Title

First Name *

Middle Names

Family Name (surname)

Email address *

Date of Birth *

BIA Student number [If known]

Unique Student identifier [not associated with BIA student number]

Gender *

Mobile Phone

Home Phone

Work Phone

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

Street name

Suburb, locality or town *

State/territory

Postcode

Postal delivery information (e.g. PO Box 254)

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

Street name

Suburb, locality or town

State/territory

Postcode

In which country were you born

City of Birth *

Country of Citizenship

Australian Citizenship Status

Do you speak a language other than English at home?

How well do you speak English

Are you of Aboriginal or Torres Strait Islander origin

Do you consider yourself to have a disability, impairment or long-term condition *

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list

Special Learning Needs, Language, Literacy and Numeracy requirements.Do you have any individual learning needs that may affect your ability to participate in this course *

What is your highest COMPLETED school level

In which YEAR did you complete that school level

Are you still attending secondary school

Have you SUCCESSFULLY completed any of the following qualifications listed below?

If yes to the above, please enter one of these prior education achievement recognition identifiers. A = Australian; E = Australian Equivalent; I= International

Employer details (where applicable)

	Employer Organisation name	Your position	Supervisor	Employers street address	Suburb, locality or town and postcode	Telephone and email	Website

Which BEST describes your current employment status (for casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hrs or more per week) or part time employed (less than 35 hours per week)

Which BEST describes your main reason for undertaking this course: traineeship/apprenticeship

What is your occupation?

Industry of Employment (ANZSIC)

Course selection

Under the Data Provision Requirements 2012, Bookkeeping Institute of Australia Pty Ltd 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 Bookkeeping Institute of Australia Pty Ltd for statistical, regulatory and research purposes. Bookkeeping Institute of Australia Pty Ltd 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 www.ncver.edu.au). *

Contact Name

Relationship

Contact number

Date

How did you find us?

Do you agree to the terms and conditions? *