PERSONAL DETAILSPERSONAL DETAILSSurname*First Name*Address*State*Post Code*Phone*Date of Birth* Date Format: DD slash MM slash YYYY MobileEmail Address* City of Birth*Country of Birth*Gender*MaleFemaleAre you of Aboriginal or Torres Strait Islander origin?*NoYes, AboriginalYes, Torres Strait IslanderWhat language do you mainly speak at home?*How well do you speak English?*Very WellWellNot WellNot At AllCourse*Course *10047NAT Certificate IV in Payroll Administration10048NAT Diploma of Payroll ManagementPromotional CodeHow Do You Wish To Pay*Upfront $3850Payment plan 10 payments of $423.50How Do You Wish To Pay*Upfront $5750Payment plan 10 payments of $632.50EMPLOYER (if relevant)EMPLOYER (if relevant)NameCompanyAddressStatePost CodePhoneEmail Address STATISTICAL DETAILSSTATISTICAL DETAILS This information is used for statistical purposes only.Are you still attending secondary schooling?*Name of School you are attendingWhat is your highest completed school level?*In what year did you complete that school level?*Since leaving school have you completed any qualifications?*Qualification nameCurrent Employment Status*Full-timePart-timeSelf employedEmployerUnpaid familyUnemployedDo you consider yourself to have a permanent and significant disability?*YesNoDisability:Visual / SightIntellectualHearingChronicle IllnessPhysicalOther (specify below)If other disability please specify:*Of the following categories, which BEST describes your main reason for undertaking this course?*To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self developmentOther (specify below)Please specify other reasons:*Section BreakPlease download the Participant Handbook containing all of the following information: Our Service Commitment Unique Student Identifier Access and Equity Policy Expectations of Participants Participant Support Refund Policy Competency Based Training and Assessment Credit Transfer Recognition of Prior Learning Access to Participant Records Release of contact details and information Change of Personal Details Complaints and Appeals Results Reissuance of Certificate/Statement of Attainments Course Evaluation Relevant Legislation – to be complied with DECLARATIONDECLARATIONI have read the Participant Handbook and agree to the conditions*YesNoI declare that I give permission for the RTO to disclose my contact details to ASQA if requested for quality assurance purposes.*YesNoI give permission for the RTO to obtain the USI on my behalf*YesNoI declare that the information above is true and correct.Date* Date Format: DD slash MM slash YYYY USI* A certified copy of Photo ID has been provided or the original sighted. I have access to a workplace with suitable range of activities to complete this qualification. * A certified copy of Photo ID has been provided or the original sighted. I have access to a workplace with suitable range of activities to complete this qualification. I have attached evidence of the Certificate IV in Payroll Administration (certified certificate) or the required minimum 3 years payroll experience (copy of resume with references) NB: Proof of ID is required. Enrolments must provide copy of Photo ID via the post or scanned and emailed. Certificates will only be issued when acceptable certified ID is provided.Section BreakTERM AND CONDITIONS The following terms and conditions apply to all participants: 1. Course work progression - participants are required to notify Australian Payroll Institute as soon as it is practical of any event or any difficulties impacting the progress of their training and completion of their unit of competence, and if necessary apply for an extension. 2. Participants are responsible for the following costs: Replacement of a Statement of Attainment/Certificate or reissuance while progressing $55 inclusive GST All participants are given 2 resubmissions to be reassessed without further payment required. On the occasion where participants are unable to demonstrate competency after 2 re-assessmen attempts they should speak to their trainer about further opportunities to complete the qualification. A fee of $165 will be charged if more than 2 resubmissions for assessment are required. 3. Full payment of fees i required prior of the issuance of the Statement of Attainment or Certificate. 4. Participants who successfully complete the requirements prior to th planned finished date can receive their Statement of Attainment/Certificate on completion, as long as all course fees are paid in full. CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.