Enrol Now – Underwater Training Centre SA

For which course are you applying?*

To secure your place on your selected course, a non refundable* deposit of $1200 is required.

Please pay via Funds transfer with the following details & your name as your reference:
BSB: 105-036
Account Number: 093561740
Account Name: Vebron Holdings

*Deposit refundable on certain conditions.

To secure your place on your selected course, a non refundable* deposit of $500 is required.

Please pay via Funds transfer with the following details & your name as your reference:
BSB: 105-036
Account Number: 093561740
Account Name: Vebron Holdings

*Deposit refundable on certain conditions.

Personal Details

Name*

First Last

Date of birth:*

Country of birth:*

Nationality*

Sex*

Female
Male

Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone

Emergency Contact Details

Emergency Contact's Name*

First Last

Emergency Contact's Phone*

AVETMISS Data

Are you Aboriginal or Torres Strait Islander?*

No
Yes - Aboriginal
Yes - Torres Strait Islander

Do you speak a language other than English?*

No
Yes

Please enter which other language(s) you speak:*

How well do you speak English?*

Not at all
Not well
Well
Very well

Do you consider yourself to have a disability, impairment or long term condition?*

No
Yes

Select all that apply*

Hearing/Deaf
Physical
Intellectual
Learning
Mental Illness
Acquired Brain Impairment
Vision
Medical Condition
Other

What is your highest school level completed?*

School completion year

Have you completed any additional Qualifications?*

No
Yes

Select all that apply:

Bachelor or higher Degree
Advanced Diploma/Associate Degree
Diploma (or associate)
Certificate IV
Certificate III
Certificate II
Certificate
Other

Which Best describes your current employment status?

Why are you enrolling to study?

Consent*

I hereby declare that the details listed here are correct and I understand the amount and timing of fees to be paid as set out by the UTCSA Enrolment guidance & fee payment protection document. I also understand that the fees listed on this page do not include certification fees or extra training fees.