Registration in: BUS (HEAVY VEHICLE) TRAINING AND ASSESSMENT COURSE REGISTRATION FORM Step 1 of 7 - SELECT YOUR COURSE AND COURSE OPTIONS 0% SECTION A - ENROLMENT OPTIONSPLEASE SELECT YOUR PREFERRED COURSE OPTION FROM THE LIST BELOW*PLEASE SELECT...Bus Training and Assessment Course | Half DayBus Training and Assessment Course | One DayBus Training and Assessment Course | Two DayCOURSE 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*PDF CERTIFICATE ONLY - Free of ChargePRINTED CERTIFICATE - Standard Postage - up to 14 days deliveryURGENT PRINTED Certificate with PDF Certificate - Express Posted with 24 hoursPlease 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 ENROLMENTSHave you previously applied to, or been enrolled at Intelligent Training Solutions?*NOYESIf Yes, please state your I.T.S Student ID number (If known)example: ITS000123XHas your name changed since your last enrolment with us?NOYESIf Yes, you must provide documentary evidence (Marriage Certificate etc...)If Yes, please enter your previous namePlease enter your previous FULL legal nameSECTION C - PERSONAL DETAILSTitleMrMrsMsMissDrUnspecifiedFirst name*Enter your first legal given nameMiddle NameFamily 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 errorsCONTACT DETAILSIf 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: HomeTelephone: Mobile*Your preferred email address* Enter Email Confirm Email Address* 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 IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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. Is your mailing address the same as your residential address?*YESNOPlease enter your mailing address below. Please enter your mailing address 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 IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 DETAILSThis 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? TitleMrMrsMsMIssDrUnspecifiedFirst Name*Family Name (Surname)*Telephone: Mobile*Telephone: OtherRelationship: How this is person related to you?* SECTION E - NOMINATE A THIRD PARTY TO PAY FOR THIS COURSEIs this course being paid for by a third party such as an employer, school, employment agency or other organisation?*NOYESIf Yes, please complete the details below Organisation NameOrganisation ABN (Australian Business Number)Contact Person*Organisatrion Address* 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 IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Organisation | Contact Telephone*Organisation | Contact Email Address* Enter Email Confirm Email SECTION F - NOMINATE YOUR PREFERRED COURSE DATE AND TIMEPlease 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?*AMPM SECTION G - HEAVY VEHICLE LICENCE REQUIREMENTSPlease 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 DECLARATIONPlease take a moment to review our standard enrolment terms and conditions by clicking the following link: Enrolment Terms and ConditionsPLEASE 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 hoursSTUDENT SIGNATURE*PAYMENT DETAILSYOUR PREFERRED PAYMENT METHOD*PAY ON INVOICEPAY VIA PAYPAL - ADDITIONAL 2.7%PAY VIA CREDIT CARD - ADDITIONAL 3%PAY VIA PAYRIGHT - 6 MTH PLANPAY VIA PAYRIGHT - 9 MTH PLAN 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 CommentsThis field is for validation purposes and should be left unchanged.