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ARMDIALE
Cost: Dates:
17 31 14 28
Register at your local campus complete the registration details overleaf and pay at your local campus or forward to: Customer Service TAFE NSW New England Institute Beardy Street Armidale 2350
in find a course field enter 28421 click on course on grey line click on 28421 click on Locations & Fees tab choose preferred location and date and click on enrol now
For more information please contact: Customer Service Centre 1800 448 176 (free call)
PROOF OF ID WILL BE REQUIRED
LDR:23/9/11
Enrolment Details Family Name: Postal Address: Date of Birth: Phone: Email: Payment method I enclose payment of Cheque $ Money Order Mastercard Card Number: Name on card: Signature: / Visa Please make payable to: NSW TAFE Commission Exp Date / // / / / Mobile: Given Name/s:
Student Declaration
1. Are you of Aboriginal or Torres Strait Islander origin?1
No 2 Yes, Aboriginal 3 If you are both Aboriginal and Torres Strait Islander place a cross (x) in boxes 2 and 3 Yes, Torres Strait Islander
2. Do you consider yourself to have a disability, impairment or long term condition? If YES, place a cross (x) in any applicable box listed Vision Intellectual Medical Condition Other
No
Yes
Do you require assistance because of this disability, impairment or long term condition from a Teacher/Consultant for Students with Disabilities? Do you require assistance from a TAFE NSW Teacher Consultant because of this disability, impairment or long term condition?
If YES, further details are available at the campus enrolment centre.
No
Yes
No
Yes
3. Citizenship and Residency - Do you reside in Australia? Cross (x) one box only
Please mark your citizenship or residency status below. Cross (x) one box only I am an Australian citizen a New Zealand citizen an Australian temporay visa holder and my visa sub-class is
No
Yes
If you are a TEMPORARY VISA HOLDER and are required to pay tuition fees you will need to complete the SUPPLEMENTARY ENROLMENT FORM FOR TEMPORARY VISA HOLDERS.