Enrolment Form Download

Registration Form

To Register Contact the College on (02) 4724 9000 or click to email to : reception@ncc.nsw.edu.au
DATE

Day Month Year
Date
REGISTER HERE:
Course Name
Location
Day of the week
Session

Morning Afternoon Evening
Name
Address
Town
Postcode
Date of Birth

Day Month Year
Date
H Phone
W Phone
Mobile
Email
example@example.com
USI
Unique Student Identifer
Covid 19 Vaccination

Yes No
If you are a small business owner or work for small business complete the following to check your eligibility for subsidised training.

Company Information
Company
ABN
Building
Street
Town
Phone
Email
example@example.com

Payment. Click to view payment options.
For Credit Card Payments call 02 4724 9000 durung Business Hours.

For Postal Enrolments Send To Nepean Community College Shop 115B Westfield Penrith High St Penrith, NSW. 2750
Payment Method

Cash Cheque EFTpos Mastercard Visa

NCVER and Eligibility Data
I consent, Under the Data Provision Requirements 2012, to the College collecting personal information and to disclosing that personal information to the National Centre for Vocational Education Research Ltd (NCVER) For more information about NCVER’s Privacy Policy go to https://www.ncver.edu.au/privacy
Gender

Male Female Other
Where did you hear about this College course ?

BM Gazette Ad Weekender Ad Facebook Letterbox Drop Nepean News Ad Poster Email Website Brochure at a Shop Google Referral Friend
Which of the following best describes your employment ?

Full Time Part Time Self-employed Employer Unpaid Family Worker Not employed and not seeking work Seeking full time work Seeking part time work
Do you have a disability?

No Yes
If yes

Hearing Physical Intellectual Learning Mental Illness Acquired Brain Impairment Vision Medical Condition Other
Indigenous Status

Nil Aboriginal Torres Strait Islander Both
Country of Birth
Do you speak a language other than English at home?

Yes No
If Yes, which language?
How well do you speak English?

Very well Well Not well Not at all
Highest level of school completed. Year ?

Still At School 12 11 10 9 8 or lower
Year Completed
Highest Qualification since turning 17

Degree or higher Advanced Diploma Diploma Certificate IV Certificate III Certificate II Certificate I Other
Was this qualification completed at school ?

No Yes
Which of the following best describes your reason for studying?

To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion I wanted extra skills for my job To get into another course of study Other reasons For personal interest or self-development
Do you live in Social Housing ?

No Yes
What is your Australian Residency Status ?
Do you receive a Centrelink or other Benefit?

No Yes
If Yes, what is its name ?
Are you an Employment Service Provider client ?

No Yes
If Yes, what is your Client ID ?
If Yes, what is your Providers Organisation ID ?
Are you Long Term Unemployed ?

No Yes
If Yes do you have evidence ?

No Yes
I declare that the above information is correct and am willing to provide evidence of eligibility for funded programs on request
Signed

Clear
Date

Day Month Year
Date
Please verify that you are human *

My Products

AUD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

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Privacy Notice
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET)
course with us.
We use your personal information to enable us
to deliver VET courses to you, and otherwise,
as needed, to comply with our obligations as
an RTO.
We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.
We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.
Beyond these requirements We will not disclose Personal Information we collect from you to a third party.
The Unique Student Identifier (USI)
If you’re Registering for Accredited Training you will be need to have a Unique Student Identifier (USI). These are easy to create and the How To Guide is available at www.usi.gov.au

REGISTER HERE: