BIA ENROLMENT FNS40217 (copy)

Title (copy)

First Name (copy) *

Middle Names (copy)

Family Name (surname) (copy)

Email address (copy) *

Date of Birth (copy) *

BIA Student number [If known] (copy)

Unique Student identifier [not associated with BIA student number] (copy)

Click for more details on USI process

Gender (copy) *

Female

Male

Other

Mobile Phone (copy)

Home Phone (copy)

Work Phone (copy)

Building/property name (copy)

Flat/unit details (copy)

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

Street name (copy)

Suburb, locality or town (copy) *

State/territory (copy)

Postcode (copy)

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

Flat/unit details (copy)

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

Street name (copy)

Suburb, locality or town (copy)

State/territory (copy)

Postcode (copy)

In which country were you born (copy)

Australia

If other, provide:

City of Birth (copy) *

Country of Citizenship (copy)

Australian Citizenship Status (copy)

Do you speak a language other than English at home? (copy)

No, Just English

If other than English

How well do you speak English (copy)

Very well

Well

Not well

Not at all

Are you of Aboriginal or Torres Strait Islander origin (copy)

Yes, Aboriginal

Yes, Torres Strait Islander

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

Yes

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

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 (copy) *

Yes (We will arrange a meeting to discuss this with you

Yes, Provide Details

What is your highest COMPLETED school level (copy)

In which YEAR did you complete that school level (copy)

Are you still attending secondary school (copy)

Yes

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

Bachelor degree or higher degree

Advanced diploma or associate degree

Diploma (or associate diploma)

Certificate IV (or advanced certificate/technician)

Certificate III (or trade certificate)

Certificate II

Certificate I

Certificates other than the above

Please provide your qualifications [if applicable]

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

Employer details (where applicable) (copy)

	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) (copy)

Full-time employee

Part-time employee

Self employed – not employing others

Employer

Employed – unpaid worker in a family business

Unemployed – seeking full-time work

Unemployed – seeking part-time work

Not employed – not seeking employment

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

What is your occupation? (copy)

100000 - Managers

200000 - Professionals

300000 - Technicians and Trade Services

400000 - Community and Personal Service Workers

500000 - Clerical and Administrative workers

600000 - Sales Workers

700000 - Machinery Operators and Drivers

800000 - Labourers

900000 - Other

Industry of Employment (ANZSIC) (copy)

Course selection (copy)

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). (copy) *

Student Declaration and consent: I declare that the information I have provided to the best of my knowledge is true and correct:

I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.

BIA ENROLMENT FNS40217 (copy)

Personal Details (copy)

Title (copy)

First Name (copy) *

Middle Names (copy)

Family Name (surname) (copy)

Email address (copy) *

Date of Birth (copy) *

BIA Student number [If known] (copy)

Unique Student identifier [not associated with BIA student number] (copy)

Gender (copy) *

Contact (copy)

Mobile Phone (copy)

Home Phone (copy)

Work Phone (copy)

Usual Residential Address [Must be street address] (copy)

Building/property name (copy)

Flat/unit details (copy)

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

Street name (copy)

Suburb, locality or town (copy) *

State/territory (copy)

Postcode (copy)

Postal address (if different from residential) (copy)

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

Flat/unit details (copy)

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

Street name (copy)

Suburb, locality or town (copy)

State/territory (copy)

Postcode (copy)

Language and cultural diversity (copy)

In which country were you born (copy)

City of Birth (copy) *

Country of Citizenship (copy)

Australian Citizenship Status (copy)

Do you speak a language other than English at home? (copy)

How well do you speak English (copy)

Are you of Aboriginal or Torres Strait Islander origin (copy)

Disability (copy)

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

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

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 (copy) *

Schooling (copy)

What is your highest COMPLETED school level (copy)

In which YEAR did you complete that school level (copy)

Are you still attending secondary school (copy)

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

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

Employer details (where applicable) (copy)

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) (copy)

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

Occupation Identifier (ANZSCO) (copy)

What is your occupation? (copy)

Industry of Employment (ANZSIC) (copy)

Industry of Employment (ANZSIC) (copy)

Course Selection (copy)

Course selection (copy)

Privacy Notice & Applicant declaration (copy)

Emergency Contact Details [not compulsory] (copy)

Contact Name (copy)

Relationship (copy)

Contact number (copy)

Date of acknowlegement of consent (copy)

Date (copy)

How did you find us? (copy)

How did you find us? (copy)

Terms and Conditions (copy)

Please read the Terms and Conditions before proceeding.

Please read the Privacy Policy before proceeding.

Do you agree to the terms and conditions? (copy) *