Student Enrolment Form
You are enrolling in a Provide Responsible Service of Alcohol
Course Start date: 28 Oct 2025
Location: 66 Canning Hwy , Victoria Park , WA
Please fill in the Registration form below. Fields with a red * are required.
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us.
We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.
Integrated Training Pty Ltd - VicPark are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.
NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:
NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DEWR is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at www.dewr.gov.au/national-vet-data/vet-privacy-notice
You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.
At any time you may contact Integrated Training Pty Ltd - VicPark to:
I have read and I agree to the Privacy Notice and the Integrated Training Pty Ltd - VicPark Privacy Policy *
Enter your full name
Enter your birth date
As the student being enrolled is a minor, I the Parent/Guardian acknowledge the privacy policy, of Integrated Training Pty Ltd - VicPark written out on section one(1) of this enrolment form and consent to these policies & conditions. *
Please select your Gender
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.
Your Company of employment
Please enter the details for your your next-of-kin / Emergency Contact
Please enter your Queensland Learner Unique Identifier (if applicable)
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
Language and cultural diversity
Disability
Schooling
Previous qualifications achieved
Employment
Study reason
Unique Student Identifier (USI)
From 1 January 2015, we Integrated Training Pty Ltd - VicPark can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi on computer or mobile device.
You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/
Locating your USI through your RTO
USI application through your RTO (if you do not already have one)
I agree to the above
Course Specific Questions
Language, Literacy & Numeracy
How did you hear about us?
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?