DBL Prescribed Units Application Form

Step 1: Check Intake Date

Step 2: Complete Online Course Application Form

$395 deposit is required after application. The balance will be paid once enrolment is confirmed. See price detail in course page.

Choose the units

All 3 units ($995)

CPCCBC4026A ($395)

CPCCBC4003A ($595)

CPCCBC4005A ($595)

Check the above intake date table and specify when you wish to commence the course.

NOTE: the commencement date must match the date on our intake date table.

Personal Details

First Name

Last Name

Preferred Name

Mobile Number

Address

Postal Address (if different)

VET Related Details

Country of Birth

Town of Birth

Are you an Australian Citizen/Permanent Persident?

Tell us your current visa status if you selected "No" above.

Are you Aboriginal and/or Torres Strait Islander?

Which BEST describes your current employment status?

Industry of Employment

Occupation

Do you speak a language other than English in your home?

If answered "Yes" in last question, please specify what language you speak at home?

How well do you speak English?

How well do you rate your numeracy skill?

What level of computer literacy do you have?

Do you have access to a computer and the internet?

What is your highest COMPLETED school level?

Are you still attending secondary school?

What year did you complete your school?

Where did you complete your school? Please provide school name and suburb.

Have you successfully completed any of the following qualification? If YES, select the HIGHEST one.

Type of your qualification?

Do you consider yourself to have a disability, impairment or long-term medical condition which is likely to affect your study? Disclosing a disability is confidential.

If you consider yourself to have a disability, impairment or long-term medical condition which is likely to affect your study, do you require addition support?

Please specify, if you have answered "Yes" in last question.

Which BEST describes your main reason for undertaking this study?

Do you have a Unique Student Identifier (USI)?

Please provide your USI number, if you already have one.

*If you would like us, Origin Institute to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx.

How did you hear about us?

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Enrolment Declaration:

I am 18 years old or higher.

I declare that I have read and understood the Student Online Application Terms and Conditions. I wish to apply for enrolment in the above course with Origin Institute (RTO ID: 45276).View Student Online Application Terms and Conditions.

Thanks for your application, one of our staffs will contact you later.

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Step 1: Check Intake Date

Step 2: Complete Online Course Application Form

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