Arc Infrastructure Training

Student Enrolment Form

You are enrolling in a Medical and Track Access Permit Renewal

Course Start date: 01 Dec 2024

This course is set up for individual renewal of a Track Access Permit Card.

MEDICAL RENEWAL: Please attach your Medical Renewal Form (see link on webpage) and Health Assessment Report as one pdf to your registration. Alternatively, email copies through via email to: training@arcinfra.com

REPLACEMENT CARD: Please add in notes section if you require a replacement card only.

Please fill in the Registration form below. Fields with a red * are required.

Terms & Policies

I have read and I agree to the Arc Infrastructure Training Privacy Notice *

I have read and I agree to the terms and conditions. *

Student details

Enter your full name

Title

Family name (surname)*

First given name/s*

Second given name (middle)

Enter your birth date

Date of Birth *

Please select your Gender

Gender

Enter your contact details

Email *

Confirm Email *

Mobile *

Home Phone

Work Phone

Preferred Contact

Your Company of employment

Company *

RTO Questions

RTO Specific Questions

Company Admin Email

Misc.

Language, Literacy & Numeracy

LLN Assistance
I require Language, Literacy and Numeracy assistance.

Upload an attachment

(To upload multiple files, please Zip the files together, and upload the Zip file)

Attachment (if applicable) (pdf, doc, docx, zip, png, jpeg - 3MB maximum)

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

Additional Notes

Payment

Payment is Required for this course

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