Course Registration

Student No

Date of Birth

Given name (first name) *

Family (last name) *

Gender?
MaleFemale

Do you have a Unique Student Identifier?
YesNo

USI

Note – If No, you can create your own USI by visiting – www.usi.gov.au or request CBC to generate a USI by filling in an – “Application for Unique Student Identifier (USI) & Consent Form”.
If you are a student undertaking Nationally Recognised Training you must have a Unique Student Identifier (USI).

Course attending:

(please select one from the following)

ICT Information & Communications Technology

ICT40518 Certificate IV in Programming
ICT50718 Diploma of Software Development

BSB Business Services

BSB51918 Diploma of Leadership and Management
BSB50215 Diploma of Business
BSB61015 Advanced Diploma of Leadership and Management
BSB60215 Advance Diploma of Business

SIT Tourism, Travel and Hospitality

SIT40516 Certificate IV in Commercial Cookery
SIT50416 Diploma of Hospitality Management
SIT50116 Diploma of Travel and Tourism Management

Overseas Student Health Cover

The Australian Government requires all students on student visa to have Overseas Student Health Cover.

Do you require CBC to arrange OSHC for you?
YesNo

Years

Months

SingleFamily

Do you have an existing health cover?
YesNo

Contact Details

Address *

Suburb *

Post Code *

Home Phone

Work Phone

Mobile Phone *

Email *

I undertake the responsibility to notify the college of change of my address.

Student Signature

Date