2020 REGISTRATION FORM

Step 1 of 7 - SELECT YOUR COURSE AND COURSE OPTIONS

SECTION A - ENROLMENT OPTIONS
PLEASE SELECT YOUR PREFERRED COURSE OPTION FROM THE LIST BELOW*
COURSE SUITABILITY
HALF DAY COURSE: $660.00 inc GST
ONE DAY COURSE: $1,200.00 inc GST
TWO DAY COURSE: $2,085.00 inc GST

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: HALF DAY COURSE DESCRIPTION

This half-day course has been designed for participants who have experience driving medium or 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 LIMITED OR NO DRIVING EXPERIENCE A HEAVY VEHICLE SINCE OBTAINING THEIR 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!

PLEASE SELECT YOUR PREFERRED CERTIFICATE DELIVERY OPTION*
Please select the type of Certificate you require. Additional charges will apply to urgent requests.
PLEASE NOTE: By selecting this option, you are requesting to have your Certificate issued to you within 24 hours instead of our usual 14-day turn-around time.
This option will ensure that you will be sent a PDF Certificate of Completion within 24-hours from the completion of your course. You will also be sent a PRINTED certificate via express post which will be posted to you on the following business day.
COUPON | GIFT CERTIFICATE

If you have a Coupon or Gift Certificate for this course, please enter your Coupon or Gift Certificate code here.
SUB-TOTAL OF ESITMATED ENROLMENT FEE
$ 0.00
PLEASE NOTE: The final enrolment fee will be calculated at the end of this form after selecting your preferred payment method.
TO MOVE TO THE NEXT PAGE, PLEASE SELECT A COURSE FROM THE DROP DOWN LIST ABOVE....

SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS
Have you previously applied to, or been enrolled at Intelligent Training Solutions?*
If Yes, please state your I.T.S Student ID number (If known)
example: ITS000123X
Has your name changed since your last enrolment with us?
If Yes, you must provide documentary evidence (Marriage Certificate etc...)
If Yes, please enter your previous name
Please enter your previous FULL legal name
SECTION C - PERSONAL DETAILS
Title
First name*
Enter your first legal given name
Middle Name
Family name (surname)*
Enter your legal family name (surname)
Date of birth*
Date Format: DD slash MM slash YYYY

Select your date of birth using the calendar to avoid formatting errors
CONTACT 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.
Telephone: Home
Telephone: Mobile*
Your preferred email address*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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.
Is your mailing address the same as your residential address?*
- YES
- NO
Please enter your mailing address below.
Please enter your mailing address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

NOTE: This will be the address our team will send out your Certificate should you choose to have a printed copy sent to you

SECTION D - EMERGENCY CONTACT DETAILS
This course contains practical on-road training, therefore we require the contact details of your preferred emergency contact person. Please ensure that the person you nominate here is aware of your medical hisotry. Who would you like us to contact in the unlikely event of an emergency?
Title
First Name*
Family Name (Surname)*
Telephone: Mobile*
Telephone: Other
Relationship: How this is person related to you?*

SECTION E - NOMINATE A THIRD PARTY TO PAY FOR THIS COURSE
Is this course being paid for by a third party such as an employer, school, employment agency or other organisation?*
- NO
- YES
If Yes, please complete the details below
Organisation Name
Organisation ABN (Australian Business Number)
Contact Person*
Organisatrion Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organisation | Contact Telephone*
Organisation | Contact Email Address*
Enter Email Confirm Email

SECTION F - NOMINATE YOUR PREFERRED COURSE DATE AND TIME
Please provide us with at least three (3) preferred dates and times 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 | Date*
Date Format: DD slash MM slash YYYY
2nd Preference | Date*
Date Format: DD slash MM slash YYYY
3rd Preference | Date*
Date Format: DD slash MM slash YYYY
What time of the day would you prefer to complete this course?*

SECTION G - HEAVY VEHICLE LICENCE REQUIREMENTS
Please select the Australian Heavy Vehicle Licence Category you hold?*
- 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?*
- 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 H - TERMS AND CONDITIONS & STUDENT DECLARATION
Please 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*
- I declare that the information I have provided, to the best of my knowledge, is true and correct.
- I understand the terms and conditions of this written agreement, including the refund procedures. I have understand 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 nominate a third part to make payment for this enrolment, I remain liable for all enrolment fees until such time as the nominated third party has settled the account.
- I understand that I must give I.T.S 7-days notice if I cannot attend this course. Should I fail to provide 7-days notice, I understand that I am liable and must pay the FULL course 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.
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
STUDENT SIGNATURE*
PAYMENT DETAILS
YOUR PREFERRED PAYMENT METHOD*

INFORMATION ON THE PAY RIGHT INTEREST-FREE PAYMENT PLAN

To be eligible for this option, you will need to have an employment status of either Part-time or Full-time. One of our staff will be in contact with you shortly to discuss your Pay Right application with you and guide you through the process. A detailed payment summary will be forwarded to your email shortly. We recommend reviewing this document before speaking with our team and arranging a Pay Right application.

TOTAL ENROLMENT FEE
$ 0.00
Name
This field is for validation purposes and should be left unchanged.

2020 REGISTRATION FORM

Step 1 of 7 - SELECT YOUR COURSE AND COURSE OPTIONS

SECTION A - ENROLMENT OPTIONS

SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS

SECTION C - PERSONAL DETAILS

SECTION D - EMERGENCY CONTACT DETAILS

SECTION E - NOMINATE A THIRD PARTY TO PAY FOR THIS COURSE

SECTION F - NOMINATE YOUR PREFERRED COURSE DATE AND TIME

SECTION G - HEAVY VEHICLE LICENCE REQUIREMENTS

SECTION H - TERMS AND CONDITIONS & STUDENT DECLARATION

PAYMENT DETAILS