Enrolment step1

Intended Qualification/s or course/s (ONlY For fee for service students)

Course/Qualification Code and Title*

Preferred Course Start Date*

Study Mode*

Please note that some courses have Pre-requisite units. Failing to achieve competency in the Pre-requisite units will not allow you to attend the main course. You will be given ONE FREE attempt for the Pre-requisite unit and the main course date will be changed to the next available main course.

RPL or Credit Transfer

Do you wish to apply for Recognition Prior Learning(RPL), Recognition of Current Competence(RCC) or Credit Transfer(CT) ?*

Student Details

Title*

Family Name*

First Name*

Middle Name

*Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want MILCOM Institute to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose and give a copy of ID document along with this Enrolment form. Refer to the section on USI further down this document for a detailed explanation.

Date of Birth*

Country of Citizenship*

Email*

Contact Phone/Mobile No.*

PERMANENT ADDRESS: Note this address must match the address registered on your Unique Student Identifier (USI) Portal. If your current residential address is different from the one listed on your USI profile, you must update your USI portal immediately.

Building Name

Unit No.

Street No.*

Street Name*

Country*

Suburb*

Post Code*

State

POSTAL ADDRESS (if same as residence, tick ‘as above’)As above

Building Name

Unit No.

Street No.*

Street Name*

Country*

Suburb*

Post Code*

State

UNIQUE STUDENT IDENTIFIER (USI)

Do you have a Unique Student Number ?*

NoYes

Please create USI number from here: www.usi.gov.au

Please provide your USI Number*

I provide MILCOM Institute with permission to use the supplied USI number as applicable during my studies.

Emergency Contact

Emergency Contact Name*

Relationship*

Mobile*

Alternative Email Address

Employer Details(Optional)

*Employer details are only required to be completed if you are completing a traineeship or apprenticeship through your employer OR your employer is assisting with your fees OR your training is at work

Employer Trading Name

Employer Legal Name

Employer Address

Building Name

Unit No.

Street No.

Street Name

Suburb

Post Code

State

Employer Telephone

Employer mobile