Student Enrolment Form

You are enrolling in a HLTPAT005 Collect specimens for drugs of abuse testing (015)

Course Start date: 22 Sep 2025

Thank you for choosing Kelyn Training Services to manage your training requirements.

This nationally accredited courses is delivered and assessed by Time Crical CPR and First Aid RTO Id 51503.

By submitting this form, you are declaring that you have reviewed our website, our Client Information Handbook and agree to the Terms and Conditions of Enrolment.

IMPORTANT ENROLMENT INFORMATION

This website provides for two methods of registration:
- COMPANY REGISTRATIONS
- INDIVIDUAL ENROLMENT

COMPANY REGISTRATIONS:
Select the .Group or Group Enrolment. Button to register and insert the information as required for each participant/s. The company will be invoiced following registration. If paying with a Purchase Order, please include at time of registration.

Should you wish to pay immediately via PayPal/credit card for an individual enrolment please use the standard enrolment (not group). NOTE: to ensure the person who registers the participant receives notification insert an email address to receive enrolment notification.

INDIVIDUAL ENROLMENT:
Select the individual course and date. Accept the terms and conditions declaration at the bottom of the page and enter your details together with PayPal/card details for payment to book your place.

NOTE: bookings are accepted on a first in, first served basis and can only be fully confirmed after full payment or purchase order has been received. Upon enrolment acceptance, all enrolments will be confirmed via a Training Confirmation email 1 week prior to your course.

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



Privacy Policy

I have read and I agree to the Kelyn Training Services Privacy Notice *




Student details

Enter your full name







Enter your birth date






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

Address(es)

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 Questions

RTO Specific Questions

Misc.

Language, Literacy & Numeracy


  I require Language, Literacy and Numeracy assistance.



How did you hear about us?




Upload an attachment

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

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



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

Payment

Payment is Required for this course









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