পরীক্ষার পাতা

There are two options for course payment

Credit card or Paypal: For these methods, continue filling out this form.

চালান Chemwatch for payment: If you choose this option, please email শেখার@chemwatch.net, আপনি ক্রয় করতে চান তালিকাভুক্তির সংখ্যা বিস্তারিত তথ্য সহ। DO NOT FILL OUT THE FORM YET. Once the payment has gone through, you can fill out this form, using the license code we send through.

Please complete all questions below.

ব্যক্তিগত বিবরণ

1. Enter your full name

Family name (surname): *

First given name: *

Second given name (middle):

2. Enter your birth date *

3. Gender (Tick ONE box only) *

পুরুষ
মহিলা
অন্যান্য

4. আপনার যোগাযোগের বিবরণ লিখুন

ই-মেইল ঠিকানা *

ই-মেইল

নিশ্চিত ইমেইল

বাসার ফোন

কাজের ফোন

মোবাইল *

5. Residential Address

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118) *

রাস্তার নাম *

Suburb, locality or town *

রাজ্য/অঞ্চল *

পিন কোড *

দেশ

6. What is your postal address (if different from above)?

ডাক ঠিকানা

Same as residential address

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

রাস্তার নাম

Postal delivery information (e.g. PO Box 254)

Suburb, locality or town

রাজ্য/অঞ্চল

পিন কোড

দেশ

Language and cultural diversity

7. In which country were you born? *

অস্ট্রেলিয়া
অন্যান্য

8. Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often) *

No, English only
Yes, please specify

9. Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes) *

না
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Aboriginal and Torres Strait Islander

অক্ষমতা

10. Do you consider yourself to have a disability, impairment or long-term condition? *

হাঁ
No – Go to question 12

11. If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (You may indicate more than one area) Please refer to the Disability supplement for an explanation of the following disabilities.

পড়াশোনা

12. What is your highest COMPLETED school level? (Tick ONE box only). If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9. *

13. Are you still enrolled in secondary or senior secondary education? *

হাঁ
না

Previous qualifications achieved

14. Have you SUCCESSFULLY completed any of the qualifications listed in question 15? *

হাঁ
না

No – go to question 16

15. If YES, tick ANY applicable boxes.

Bachelor degree or higher degree
Advanced diploma or associate degree
Diploma (or associate diploma)
Certificate IV (or advanced certificate/technician)
Certificate III (or trade certificate)
Certificate II
Certificate I
Other education (including certificates or overseas qualifications not listed above)

চাকরি

16. Of the following categories, which BEST describes your current employment status? (Tick ONE box only) For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week). *

ফুলটাইম কর্মচারী
Part-time employe
Self employed – not employing others
Self employed – employing others
Employed – unpaid worker in a family business
Unemployed – seeking full-time work
Unemployed – seeking part-time work
Not employed – not seeking employment

Study reason

Unique Student Identifier (USI)

From 1 January 2015, Chemwatch can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi/ on computer or mobile device.

Enter your Unique Student Identifier (USI) (if you already have one). You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/. *

Unique Student Identifier (USI)

Do you have access to a computer with internet? *

হাঁ
না

I understand that this is an online course and that I will access all my learning materials online, and that all my results and all my student correspondence will be received online *

হাঁ

How do you rate your computer skills? *

চমত্কার
ভাল
মৌলিক
দরিদ্র

How do you rate your ability to work with numbers? *

চমত্কার
ভাল
মৌলিক
দরিদ্র

Do you need any additional support? *

হাঁ
না

License Code? *A unique license code would have been provided to you if this course were previously purchased through a company or other arrangement. No (proceed to payment) *

না
হাঁ

পরিমাণ

দাম: $311.50

এখন বিক্রি! Introductory offer 30% off, only AUD $311.50 + GST. Limited time only, get in quick!