Confirmation of Training / Assessment

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Section 1: How to book your training with Total Height Safety

Step 1 Complete all blank sections of the form, check and correct any errors in the entered data

Step 2 Await confirmation that the application has been successful

Step 2 Forward the relevant training and/or assessment information to the participants

Please note that the training and/or assessment is not confirmed until we receive this form completed, signed and have verified your method of payment.

Section 2: Confirmation of payee and contact details

Payee Name

Postal address

Address - Postal - Unit/Flat Number

Address - Postal - Street/Lot number

Address - Postal - Street Name

Address - Postal - Suburb

Address - Postal - Post Code

Address - Postal - State

Address - Postal - Country

Telephone

Fax

Contact Person

Telephone

Section 3: Confirmation of course details

Course title

Product code (if known)

Course start date

Duration

Training venue

Start time

Approximate finish time

Number of participants attending the course

Special Instructions
1. Closed non-slip footwear is essential.

2. THS recommend participants use their own equipment to encourage familiarity & define limitations. If this is not possible, notify THS prior to training so alternative arrangements can be made.

3. There is no onsite parking available at THS, however we are within walking distance of both buses and trains.

4. Contact THS on 02 9966 9070 if you are running late for training.

5. Participants that are more than 15 MINUTES LATE will not be admitted to the course & fees will be forfeited

6. If participants do not understand Basic English, please ensure a translator is present.

Section 4: Participant Names and Unique Student Identifier (USI) & Information

Participant Name

Date of Birth

AVETMISS - Unique Student Identifier (USI)

Contact - Number

E-mail Address

Do you require plastic photo ID qualification cards to be issued to the successful participants?
The ID card is included as part of the course cost but replacement cards will be charged at a cost of $27.50 each.

Yes

Do any of the participants have difficulties with literacy, hearing, vision or the English language?

Yes

Will you be supplying equipment for your personal use during the training?
(You may need to supply PPE inspection records for your items brought)

Yes

Section 5: Payment Method

The cost of the training and/or assessment is based on quotation number

Option

Option 1: On an existing THS credit account

Option 2: Electronic Funds Transfer Direct deposit into our bank account as follows:
Account Name: Total Height Safety Pty Ltd
Branch Number: 032298
Account Number: 168610

Bank reference number: Please use your invoice number or course number ( located at top of page 1)

Option 3: Credit Card

Diners Card is not accepted by THS. Surcharges may apply when using credit cards.

Name:

Credit Card

I authorize Total Height Safety Pty Ltd to debit my credit card

Card number

Card expiry date

CCV number

Enter the name that appears on the credit card

Card Holder’s Signature

Draw It
Clear

Date signed

Section 6: Important information

1. Please ensure the participants are given all relevant information relating to the training and/or assessment.

This information should include the venue address, start times, equipment requirements and dress codes.

2. Dress requirements apply to many of our training and assessment sessions. Please ensure participants are appropriately dressed for the training and/or assessment being delivered. If you are unsure, please check with our Training Coordinator.

3. We recommend that participants provide their own equipment if available. This allows the participant to be trained and/or assessed using familiar equipment or brands they will be using in the workplace. Do not rush out and buy new equipment prior to the training and/or assessment. The trainer will assist you in the correct selection of equipment that is suitable for your application or working environment.

Section 7: Summary of terms and conditions of enrolment

1. No change of training or assessment dates will be accepted within five (5) working days of the dates as shown in Section Three (3) of this document.

2. No refund will be given for cancellations within five (5) working days of the dates as shown in Section Three (3) of

this document.

3. The training and/or assessment may be cancelled, postponed or modified prior to five (5) working days of the

dates as shown in Section Three (3) of this document without penalty.

4. No refunds or discounts will be given for non-attendance or partial attendance of the training and/or assessment.

5. Participants that are more than 15 minutes late and have not contacted our office prior to the start time will not be

admitted to the training and/or assessment and no refund will be given.

6. For non-account customers full payment is required prior to the training and/or assessment date.

7. Full enrolment will not be complete until all documentations are received and full payment has been verified

8. No refund will be given for participants that are refused entry due to inappropriate clothing, footwear or behaviour.

9. Persons will not be permitted to attend the training and/or assessment if payment terms have not been verified.

Please note:
• See the participant’s handbook for full details of the training and assessment process.

• Go to our website at: www.ths.com.au or contact our office for a copy to be sent to you.

Section 8: Official purchase order and acceptance of terms

By signing this purchase order I confirm the following:

1. That I have read and understood the information contained in this document.

2. That the information I have provided Total Height Safety Pty Ltd is complete and accurate.

3. That I authorise Total Height Safety Pty Ltd to provide the above mentioned training and/or assessment.

4. That I agree to the terms and conditions as outlined in Section Six (6).

5. That I agree to take full responsibility for the payment of the above training and/or assessment.

Name of person authorised to approve the training and/or assessment

Signature of person authorised to approve the training and/or assessment

Draw It
Clear

Position held by the authorised signatory (e.g: Participant or Manager)

This course is currently not open for enrolments