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Student Enrolment Form

You are enrolling in a NAEMT - PHTLS

Course Start date: 27 Aug 2025

Please ensure you have read and understood our Participant Handbook, Terms and Conditions including Payment Terms, Refunds, Complaints, Appeals. This information can be found at the bottom of the SDS website, www.sdsaus.com.au

Please note your booking is not confirmed until payment is received.

Please choose your enrolment type, then fill in the form. Fields with a red * are required.

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Details

Full Name



Date of Birth


Gender, Identity, and Pronouns


Enter your contact details






This email address will be used as a CC email address on communications to you, please use this field to indicate if we need to CC another person / company in your communications.



Company / Organisation name


(Only complete if company is paying)

Please enter the details for your your next-of-kin / Emergency Contact

Address

What is the address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.



What is your postal address (if different from above)?

I have a postal address that is different to the residential address provided

RTO

RTO Specific Questions

Misc.

Language, Literacy & Numeracy

  I require LLND (Language, Literacy, Numeracy and Digital) assistance.

How did you hear about us?


Is there anything else we need to know, in regards to your enrolment?

Payment

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