Course Registration Form

All course participants are required to complete a Course Registration Form

Participant Details

Title: *

Gender: *

First Name: *

Surname: *

Company:

Job Title:

Phone: *

Mobile:

Email: *

Date of Birth: *

Postal Address Line 1: *

Postal Address Line 2:

Suburb: *

State: *

Post Code: *

Dietary Requirements:

Emergency Contact / Number

Contact Name: *

Contact Phone Number: *

Do you have a disability?

What is the nature of the disability?:

How will it affect your ability to study? :

i.e. What support services will you require? (Learning Assistance, Disabled Access etc)

Education

What is your highest level of education?:

Employment

Provide summary of work experience (if any):

Course Details

Please select your course: *

Invoice Details

Please complete this section if you require an invoice to make a registration payment.

Alternatively after submitting this form, you can pay online from our homepage by selecting the "book now" function alongside your preferred course.

Company Name:

Contact Person:

Order Number:

Postal Address:

Phone:

Fax:

Email:

NB: Payment must be received a minimum of 28 days prior to the commencement of training, otherwise no guarantee can be made of a place on the course.

Please read the Participant Handbook about our enrolment terms and conditions, refunds, cancellations and other policies.

Where did you hear about LogiKal?:

Attachment	Size
DOC_LTI Participant Handbook_Jan 10.pdf	166.96 KB

Logikal supplies quality, real world project management training delivered by internationally experienced, qualified professionals.

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