CHTS Enrolment Form

: Please fill out every section on this enrolment form to enable us to complete our compliance requirements and issue your Statement of Attainment or Certificate
1. PERSONAL DETAILS – MUST BE THE SAME AS DETAILS PROVIDED FOR A USI
: Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want Complete Hospitality Training Skills to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document (eg Licence) you choose to use for this purpose. See section 12 at the end of this form for a detailed explanation
Title:
Name Details:: First Name:
Last Name:
Date of Birth:
Residential Address Details (no PO Boxes)::: Line 1:
Line 2:
City:
Country:
State:
Postal Code:
Mobile Number:
Contact Email:
: Emergency/Next of kin details:
Emergency/Next of Kin Name Details:
Contact Number (Emergency/Next of Kin):
2. COURSE DETAILS
Date of Enrolment (Today’s date):
Name of Course Attending:
: (Only applicable for Gaming Training)
Gaming Badge/ID Number:
3. EMPLOYER / PREMISE DETAILS
Name of Business/Premise::
Name of Employer/Manager:
If not employed, Name of Employment Service Provider:

Clubs SA House
222a Henley Beach Rd
Torrensville, SA 5031

Emergency/Next of kin details: