Pivot Solutions Pty Ltd trading as Mine Training Australia and Pivot Institute

Group Enrolment Form

You are about to book participants in a Statutory Authority Skill Set Level5 (VIRTUAL via Zoom Link) course.

Course Start date: 29 Jul 2024

You will be required to attend each class virtually via ZOOM LINK available on your student portal on Monday - Wednesday 9am to 4pm each day. Thursday is an optional additional assessment study day here in clas. No virtual training is conducted. 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 if you are studying remotely.

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

Organisation Name *

First Name *

Last Name *

Email Address * Please CC me at the above email address in correspondence to the following participants I am booking.

Phone Number *

Preferred Payment Method

Purchase Order

Participants

Surname

Given Names

Date of Birth

Gender

Mobile

Total price for participants: $1,200.00

Enrolment Fee: $1,200.00

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