nabim Course Registration Form

September 2018 - May 2019

REGISTRATION DETAILS

Please Note: to complete registration you will need to make payment by credit card or EFT transfer.

REGISTRATION DETAILS

Please use unique email address for yourself. Don’t use generic email address – e.g. production@companyname.com

REGISTRATION DETAILS

{{vm.companyInfo.company_name}}

{{vm.companyInfo.company__unique_id}}

{{ vm.companyInfo.address_line_1 }}

{{ vm.companyInfo.suburb }}

{{ vm.companyInfo.state }}

{{ vm.companyInfo.postcode }}

{{ vm.companyInfo.region }}

{{ vm.companyInfo.country }}

{{ vm.companyInfo.company_email }}

Only list email here if your company has a generic email address you would like us to keep on our database – e.g. production@companyname.com

{{ vm.coordinatorInfo.first_name }}

{{ vm.coordinatorInfo.last_name }}

{{ vm.coordinatorInfo.email }}

Please use unique email address for yourself. Don’t use generic email address – e.g. production@companyname.com

{{ vm.coordinatorInfo.phone }}

{{ vm.coordinatorInfo.address_line_1 }}

{{ vm.coordinatorInfo.suburb }}

{{ vm.coordinatorInfo.state }}

{{ vm.coordinatorInfo.postcode }}

{{ vm.coordinatorInfo.country }}

Please select the EXISTING STUDENTS you would like to register today:

How many NEW STUDENTS would you like to register today?

Please note: for each new student you will need their first name, last name, email, occupation and the nabim module/s each student is enrolling for.

Student

*Please enter student's name as you would like it to appear on the certificate.

I wish to enrol in the nabim module/s below, and agree to allow information about my course performance to be passed to my employer.

Note: If you are studying in Australia? please select from 'Australian Modules' tab. If you are studying in another country, please select from 'Other Countries Modules' tab.

Register Module Code Module / Title
{{ product_value.product_code }} {{ product_value.module_number }}
Register Module Code Module / Title
{{ product_value.product_code }} {{ product_value.module_number }}

New Student {{$index + 1}}

*Please enter student's name as you would like it to appear on the certificate.

I wish to enrol in the nabim module/s below, and agree to allow information about my course performance to be passed to my employer.

Register Module Code Module / Title
{{ product_value.product_code }} {{ product_value.module_number }}
Register Module Code Module / Title
{{ product_value.product_code }} {{ product_value.module_number }}

* Click to complete registration. Please note that Registrations aren’t complete until payment section is completed.

When all student registrations are updated, please click the submit button.