AIAS Natural Medicine College Australia -Student Enrolment - Australia

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2006 Prospectus

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Herbal Medicine

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FAQ

Student Enrolment Inquiry | please read this first

If you are interested in enrolling in a specific course, but you would like to discuss study options, pricing and payment plans with a staff member, please tick the box marked "Inquiry Only". please call 1 300 880 933 (International +61 7 3394 2344) for further information.

Enrolment/Inquiry

I am requesting an

Enrolment Inquiry Only*

*for inquiries, please fill out sections A and C only then submit form.

Section A - Contact Details

Family Name	Given Name	Title
Street Address
Suburb	State	Postcode
Phone (home)	Phone (mobile)
Email Address
Occupation	Date of Birth	Gender
Where did you hear about AIAS?

Section B - Personal Background - leave blank if not applicable

Country of birth	Country of Citizenship
Passport Number	Expiry Date
Languages Spoken (in order of use)
Educational Level attained	Last year of study
Name of School/College/Uni	State/Country
Special Needs (please type in any special requirements or concerns)

Section C - Course Details

Course Name \| list courses	Expected commencement date
Method of Study

Recognition of Prior Learning (previous courses undertaken at AIAS)
Course Name	Year Completed
Course Name	Year Completed
Course Name	Year Completed

Section D - Agreement - Please read carefully then tick the appropriate box

I declare that the information I have supplied on this form is, to the best of my undertanding and belief, complete and correct. I understand that the giving of false or incomplete information is illegal, and that I may be proscecuted under Australia's laws and statutes.
Applicants Name Date
By checking this box, you agree to be bound by the above declaration, and that you have read and agree to the Student Refund Policy. This application form in no way implies any liability on the part of AIAS and further that completing this application form does not guarantee any place in any course offered by AIAS.

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