Name: Yugo Driving School Pty Ltd
Address: 79-85 Hallam Valley Rd, Dandenong, VIC, 3175, AU
Telephone: 03 9794 0040

Licence Only (New)

Step 1 of 10

Tick here to indicate you have read and understood the Course Information Outline for this course.
- Yes I understood
1. PRIVACY NOTICE
Yugo Driving School takes the privacy of your data seriously will only collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth) and will not use or disclose it for any other purposes. Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Yugo Driving School for statistical, regulatory and research purposes. Yugo Driving School may disclose your personal information for these purposes to third parties, including employer (if you are enrolled in training paid by your employer), Commonwealth and State or Territory government departments and authorised agencies, organisations conducting student surveys and researchers.

2. PERSONAL DETAILS
Title: (Please tick)
- Mr
- Mrs
- Miss
- Ms
- Other
Name
First Last
Residential Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone (Home)
Phone (Work)
Phone (Mobile)
Gender
- Male
- Female
- Other
Emergency/Next of Kin-Contact Details
First Last
Phone

4. EMPLOYMENT DETAILS
Business Name
Contact Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

6. TERMS and CONDITIONS
Payment is required prior to booking times/dates, or organised by management as case by case under company purchase order. REFUND POLICY and PROCEDURE A full refund of enrolment fees will be made if a course is cancelled by Yugo Driving School Pty Ltd for any reason. An application for refund under any other circumstance must be made in writing to Yugo Driving School Pty Ltd clearly outlining name, address, contact details, course details and the reason a refund is being requested. In all cases, refunds are at the discretion of the General Manager/Office Manager and may be negotiated on an individual case-by-case basis. Refund conditions: Students will have the right to obtain a refund for services not provided by Yugo Driving School Pty Ltd in the event: Yugo Driving School Pty Ltd fails to provide the agreed services, e.g. a course is cancelled or rescheduled by Yugo (to manage internal contingencies or to address any Government or regulatory directions) to a time when the student is unavailable; a replacement piece of equipment/plant/vehicle is not made available to address issues that arise during training and assessment. Course changes/cancellations/transfers must be received 7 days prior to the commencement of the course. This includes changes to gearbox/category. Refunds within this timeframe is a case by case decision by Management, due to level of hardship to Yugo Driving School. Transfer of course date without any fees charged may be given if hardship is not felt by Yugo. Transferring or cancelling on the same day as your course would most likely encounter a full fee charged due to admin and trainer/assessor wages being confirmed. In the event the training is being paid for by an employer course fees may be transferable to other employees of the company, if this is organised with the required timeframe. No refunds will be given once a course has commenced. Management has the right to charge $100 Administration Fee on all course cancellations. In the event a refund is given a note with the following details will be entered into the student file stating date of refund, amount of the refund and the reason for the refund being granted Staff are advised of the refund policy through Induction and students are advised in the Course Information Outline and on the Enrolment Form. YDS will refund student fees if directed to do so by VicRoads or other regulatory authorities.

7. STUDENT DECLARATION AND CONSENT
I was adequately informed of the requirements and expectations of the course including student support and complaints and appeal processes prior to enrolment (as per information provided on Yugo’s website, discussion with the administration staff and review of the ‘course information’ outline (downloaded from the website). I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above. I hereby agree to pay all fees and charges applicable to and arising from this enrolment and have read and understood the Refund Policy. I hereby agree to abide by the Yugo Driving School Operating Procedures. I agree to provide feedback to Yugo Driving School for continuous improvement. I authorise Yugo Driving School to release information regarding my enrolment to my employer (if applicable). I consent to allowing Yugo Driving School to use photos/audio and Visual Camera Recording Footage of my assessment (for VicRoads Auditing Purposes) in situations relevant to training and assessment. I authorise Yugo Driving School to release information regarding my enrolment to any Government Department and other parties when Yugo Driving School is legally obliged to do so. I was adequately informed of the requirements and expectations of the course as outlined in the Course Information Outline prior to enrolment. I will not cheat or plagiarise any documentation and declare that the assessment tasks will be my own work. I fully understand the consequences of cheating and plagiarism at Yugo. I declare that the information I have provided is true and correct to the best of my knowledge.
If you have any comments or suggestions for improvement for the student information or enrolment process then please write them here.
Student signature
Date
MM slash DD slash YYYY

