Enrolment Form

Unrestricted Registration Course [CPP41419 Certificate IV in Real Estate Practice]

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Client details
Please enter your legal name as it appears on your identification documents (driver's licence, passport, etc.). Please do not use shortened, abbreviated names or nicknames.

Title:
Entity Data - Profile - Title
Do you have 'single name' only?
Basic - Radio buttons
Legal name

First name:
Note: please do not change your legal name when logged in. To make any name changes, please contact REIWA Training.
Entity Data - Profile - First Name
Middle name:
Entity Data - Profile - Middle Name
Last name:
Entity Data - Profile - Surname
Registration or licence number (RA/RR) - leave blank if you don't have one:
Entity Data - Identification - Licence Number
Date of birth:
Entity Data - Profile - Birth Date
Gender:
Entity Data - Profile - Gender
Phone:
Entity Data - Contact - Home - Mobile Number
Email:
Entity Data - Contact - Home - E-mail Address
Residential address

Street/Lot Number
Entity Data - Address - Home - Street/Lot Number
Street Name
Entity Data - Address - Home - Street Name
Suburb
Entity Data - Address - Billing - Suburb
Post Code
Entity Data - Address - Home - Post Code
State
Entity Data - Address - Home - State
Country
Entity Data - Address - Home - Country
Is your postal address different to your residential?
Basic - Radio buttons
Postal address

Note: To enter a PO Box address, please click on ‘click here to enter address manually'.
Entity Data - Address - Postal - Lookup
Postal address - unit/ flat number
Entity Data - Address - Postal - Unit/Flat Number
Postal address - street/ lot number
Entity Data - Address - Postal - Street/Lot number
Postal address - street name
Entity Data - Address - Postal - Street Name
Postal address - suburb
Entity Data - Address - Postal - Suburb
Postal address - post code
Entity Data - Address - Postal - Post Code
Postal address - state
Entity Data - Address - Postal - State
Postal address - country
Entity Data - Address - Postal - Country

Unique Student Identifier (USI)

  For information on USI, please visit our help centre. 

Please enter your 10 digit USI:
Entity Data - AVETMISS - Unique Student Identifier (USI)
Of the following categories, which BEST describes your main reason for undertaking this study?
Entity Data - AVETMISS - Study Reason

Declaration

Terms and Conditions
Basic - Checkboxes
Consent: I consent to share my course enrolment details with my employer.
Basic - Radio buttons

Payment

Pay Later (account)

REIWA members who choose to pay via member account (Pay Later) will be invoiced for the full amount. Payment plans are only available for credit/ debit card payments. 

Pay Now (credit/ debit card)

Payment plans are available for this course. Here is how it works:  
1. Select 'Pay Now' option. 
2. A $550 non-refundable enrolment fee will be charged to your credit/ debit account.  
3. You will receive a phone call from REIWA within 2 business days confirming your preferred credit or debit payment method. 
4. You will receive an email from DocuSign. 
5. Review and complete the DocuSign agreement (Direct Debit Authorisation) to confirm your payment plan. 
6. Your remaining course fees will be debited in fixed monthly instalments. The instalment amounts are predetermined based on your course and cannot be adjusted.  


Payment Options

Select a Payment Option


Pay Now

Select this option if you want to pay now.
You'll be redirected to the Payment Gateway.

Pay Later

Select this option to pay later. An invoice will
be provided to you, or your sponsor, post
submission.

Please select from the following options:

Member Invoice
Unrestricted Registration 		$550.00
$550.00
$0.00
$550.00