Domestic Form

Personal Details

Personal Details:

* Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want Australian College of Health & Management to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation

Contact Details:

Address of Usual Residence:

Postal Address:

Permanent Address:

Other Details

Language and Cultural Diversity:



What is your highest COMPLETED school level? (Tick one box only) If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9.
Never completed any primary or secondary level education ?- go to Previous qulaification section

Previous qualifications achieved

If yes, tick any applicable boxes:
Qualification Details


Unique Student Identifier (USI)

From 1 January 2015, we Australian College of Health & Management can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at on computer or mobile device.
Course Details

Course Enrollment

Emergency Contact Details:


If you would like us (Australian College of Health & Management) to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at You must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf

I authorise Australian College of Health & Management to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf.
(Please tick the below box stating that you have read)

please write the name of the Australian or overseas town or city where you were born)


We will also need to verify your identity to create your USI.

Please provide details for one of the forms of identity below (numbered 1 to 8).

Please ensure that the name written in ‘Personal Details’ section is exactly the same as written in the document you provide below.

1. Australian Driver’s Licence
2. Medicare Card
2. Health Care Card
4. Non-Australian Passport (with Australian Visa)
4. Overseas Address

In accordance with section 11 of the Student Identifiers Act 2014, Australian College of Health & Management will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose.

Terms and Condition



  1. The student is responsible for notifying Australian College of Health & Management if they have a medical condition or disability or require assistance in their training.
  2. A deposit must accompany enrolment to secure a placement within a course; this fee is also the Administration Fee.
  3. It is the student’s responsibility to note the date, time and location of the course as advertised.
  4. Courses with low enrolments may be cancelled, every effort will be made to contact students, please ensure your contact details are correct.
  5. Requests from the student to transfer or credit their course placement due to changed personal circumstances will be considered and every effort will be made to ensure a placement into an alternative course.
  6. If you are unable to complete your course, due to changed personal circumstances, the RTO will make every effort to ensure you are placed into an alternative pre-scheduled course.
  7. Students can only join after course commencement date if they meet all prerequisites. Full course fees are still payable for late enrolments.
  8. The RTO reserves the right to decline admission to a course, terminate a student's enrolment in a class or change a Trainer/Assessor at any time without notice.
  9. Students participate in courses involving physical activity; field trips, practical demonstrations etc. and do so at their own risk. Australian College of Health & Management’s students are covered by public liability insurance whilst working within the RTO’s premises.

Changes to Agreed Services

Where there are any changes to the agreed services that will affect the learner, including in the event of Australian College of Health & Management closing down, the RTO will advise the learner as soon as practicable. This includes changes to any new third party arrangements or a change of ownership or any changes to existing third party arrangement.

Consumer Guarante

Australian College of Health & Management guarantees that the services provided by the RTO will be

  1. • provided with due care and skill
  2. • fit for any specified purpose (express or implied)
  3. • provided within a reasonable time (when no timeframe is set for the training).

Cooling Off Period

Australian College of Health & Management protects the rights of the learner including but limited to the Statutory requirements for cooling-off periods.

Students are eligible to cancel their enrolment by placing a formal notice of cancellation in writing to the RTO Manager (a letter or email is acceptable) within 10 business days of enrolment, unless the student has already commenced the training. Please refer to the Refund policy for process on acquiring a refund.

Complaints and Appeals

If a student is experiencing any difficulties, they are encouraged to discuss their concerns with Senior Management. Australian College of Health & Management administrative staff will make themselves available at a mutually convenient time if a student wishes to seek assistance.

If a Staff member or Student wishes to make a formal complaint they are to complete a Complaints and Appeals Form, which is included in the Student Handbook. Once the form has been completed, the form should be submitted to the RTO for actioning.

Please refer to the Student Handbook for more details on the complaints and appeals process

Credit Transfer

The RTO recognises the Australian Qualifications Framework and Vocational Education and Training (VET) qualifications and VET statements of attainment issued by any other Registered Training Organisation.

Credit Transfer will be awarded for all units of competencies that directly align with units from the qualification the student has enrolled. Evidence of competences achieved must be supplied for recognition to be processed (ie presentation of original certificate or transcript).

Please refer to the Student Handbook or contact the office for the procedure on how to apply for a Credit Transfer.

Language, Literacy and Numeracy (LLN)

LLN support is available to provide students with advice and support services in the provision of language, literacy and numeracy assessment services. Students needing assistance with their learning is to be identified upon enrolment. Trainers and staff within the RTO can provide students with support to assist the student throughout the learning process.

Language, Literacy and Numeracy skills are generally included and identified in Training Packages and accredited course programs. In identifying language, literacy and numeracy requirements, students’ are to have basic skills in:

  1. • Count, check and record accurately
  2. • Read and interpret
  3. • Estimate, calculate and measure

All students undertaking a Certificate III qualification or below are to undertake an LLN Assessment.

Support Services

Australian College of Health & Management caters to diverse client learning needs and aims to identify and respond to the learning needs of all clients. Clients are encouraged to express their views about their learning needs at all stages of their learning experience from the initial enrolment and induction stage to course completion, through their trainer or RTO staff.

Australian College of Health & Management is committed to providing clients requiring additional support, advice or assistance while training. Please see the Student Handbook on the types of support provided by the RTO.

To achieve this and to ensure the quality delivery of training and education, the RTO provides client vocational counselling to improve and extend training outcomes. Students are advised to make an appointment with their trainer in the first instance, if the student can then schedule an appointment with the RTO for further counselling and/or assistance.

Legislative and Regulatory Requirements

All students will undergo an induction with the RTO, which will include the student’s rights and responsibilities against the relevant Commonwealth, State or Territory legislation and regulatory requirements. Students are issued with a Student Handbook, which also includes the Student’s rights and responsibilities that will affect their participation in vocational education and training.

The student acknowledges that they must observe Australian College of Health & Management’s policies and procedures, according to State and Federal Government legislative and regulatory requirements, as set out in the Student Handbook.


I have read and understand the terms and conditions of my enrolment, as stated above. I acknowledge and agree with the terms and conditions of enrolment with specific reference to the RTO’s enrolment and selection, USI, course fees, payments and refunds, course requirements, Language Literacy and Numeracy requirements, complaints and appeals, Workplace Health and Safety, support services that will be provided for me, legislative and regulatory policies and procedures, which are also provided to me in the Student Handbook. By signing this document I also give permission for the RTO to access my Unique Student Identifier for the purpose of my training.

Privacy Statement and Student Declaration

I declare that the information I have provided to the best of my knowledge is true and correct.I understand that Australian College of Health & Management (ACHM) is to submit data sourced from this enrolment form to the National Centre for Vocational Education Research Ltd(NCVER) as a regulatory reporting requirement. The information contained on my enrolment form may be used by my RTO or the following third parties for administrative, regulatory and/or research purposes:

  • School – if I am a secondary student undertaking VET, including a school-based apprenticeship or traineeship.
  • Employer – if I am enrolled in training paid by my employer.
  • Government departments and authorised agencies.
  • NCVER.
  • Organisations conducting student surveys.
  • Researchers.

You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. Please note you may opt out of the survey at the time of being contacted.

Please Provide Signature

*Choose one of the following method for Signature.


Use your mouse cursor or the tip of your finger to sign below

NCVER will use, secure, disclose, and retain your data in accordance with the VET Data Protocol and all NCVER policies and protocols (including those published on NCVER’s website at
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