TEST - CPD Training Application

Training Training Course Application process Training Course Application Form TEST - CPD Training Application

Personal Information

Company Name

First Name

Last Name

Phone

Address

Street Address

Town/Suburb	Postcode
State	Country

Course Information

What type of CPD Training Course are you applying for?

Elective - $100 + GSTCore - $250 + GST

Institution	Institution (If Other)
Course Name	Duration
Delivery Method	Website for more information
Assessment Type	Location of Training
Select states

Course Description

Is this a renewal?

Enter the Training Course Name

If you have made any changes to your course within the past 12 months, please provide an overview of these changes in the box below

Documentation

Please attach the appropriate Education and Training plan and supporting documents as specified in the submission checklist.

Please note: You can upload up to 4 documents below. Failure to provide the required information may result in your application review being delayed or rejected. There is a 15MB limit on individual files uploaded to this form. If you have a file larger than 15MB, please email it to [email protected].

Education and Training Plan

Course Content

Trainer/Facilitator/Subject matter expert qualification evidence

Course Outline, Learning Outcome(s), Price & Duration as advertised

Change register/Supporting course evaluation documents

Declaration

I represent and warrant that:

All information contained in and attached to this form is correct and not misleading by inclusion or omission.

I understand that acceptance of the above mentioned training course is at the discretion of the Clean Energy Council and that the CEC reserves the right to review/remove the course at any time as per the CPD Allocation Procedure.

I/we will not share or advertise that the course approved for CPD points is endorsed or accredited by the Clean Energy Council.

Checkout

Amount: $100.00

GST: $10.00

Total: $110.00

Amount: $250.00

GST: $25.00

Total: $275.00

Card Holder Full Name

Card Number

Expiry Month

Expiry Year

CVC

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TEST - CPD Training Application

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TEST - CPD Training Application

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