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

Group Enrolment Form

You are about to book participants in a WHS Supported Study Day - Face to Face Class course.

Course Start date: 30 May 2024

You are booking into a Cert IV WHS - Supported Study Day.
You are able to set up in the WHS training room and continue to work on your assessments and have an assessor available to ask any questions you may have.
The classroom is open between 8am and 4:30pm.

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

Available seats: 15

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: $0.00

Enrolment Fee: $0.00

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