9. LICENCE DETAILS FOR TRUCK/BUS COURSE PARTICIPANTS
Please complete the following for VicRoads Eligibility and reporting requirements:
Victorian Licence Number
Expiry Date
MM slash DD slash YYYY
Class or classes of Licence: (eg. Car, R)
Please state how long you have held your current Victorian Car licence.
If you have changed your licence over from Interstate/Overseas, you may be required to complete an Exemption before applying for this course. Speak to Yugo Driving School Administration team for assistance
Please state any CONDITIONS on your licence (eg. Interlock):
Do you have any medical condition, including mental/physical illness?
- Yes
- No
Any disability which may affect your efficiency in driving a vehicle?
- Yes
- No
Are you taking any prescribed medication or drugs of addiction?
- Yes
- No
If you have answered YES to any of the above questions, a medical report will need to be approved by VicRoads before booking in your course dates. Please ask us to email you a medical report form.
If a student fails to complete the eyesight test prior to booking course dates/times, Yugo holds no responsibility if the student fails this eyesight test on the course date, which would result in cancellation of his/her course at the expense of the student.
If the student has any lazy eye/cataracts/no vision in one eye or little vision, he/she should visit our office for an eyesight test prior to completing course arrangements.
OFFICE USE ONLY
- Yes
- No
Left Eye: 6/ Right Eye: 6/ Glasses/Contacts:
Name of Yugo Personnel:
Signature

Applicant Eligibility Declaration Form
I
Lic. No
declare I hold a current Australian driver licence and wish to apply for a LR/MR/HR/HC/MC (please circle one) licence category and I meet the relevant eligibility criteria. Please tick the criteria of the licence category you are applying for below.
Light Rigid / Medium Rigid Eligibility Criteria
- Held an Australian driver licence cumulatively for a period of 12 months excluding any bans
Heavy Rigid Eligibility Criteria
- Held an Australian driver licence cumulatively for a period of 24 months excluding any bans
Heavy Combination Eligibility Criteria
- Held an Australian driver licence cumulatively for a period of 24 months and an MR or HR for a period of 12 months excluding any bans
Multi Combination Eligibility Criteria
- Held an Australian driver licence cumulatively for a period of 24 months and an HR or HC for a period of 12 months excluding any bans
- (OR) Have an exemption (hardship) or recognition (Overseas/New Zealand) which allows me to apply for a HV licence endorsement (exemption approval letter required).
Additional Information – Please tick if applicable
- I am required to have an interlock device fitted to my vehicle
- I have a medical condition and/or take prescribed medication
- My licence is cancelled, suspended or disqualified OR I have a pending cancellation, suspension or disqualification.
By signing this form, I declare that the information in this form and related supportive documents is true, correct and complete. I understand that if this information is not accurate my heavy vehicle assessment result may not be valid and I will not be able to apply for a refund of the fees paid. 
Applicant name
Applicant Signature
Date
MM slash DD slash YYYY

Student Enrolment Page Form

Licence Only (New)

Step 1 of 10

1. PRIVACY NOTICE

2. PERSONAL DETAILS

3. COURSE DETAILS

4. EMPLOYMENT DETAILS

5. DISABILITY

6. TERMS and CONDITIONS

7. STUDENT DECLARATION AND CONSENT

8. LLN ASSESSMENT

9. LICENCE DETAILS FOR TRUCK/BUS COURSE PARTICIPANTS

Applicant Eligibility Declaration Form

Student Enrolment Page Form

Licence Only (New)

Step 1 of 10

1. PRIVACY NOTICE

2. PERSONAL DETAILS

3. COURSE DETAILS

4. EMPLOYMENT DETAILS

5. DISABILITY

6. TERMS and CONDITIONS

7. STUDENT DECLARATION AND CONSENT

8. LLN ASSESSMENT

9. LICENCE DETAILS FOR TRUCK/BUS COURSE PARTICIPANTS

Applicant Eligibility Declaration Form

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