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Online Enrolment Form - Domestic Students

- 1. Personal information
- First Name*
- Last Name*
- Date of Birth*
  DD slash MM slash YYYY
- Gender*
- Mobile No.
- Home Phone
- Email Address*
- Residential Address*
- State/Territory*
- Post Code*
- Postal Address (if different from above)
- USI Code (if already have)
- 2. Emergency Contact
- Name*
- Relationship*
- Phone*
- Email*
- 3. Course Information
- Course applying*
- If you intend to apply for our short course, please go to Short Course page
- Optional Package for Massage/Aromatherapy course
- When do you intend to start your course? *
- Month*
- Year*
- 4. Declaration
  
  Before submitting this form, please read our Code of Practice, Policies and tick the box below. MSQ Code of Practice / Policies
- Code Of Practice*
  I confirm that I have read and that I understand the Code of Practice. I consent to information on this form and support evidence supplied by me to be:
  released to a third party when required;
  
  used by the Australian Skills Quality Authority and any other government bodies for audit, verification, research, statistical analysis, program evaluation, post-completion surveys and internal management purpose.
  
  I have read and understood the Privacy Notice.
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