Online Enrolment Form – HOSPITALITY PROFESSIONAL

Personal Details

Title: *

Name *

First

Middle

Last

Date of Birth: *

Gender *

Male
Female
Prefer not to specify

Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Mobile/Telephone: *

Email *

Emergency Contact

Contact Name *

First

Last

Relationship:

Contact Number

How did you hear about us?

Course Information

Course Name: HOSPITALITY PROFESSIONAL *

Price: $390.00

Select your preferred dates *

Consent *

CONSENT *

I have read and understand BIA’s Privacy Notice and agree to the Disclosure of Personal Information to the Department of Education and Other Government Agencies.

CONSENT 2 *

I authorise Brighten Institute Australia and the Department of Education to have appropriate access to my USI records.

Student Declaration

The information I have provided is true, accurate, complete, and not misleading in any way.

I am a NSW resident or worker including where specified in an approved border area (Aboriginal and Torres Strait Islander only).

I have completed and signed this Enrolment Form.

Under the Data Provision Requirements 2012, Brighten Institute Australia is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). More information regarding this is found on page 6 of the Enrolment Application form, and in our Privacy Policy (https://www.brighten.edu.au/archive/downloadable/policies/privacy)

I have read and understood the Student Handbook

Student Name *

Signature *

Total

$0.00

Stripe Credit Card *