Student Enrollment Form

Please ensure you have spoken to a DDT Industries representative before confirming any bookings for our training packages, this will ensure the specific course is right for your needs.

For those of you having difficulty with this form, please copy and paste the data below into your standard email message, and send to info@ddtindustries.com.au

( * INDICATES REQUIRED )

Surname *

First Name *

Middle Name *

Address

Postal Address

Phone

Mobile Number

Email *

Courses you wish to enroll in:
 LR MR Advance HR Express HR HC MC Fatigue Management Fatigue Management for admin Forklift Excavator Roller Front End Loader Skidsteer Bobcat Certificate 3 Driving operations Dozer

For students wishing to enroll in heavy vehicle training & assessment please supply the following information

Licence number

Effective Date

Expiry Date

Licence Class:
 C LR MR HR HC

Length of time held this class:

What days would best suit you for training:

What time of day best suits you for training:

Do you require assistance with reading writing or numeracy?
 Yes No

Students applying for MC or express day courses please fill in the following:

Do you have any allergies or dietary requirements? Please specify-

To book any training appointment excluding fatigue management a minimum $200 deposit is required.

Has your deposit of full payment been made?
 Yes No

How was this payment made?

For bank transfers please provide payment reference number:?