REAL ESTATE
ENROLMENT FORM

First name:
Surname name:
*USI (Unique student identification) wwww.usi.gov.au:
Home Address:
P/Code:
Employer:
Position:
Office Address:
P/Code:
Mobile:
Work Ph:
Email:
Course Name: Price Payment Method Paid Date
Certificate IV in Property Services (Full Licence) Face to Face
Must have Certificate of Registration and 1-year experience
$
Certificate IV in Property Services (Full licence) Distance Learning
$
Certificate of Registration Face to Face in Parramatta OR a Trainer can attend your office with a Minimum of 5 students
$
Certificate of Registration Distance Learning
$
Continuing Professional Development (CPD) Face to Face in Parramatta OR a Trainer can attend your Office with a Minimum of 5 students
$
Continuing Professional Development (CPD) online
$
Diploma of Property Services (Agency Management)
$

Attention all Student

Licence or Certificate of Registration Number:

Payment Method

100% MUST BE TRANSFERRED prior to class otherwise we will 170 t hold a seat for you

Smart Academy
ANZ BANK
BSB 012347
Account 493538422
Payment Reference: SURNAME & Last 3 digits of mobile number
Example of your reference: SMITH 392
Once the enrolment form has been complete forward it to admin@bli.edu.au with your payment receipt and photo identification (current drivers’ licence or passport).
Employment status:
Full - time
Part - time
Self employed (not employing others)
Self employed (employing others)
Employed (unpaid worker in family business)
Unemployed (seeking full time work)
Unemployed (seeking part time work)
Not employed (not seeking work)
Schooling:
Still at School
Yes
No
Highest Completed School Level (eg. Year 10, 11, 12).
Year Completed
Country of Birth:
Australia
Other (please state)  
City of birth  
Citizenship status:
Prior education completed for any other course:
Yes (Please indicate)
No
Certificate I
Certificate II
Certificate III
Certificate IV
Diploma
Advanced Diploma
Bachelor or Higher Degree
Language commonly used:
English only
Other (please state)  
English Proficiency:
Very well
Well
Not well
Not at all
Disability:
Yes
No
Please State:
We will make all necessary reasonable adjustments to training and delivery to support individual students needs
Aboriginal / Torres Strait Origin:
No
Aboriginal
Torres Strait Islander
Gender:
Male
Female
Date of birth:   / /
Circle the below answer on how you heard about the course you are attending?
Previous Student
Friends/Family/Colleague
Social Media
Other
Emergency Details
Name:
Relation:
Mobile:
Disclaimer
Cancelation fees may apply (ask staff for more information)
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