Training and Assessment Course Change Form V 1-7 24 March 2014

Training and Assessment Course Change Form v 1-7 24 March 2014

COURSE CHANGE FORM v1-7

Changes in Student’s Details

If you are changing your course enrolment then you need to complete all three pages.

Please write the name as you want it to appear on the qualification.

Student’s Surname: / Student’s Gender:
FemaleMale
Student’s First Name(s): / Student’s Date of Birth:
Student’s Postal Address (Line 1): / Student’s Home Phone:
Student’s Postal Address (Line 2): / Student’s Work Phone:
Suburb: / State: / Student’s Mobile Phone:
Postcode: / Country: / Student’s Email:

Also, if applicable, please notify any changes in your Accounts Department’s billing details.

Please tick below which course you are changing:

Certificate IV TAE40110 (Go to Page 2)

Language, Literacy and Numeracy (Go to Page 2)

Diploma of Vocational Education and Development TAE50111 (Go to Page 3)

Diploma of Training Design and Development TAE50211 (Go to Page 3)

Double Diploma (Go to Page 3)

Certificate IV in Training and Assessment (TAE40110)

New Course Selection Details

New Full Course Enrolment Selection: ClassroomCorrespondence Online RPL

______

New CourseDate Selections/Location

Certificate IV TAEStart Date Brisbane Sydney Melbourne Adelaide Newcastle Perth Other

Learning Design (DES) / /

Assessment (ASS) / /

On the Job Trainer (OTJ) / /

Facilitation (FAC) / /

______

New Partial or Blended Course Selections – Certificate IV TAE40110

Correspondence OnlineRPL

DES
ASS
OTJ
FAC

Language, Literacy and Numeracy

New Course Date ______

Selections/Location

Brisbane Sydney Melbourne Adelaide Newcastle

Delivery Mode

CorrespondenceOnline RPL

Diploma of Vocational Education and Training (TAE50111)/

Diploma of Training Design and Development (TAE50211)

New Course Selection Details

New Full Course Enrolment Selection: ClassroomCorrespondence Online RPL
______

New Course Date Selections/Location

Diploma Brisbane Sydney Melbourne

Green Week / /

Orange Week / /

______

New Partial or Blended Course Selections – Diploma

ClassroomOnlineRPL Correspondence

Date

TAEASS502B ______

TAEDES501A ______

TAEASS501A ______
TAEDEL502A ______

TAELLN401A ______
TAEPDD501A ______

TAEDES502A ______
TAEDES505A ______
TAETAS501B ______

TAEASS504A ______
TAEDES503B ______

TAERES501A ______

Payment Details:

There is no course change fee for changing an enrolment from Recognition (RPL) to a new enrolment choice. Otherwise, there is a $50 fee if your Online or Correspondence materials have been supplied to you or if you are requesting a course change within 10 business days of commencement of training. Additionally, if you have chosen training and assessment that is a higher price than your previous enrolment then the price difference will also be payable. Course prices are all shown in the MRWED TAA40110 Enrolment Form, which can be accessed from

Invoicing Details

Only complete this section if someone other than the student is responsible for this invoice.

Accounts Department Contact’s Surname: / Employer/Company Legal Name:
Accounts Department Contact’s First Name: / Employer/Company Trading Name:
Accounts Department Post Address (Line 1): / Accounts Department Phone:
Accounts Department Post Address (Line 2): / Accounts Department Email:
Suburb: / State: / Purchase Order Number:
Postcode: / Country:

Payment Details

Credit Card (Visa, MasterCard and American Express only)

Cheque (made payable to MRWED) to be sent to:

Money Order BPAY

EFT (Ring FREECALL 1800 2 TRAIN for bank detailsmust quote invoice no or student name)

Credit Card Details

Card Holder’s Name:

Card Number: - - -

Expiry Date: / Authorised Amount: $

Card Holder’s Signature:

You can submit this form to Freefax 1800 333 082 or email to

or Post to MRWED, P.O. Box 325, Caboolture, QLD 4510.

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