Student Enrolment Form Part 1 - White Card ID Required

You are enrolling in Prepare to work safely in the construction industry.

Please fill in the Registration form below. Fields with a red * are required.

To be eligible for a QLD White Card you must be able to provide evidence of your full name and residential address in QLD.

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This field is for validation purposes and should be left unchanged.
Date of the course you wish to attend.*

Refer to the Course dates in side menu ——>
Name*
First Last
We require three (3) current and valid forms of identification, one of which must be photographic id and another that must show your full name and current Queensland residential address. For example:

* Australian Driver’s Licence
* Passport
* School Identity Card
* Proof of Age Card
* Medicare Card
* Credit Card
* Birth Certificate – Full (Nat an Extract or a Commemorative Certificate
* Public utility account, Electricity, Gas, Water or land line telephone account
Evidence of Identification 1*
Accepted file types: jpg, Max. file size: 40 MB.
Evidence of Identification 2*
Accepted file types: jpg, Max. file size: 40 MB.
Evidence of Identification 3*
Accepted file types: jpg, Max. file size: 40 MB.
Please read the following carefully before signing*
- I declare that the information I have supplied in this form is complete, truthful and correct in every detail
- I declare that the attached image is a true image of the abovementioned applicant
Signature
Your Name
Your Name
Your Name

Student Enrolment Form Part 1 – White Card ID Required