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Fill out the form below to complete your enrolment.

Contact Information

First Name

Last Name

Mobile/SMS Number

Organisation

Please note: s67 of the Vic OHS Act provides for HSRs (and Deputy HSRs) to choose their course in consultation with their employer. Further, each participant should complete their own enrolment form personally.

If an HSR, please confirm by ticking the box: I have been consulted about my choice of course and wish to attend this OSHA course.

Please Note:
As per WorkSafe requirements, we will mail to you a hard copy of the colour Participant Manual and a copy of the OHS Act 2004. Please provide your mailing address (nb: not your employer's address if you are working from home).

Address

Suburb

Post Code

Credit Card Information

Card Number

CVC

Billing Address

Billing Address 2

Order Summary

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