Application for Enrolment - Paramount College of Natural Medicine

.ENROLMENT APPLICATION

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Application for Enrolment

Title
Name
*
Surname
*
Address
*
Suburb
*
Post Code
State
Country
Australian Citizen? Yes No
Email
*

* Please note: Email addresses may be made available to online lecturers
Phone
*
Mobile
Date of Birth
Gender Male Female
Course to be Enrolled in
Mode of Study Online On Campus
Details of Modules

Please list all the details of the Modules you wish to enrol in this semester.

Module Code eg. AP1
*

Module Name eg. Anantomy & Physiology 1
*

* Details of modules can be found on corresponding course page under "Course modules & year structure in detail" link

Payment Details VET FEE-HELP (For eligible Australian students) Full Payment on acceptance Payment Plan (Partial payment+ four (4) monthly payments)

Prior Academic Experience

Please give details of your academic background.

ie. Level of study & Qualification eg. Diploma of Nutrition, Institution of study eg. PCNM, Years of study eg.1999-2004

Please note: Year 12 TEE English or equivalent is a requirement to study at Paramount College of Natural Medicine (Please contact us if you require further information)

Recognition of Prior Learning
Do you wish to claim Skills Recognition or Credit Transfer for any module(s)/unit(s)
No Yes
If yes, a request for a RPL/RCC/CT Skills Recognition Form from Administration will be forewarded upon completion of this form

* Please note: Application for Skills Recognition must be made with enrolment and will not be accepted after acceptance into the course (fees apply). If unsure of your personal situation please speak to Paramount College of Natural Medicine for further details
Special Needs
Do you have any special needs ?
No Yes
If yes, we will call and discuss these with you in confidence
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Declaration

• I hereby certify that the information provided by me is complete and correct. I agree that Paramount College of Natural Medicine (PCNM) may, if necessary verify all details provided including my educational qualifications.
• I acknowledge that Paramount College reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect or incomplete information provided by me.
• I am aware that student places at PCNM are determined by their staff and are non-disputable.

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