Enrolment In: Full BUS Training and Assessment Course VERIFICATION OF COMPETENCE COURSE Step 1 of 6 16% SECTION AENROLMENT OPTIONSPTV Bus CoursePTV Bus Course - Please select your course duration(Required) I wish to enrol into a FULL DAY course I wish to enrol into a TWO DAY course ESTIMATED ENROLMENT FEE NOTE: To enrol into any of the courses listed here you MUST hold a valid and current Medium Rigid Australian drivers licence WHO IS THIS COURSE SUITABLE FOR: ONE DAY COURSE DESCRIPTION This one-day course has been designed for participants who have limited experience driving heavy rigid vehicles in everyday traffic conditions. Students wishing to enrol into this course must have some previous experience driving a Medium Rigid (MR) vehicle or higher. THIS COURSE IS NOT SUITABLE FOR PARTICIPANTS WHO HAVE RECENTLY OBTAINED THEIR MR OR HR LICENCE OR FOR THOSE PARTICIPANTS WHO HAVE NOT DRIVEN A HEAVY VEHICLE SINCE OBTAINING THEIR LICENCE. WHO IS THIS COURSE SUITABLE FOR: TWO DAY COURSE DESCRIPTION This two-day course has been designed for participants who have limited or NO experience driving a medium or heavy rigid vehicle, BUT do hold a Medium Rigid licence or higher! SECTION B PREVIOUS APPLICATIONS AND/OR ENROLMENTSHave you previously applied to, or been enrolled at Intelligent Training Solutions?(Required) YES NO Please enter your student number if known (example: ITS00001XF) Has your name changed since your last enrolled with us?(Required) YES NO Please enter your previous name(Required) SECTION C PERSONAL DETAILSName(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CONTACT DETAILS If possible, PLEASE provide us with BOTH your home (landline) and mobile numbers. As this course requires the coordination of yourself and a driver trainer, it may become important for our team to contact you should the need arise. Home Phone Number (Optional)Mobile Phone Number(Required)Email(Required) Enter Email Confirm Email Address Street Address Address Line 2 Suburb State Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please provide the physical address of where you usually reside - street number and name, not post office box. Do not provide any temporary address at which you reside for training, work or other purposes. If you are from a rural area, use the address from your state or territory's rural addressing or numbering system as your residential street. POSTAL ADDRESS Is your postal address the same as your residential address?(Required) YES NO Postal Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country SECTION D EMERGENCY CONTACT DETAILSWould you like to provide us with an Emergency Contact Person?(Required) YES NO WARNING! - This course contains practical on-road training, therefore we STRONGLY recommend the contact details of your preferred emergency contact person. Should you fail to provide us with an emergency contact, we will not be able to provide emergency service with any useful information about you. Please ensure that the person you nominate here is aware of your medical history. Emergency Contact - Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Emergency Contact - Mobile Phone Number(Required)Emergency Contact - Relationship: How is this person related to you(Required) SECTION E NOMINATE YOUR PREFERRED COURSE DATE & TIMEIs this course being paid for by a third party? YES NO Name of the organisation/club/business paying for this course(Required) Third Party - Contact Person(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Third Party - Phone Number(Required)Third Party - Email address(Required) Enter Email Confirm Email SECTION F PREFERRED DATESPlease provide us with at least three (3) preferred dates with which you can participate in this course. PLEASE NOTE: Our team will do their best to accommodate your preferences above, however, Intelligent Training Solutions CANNOT guarantee your preferences. You will be contacted by one of our team members shortly confirming our trainer's availability for your course. 1st Preference DD slash MM slash YYYY 2nd Preference DD slash MM slash YYYY 3rd Preference DD slash MM slash YYYY SECTION G HEAVY VEHICLE LICENCEPlease select the AUSTRALIAN heavy vehicle licence you hold(Required) LR - Light Rigid Vehicle - THIS CATEGORY IS NOT ELIGIBLE FOR ENROLMENT MR - Medium Rigid Vehicle Licence - (Minimum Requirement) HR - Heavy Rigid Vehicle Licence HC - Heavy Combination Vehicle Licence MC - Multi-Combination Vehicle Licence Has your drivers licence been recently cancelled or suspended OR is scheduled to be cancelled or suspended?(Required) YES NO If your driver's licence has been suspended or cancelled, you cannot enrol into this course. If your driver's licence is pending suspension, please ensure that your licence will still be active prior to attending this course. IMPORTANT NOTE: Failure to attend this course with a valid, current driver's licence will result in your trainer cancelling this course on the day. If we need to cancel your course due to you not having a valid, current Australian Driver's licence, you will be liable for the full cost of this course. No refunds are issued to participants who attend a defensive driving course without a valid drivers licence! SECTION G OPTIONAL EXTRASPLEASE NOTE: The following services, products and course options are optional and are not required as part of your enrolment. They serve as optional extras designed to assist you with your career. PRINTED CERTIFICATE Add Printed Certificate SURVIVAL WORKPLACE First Aid Kit Add SURVIVAL Workplace First Aid Kit Tick off every item on your first aid kit checklist with this SURVIVAL First Aid kit. Suitable for home and compliant for workplaces, this kit contains all the components you need to deal with a First Aid emergency. NOTE: This kit is Nationally compliant with Safe Work Australia's Health and Safety Code of Practice and is therefore approved for use within a workplace. For more information on this kit or to see a full list of the items included, visit: SURVIVAL EMERGENCY SOLUTIONS SURVIVAL Snake Bite Kit Add SURVIVAL Snake Bite Kit Designed in Australia by leading first aid experts and developed in conjunction with snake safety experts (SSSafe), the SURVIVAL Snake Bite Kit is built around the success of SURVIVAL's revolutionary smart bandage to effectively manage potentially deadly snake and funnel-web spider bites. This kit also contains life-saving instructions on correct snake bite bandage techniques. For more information on this kit or to see a full list of the items included, visit: SURVIVAL EMERGENCY SOLUTIONS ESTIMATED Total SECTION H TERMS AND CONDITIONS - STUDENT DECLARATIONPlease take a moment to review our standard enrolment terms and conditions by clicking the following link: Enrolment Terms and Conditions PLEASE NOTE:TO SUBMIT THIS ENROLMENT FORM, YOU MUST AGREE TO ALL THE TERMS AND CONDITIONS LISTED BELOW & SIGN YOUR NAME WHEN PROMPTED. Student Declaration(Required)You must tick all the boxes above to be presented with the 'SUBMIT YOUR ENROLMENT' button. If you have any concerns about our terms and conditions, please contact our office on 03 5415 0204 during business hours I declare that the information I have provided, to the best of my knowledge, is true and correct. I understand the terms & conditions of this written agreement, including the refund policy. I have read and understood the fees and refund conditions of my enrolment and agree to be a student of Intelligent Training Solutions Pty Ltd. I agree to pay all the fees and charges listed on this enrolment form. I understand that if I have nominated a third party to make payment for this enrolment, being the student who will receive this training, I will remain liable for all enrolment fees until my nominated party has settled the account. I understand that I must give Intelligent Training Solutions seven days notice if I cannot attend this course. Should I fail to provide seven days notice, I understand that I will be liable and must pay the FULL course enrolment fees. Failure to do so will result in my account being sent to a debt collection agency. I have made my own enquiries and believe that this training course is suitable for my personal and/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me. Select AllStudent Signature(Required)PAYMENT PAYMENT OF COURSE FEESMy preferred payment method is: Pay on invoice Pay via PAYPAL - Additional 3% surcharge PAY via CREDIT CARD - Additional 3% surcharge TOTAL ENROLMENT FEE
