booking on our website. See www.biphasic.com.au/terms for full Terms and Conditions.
Privacy Statement *
Biphasic Training only collects your information to use and disclose for the following purposes: to process and manage your enrolment, attendance and progress of your training; to report completion of assessment to relevant external agencies and parties; to undertake administrative tasks essential to the functioning of the Biphasic Training; and to manage future enrolments at Biphasic Training. Only authorised personnel have access to your information. As required by law, your personal information may be disclosed to Commonwealth and State Government authorities and agencies as requested. As a matter of routine, your personal information (including attendance details, progress and results) may be disclosed to the following people, agencies and organisations: If you are a school based apprentice or trainee or VET in Schools student - your school, the Queensland Studies Authority, and QTAC (Queensland Tertiary Admission Centre). If you are enrolled in training paid for your by your employer, and or your training is a job/regulation requirement - your employer. If you are an apprentice or trainee - your employer/host employer. If you are under the age of 18 - your parent/guardian Your information is stored securely. If you wish to access or correct any of your information, discuss how it has been managed, or have concern or complaint about the way your personal information has been collected, used, stored or disclosed - please contact Biphasic Training. Should you require assistance in reading and understanding this Privacy Statement, Biphasic Training will be available to assist you in explaining each section. Biphasic Privacy Statement can be found at www.biphasic.com.au/privacy
Student Declaration *
Biphasic Training Marketing Feedback
Special requirements
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