Course Selection

Selected Course: RAL001 - RESTRICTED ASBESTOS LICENCE (RAL001) | Deselect
Training Plans:

Personal Details

Title: *
First Name: *
Middle Name:
Last Name: *
Gender: *
Date of Birth: *
Country of Birth: *
City/Town of Birth: *
Origin: *I am applying from within Australia?

Contact Details

Building or Property Name:
Unit or Flat Number:
Street Number: *
Street Name: *
Suburb/Town: *
Suburb/Town/City: *
State: *
State/Province/Region: *
Postcode: *
Post Code/Zip Code: *
Country: *
Post Box: Do you have a PO Box or RMB?
Box Number:
Postcode: *
Email Address: *
Mobile Phone:
Home Phone:
Work Phone:
Note: Please specify at least one of the above contact numbers.

Educational Details

What is your highest COMPLETED school level? *
Are you currently at school? *
What is your CURRENT school level? *
Have you completed any other qualifications? *
Select all that apply
Bachelor degree or higher degree
Advanced diploma or associate degree
Diploma (or associate diploma)
Certificate IV (or advanced certificate/technician)
Certificate III (or trade certificate)
Certificate II
Certificate I
Certificates other than the above
Are you applying for credit transfer? *
Which best describes your reason for this study? *

Individual Needs

Which best describes your employment status? *
Are you an Aboriginal or Torres Strait Islander? *
Select an option
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Aboriginal AND Torres Strait Islander

Do you speak a language other than English at home? *
Please specify which language:
Do you have a disability or impairment? *
Select all that apply
Mental illness
Acquired brain impairment
Medical condition
Not specified

Do you have any individual needs we should know about?
Please specify:


You may upload documents in support of your application.
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Note: These files will be sent via email, so please limit their size to less than 10MB in total.


The information collected in this form is required to facilitate your enrolment and will be handled and stored in line with our Privacy Procedures. We reserve the right to verify any of the details you have provided on this form in order to process your application.

By submitting this form, I certify that:

I have reviewed the Student Information Booklet available on this website and have been informed about my rights and obligations.
I have reviewed the course fees and payment arrangements and have been informed of the refund policy.
I have reviewed the relevant course brochure and have been informed of the training and assessment services to be provided.
The information provided is true and correct. I further certify that I have been provided sufficient information about my rights and obligations to make an informed decision about enrolment and I agree to the services being provided.
I have good English language, literacy and numeracy skills and am confident I will be able to undertake the assessments as set out by the course and I have advised Riklan of any additional support I may need.
I agree to complete a medical summary form on commencement of my training declaring I have no pre-existing conditions which could affect my ability to complete this course.

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