RSA Classroom Course Application Form

Please ensure you have read the Affirm Training Pre-enrolment information prior to enrolment. If you need help understanding any of the pre-enrolment information or if you need help to fill out this form, please contact Affirm Training representative for assistance. 

To facilitate the process and ensure a smooth experience, we recommend having your identification document ready for uploading and saving the form as you progress. This will help you complete the form efficiently.

Course

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SITHFAB021 - Provide responsible service of alcohol [RSA]
01 Jan 2024 - 31 Dec 2024 Online - Self-Paced
Available

Personal Details

Please complete all required fields below

Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Middle Name(s)
Entity Data - Profile - Middle Name
Surname
Entity Data - Profile - Surname
Name Commonly Known As
Entity Data - Profile - Known By
Birth Date
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
Unique Student Identifier (USI)

NOTE: if you don't already have a USI, please click HERE to apply for one now!
Entity Data - AVETMISS - Unique Student Identifier (USI)
Identification
Submit a identification document covering the criteria:
(you may protect sensitive information such as document number)
  • Full Name
  • Photo
  • date of birth
  • signature
  • current residential address.
Basic - File

Contact Information

Please complete all required fields below

E-mail Address (Personal)
Entity Data - Contact - Home - E-mail Address
Contact - Type
Entity Data - Contact - Type
Contact - Location
Entity Data - Contact - Location
Contact Phone Number
Entity Data - Contact - Number

Residential Address

Please complete all required fields below

Street Number
Entity Data - Address - Home - Street Address 1
Street Name
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
[Home] Address -
Entity Data - Address
Residential Address
Entity Data - Address - Lookup
[Home] Address - Street Address 1
Entity Data - Address - Street Address 1
[Home] Address - Street Address 2
Entity Data - Address - Street Address 2
[Home] Address - Unit/Flat Number
Entity Data - Address - Unit/Flat Number
[Home] Address - Street/Lot number
Entity Data - Address - Street/Lot number
[Home] Address - Street Name
Entity Data - Address - Street Name
[Home] Address - Suburb
Entity Data - Address - Suburb
[Home] Address - Overseas State/Province
Entity Data - Address - Overseas State/Province
[Home] Address - State
Entity Data - Address - State
[Home] Address - Post Code
Entity Data - Address - Post Code
[Home] Address - Country
Entity Data - Address - Country
Postal Address (Same as above)
Basic - Radio buttons
[Postal] Address -
Entity Data - Address
Postal Address
Entity Data - Address - Type/Location
Postal Address
Entity Data - Address - Lookup
[Postal] Address - Street Address 1
Entity Data - Address - Street Address 1
[Postal] Address - Street Address 2
Entity Data - Address - Street Address 2
[Postal] Address - Unit/Flat Number
Entity Data - Address - Unit/Flat Number
[Postal] Address - Street/Lot number
Entity Data - Address - Street/Lot number
[Postal] Address - Street Name or Post Office Box details
Entity Data - Address - Street Name
[Postal] Address - Suburb
Entity Data - Address - Suburb
[Postal] Address - Overseas State/Province
Entity Data - Address - Overseas State/Province
[Postal] Address - State
Entity Data - Address - State
[Postal] Address - Post Code
Entity Data - Address - Post Code
[Postal] Address - Country
Entity Data - Address - Country

AVETMISS Information

Please complete all required fields below

Labour Force Status
Entity Data - AVETMISS - Labour Force Status
Country of Birth
Entity Data - Profile - Country of Birth
Town/City of Birth
Entity Data - Profile - Town/City of Birth
Citizenship Status
Entity Data - Profile - Citizenship Status
Nationality
Entity Data - Profile - Nationality
Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent?
Entity Data - AVETMISS - Indigenous Status
Main Language - what is your primary language?
Entity Data - AVETMISS - Main Language
At School - do you still attend school (K-12)?
Entity Data - AVETMISS - At School
Highest School Level - what is the highest school level you have completed?
Entity Data - AVETMISS - Highest School Level
Year Completed - what year did you complete your highest school level?
Entity Data - AVETMISS - Year Completed (Highest School)
Disability - do you consider yourself to have a disability?
Entity Data - AVETMISS - Disability Flag
Disability Type
Entity Data - AVETMISS - Disability Type
Prior Education - have you completed any prior qualifications?
Entity Data - AVETMISS - Prior Education Flag
Prior Education Type
Entity Data - AVETMISS - Prior Education Type

Declaration

Please complete all required fields below

Terms and Conditions

Please read our Terms and Conditions HERE.
Basic - Checkboxes
Digital Signature
Basic - Digital Signature
Date
Basic - Date

Payment