Department of Human Services

Tenant Training Registration Form

The symbol indicates required information.

Any data submitted using this electronic form via the Internet is secure and will be encrypted using SSL (Secure Sockets Layer)

If you are a public housing tenant, have a concession card, and have enrolled in an accredited Training course, please complete and submit this form online.

Training Details



Course Details
Campus
Training Provider/TAFE Name
Course Coordiniator
Start Date	Finish Date

Personal Details



Given Name
Family Name
Date of Birth
Gender	Male Female
Country of Birth
Address
Suburb	Post Code
Home Phone	Mobile No
E-mail
Date of Last Employment
Please indicate if any of the following apply to you	Person with a Physical Disability Person with a Intellectual Disability Person with a Mental Illness Indigenous Australian Person from Culturally & Linguisticlly Diverse Communities

Are you an Australian Citizen or Permanent Resident? Yes No

(Please note if you ticked no, there may be restrictions on being able to fund your course depending on what visa you have)

Are you registered with a job Network? Yes No

Name of Job Network Location