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Course Name:	Course Date & Time:	Course Location:	Course Note:	Course Cost:

			Total Cost

Participant details

Are you an Overseas Student on Australian Student Visa?

Yes No

In accordance with the Education Services for Overseas Students (ESOS) Act 2000, Aveling is not registered as a CRICOS provider so is unable to provide training to any overseas students who hold an Australian Student Visa.

First Name

Last Name

Phone

DOB

USI (Optional)

Note: All students studying nationally recognised training in Australia are required to have a Unique Student Identifier (USI). Your USI will allow online access to your training records and results. We cannot generate your certificate until your USI is provided. For more information on the USI visit https://www.usi.gov.au/

Credit Card Type

Credit Card Number

Expiry Date (MM/YYYY)

CVC

Note: The CVC is located on the back of the Visa or Mastercard and is the last three digits of the code. For an AMEX card, the CVC is a four digit code, located on the front of the card.

Card Holder Name

Note: Aveling reserves the right to cancel courses if there are insufficient participant numbers. For course cancellations, Aveling will contact participants in order to schedule them on the next available course convenient to participant.