Required fields are marked *

1. Which certificates would you like to study?

2. Which certificates would you like to study?

   Please select from the list of nationally recognised certificates below (you can pick more than one):

   • CHC30308 Certificate III in Home and Community Car
   • CHC30208 Certificate III in Aged Care
   • CHC30408 Certificate III in Disability

3. Personal Details:

4. Title* Please select Mr Miss Mrs Ms
5. First Name*
6. Surname*
7. Gender* Please select Female Male
8. Date of Birthmust be a date in format YYYY/MM/DD*

9. Contact Details:

10. Email*
11. Home Phone*
12. Mobile Number

13. Postal Address:

14. Street*
15. Suburb/Town*
16. Postcode*
17. StateCourses are currently only held within South Australia.*

18. Acknowledgement and Consent:

19. Acknowledgement and ConsentI confirm the information provided by me on this form is true and correct. I acknowledge this information may be used for statistical and quality assurance purposes, and give my consent for this to be provided to appropriate external organisations for such purposes. I have read and accept the Cancellation and Privacy policies. I acknowledge that my registration is pending until confirmed by the The RDNS Education Centre.* Please select Yes No