Student Enrolment Form
You are enrolling in a DIPSOM Block 1 - DEMIRS Statutory Skill Set - Face to face class
Course Start date: 18 Aug 2025
****Bookings for currently enrolled students ONLY.**** 8:00am to 3:00pm Please bring your laptop and charger to class. Monday - BSBWHS411 - Implement and Monitor WHS Policies, Procedures and Programs Tuesday - RIIRIS402E - Carry Out the Risk Management Process Wednesday - RIIRIS501E - Implement and Maintain Management Systems to Control Risk Thursday - Assessment day We recommend you bring your own bounded text books to mark up of the WHS Act and Regulations (Mines) or purchase from us on the day. Please advise us if you intend to purchase from us as we will issue you an invoice for payment prior to your course. Please supply a purchase order if your company is paying for these. You will be required to attend all days with an optional highly suggested study assessment submission day on Thursday. This day is designed to finalise and finish off any assessment tasks you still need to complete while the knowledge is fresh in your mind. A trainer will be available to assist you on this day. We highly recommend you enrol for the Exam preparation course which is usually run on a Friday after each Statutory Authority course. You may book into any course that suits your availability.
Please choose your enrolment type, then fill in the form. Fields with a red * are required.
I have read and I agree to the Privacy Statement
I have read and I agree to the terms and conditions. *
Full Name
Date of Birth
As the student being enrolled is a minor, I the Parent/Guardian acknowledge the privacy policy, the terms and conditions, of Pivot Solutions Pty Ltd trading as Mine Training Australia and Pivot Institute written out on section one(1) of this enrolment form and consent to these policies & conditions. *
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
Please enter the details for your your next-of-kin / Emergency Contact
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 Specific Questions
Language, Literacy & Numeracy
Upload an attachment
(To upload multiple files, please Zip the files together, and upload the Zip file)
Is there anything else we need to know, in regards to your enrolment?
Checking you are human