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Student Enrolment Page Form

Student Enrolment Page Form

Student Enrolment Form

Step 1 of 15 - Application Type

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Application Type*
Students have the option to enrol in a Licence & Certificate course or a Licence only course. Certain professions may require an accredited certificate of course completion recognised by the Australian Skills Quality Authority as provided by the Licence and Certificate course.

The cost and time commitment of both courses are the same. Licence only users have a chance of receiving their licence slightly sooner.

Please select if you would like an accredited Statement of Attainment with the licence or licence only.
- Licence & Certificate - Forklift Applicants (approx. 4 weeks waiting time)
- Licence Only (approx. 2 weeks waiting time)

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Privacy Notice
Under the Data Provision Requirements 2012, Yugo Driving School is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). 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.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
- Issuing statements of attainment or qualification, and populating authenticated VET transcripts;
- facilitating statistics and research relating to education, including surveys;
- understanding how the VET market operates, for policy, workforce planning and consumer information; and
- administering VET, including programme administration, regulation, monitoring and evaluation.
You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. You may opt out of the survey at any time of being contacted. NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au).
Yugo Driving School takes the privacy of your data seriously. We 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.

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Course Information Brochures
Course Information Brochures
Course Information Brochure*
- Tick here to indicate you have read and understood the Licence Course Outline for the course you are applying for.
2. Personal Details
From 1 January 2015, Yugo Driving School can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI on a computer or mobile device. Please note that if you would like to specify your gender as 'other' you will need to contact the USI office for assistance.
Full Name*
Title Given Names Family Name
Residential Address*
Street Address Town/Suburb State Post Code
Postal Address
Street Address Town/Suburb State Post Code
Phone Number(s)*
Second contact number
Third contact number
Email
Gender*
Date of Birth*
Emergency Contact Name*
Emergency Contact Phone*
Victorian Student Number
- I don't have a VSN.
- I have a VSN, but do not know the number.
- I have a VSN, and know the number.
VSN Number (Victorian Student Number)

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3. Course Details
Preferred Date of Course
(For any changes/cancellations in Gearbox or Category, we require 7 days notice. This does not guarantee your course date. You will be notified of your actual date and time when your enrolment is confirmed.)
Name of Course Undertaking (Licence & Certificate):*
- TLILIC2014 Licence to drive Light Rigid vehicle
- TLILIC2015 Licence to drive Medium Rigid vehicle
- TLILIC2016 Licence to drive Heavy Rigid vehicle
- TLILIC3017 Licence to drive Heavy Combination vehicle
- TLILIC3018 Licence to drive Multi Combination vehicle
- TLILIC0003 Licence to operate a Forklift Truck
- TLILIC0004 Licence to operate an Order Picking Forklift Truck
Name of Course Undertaking (Licence Only):*
- Light Rigid vehicle
- Medium Rigid vehicle
- Heavy Rigid vehicle
- Heavy Combination vehicle
- Multi Combination vehicle
If Truck/Bus, choose a gearbox:*
- Auto
- Synchro
- Non-Synchro
Tick box if you want to apply for:
- RPL
- Credit Transfer

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4. Employment Details
Business Name
Contact Name
First Last
Address
Street Address Town/Suburb State Post Code
Telephone

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5. Language & Cultural Diversity
Are you of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
Were you born in Australia? (If not, please specify)*
- Yes
- No - please specify below
Other - place of birth*
Do you speak a language other than English at home?*
- No, English only
- Yes - please specify below
Language Spoken
How well do you speak English?*
- Very well
- Well
- Not well
- Not at all

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6. Disability
Do you consider that you have a disability, impairment or long-term condition?*
(you may indicate more than one area)
- No
- Vision
- Hearing/Deaf
- Physical
- Medical Condition
- Intelectual
- Mental Illness
- Learning
- Acquired Brain Impairment
- Other
Other

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7. Education
What is your highest completed school level?*
- Completed Year 12
- Completed Year 11
- Completed Year 10
- Completed Year 9 or equivalent
- Completed Year 8 or lower
- Did not go to school
In which year did you complete that school level?*
Are you still attending secondary school?*
- Yes
- No
Have you successfully completed any of the following qualifications?
- Yes (please tick ANY applicable boxes)
- No (go to the Employment section)
Completed Qualifications
- Bachelor Degree or Higher Degree
- Advanced Diploma or Associate Degree
- Diploma or Associate Diploma
- Certificate IV or Advanced Certificate/Technician
- Certificate III or Trade Certificate
- Certificate II
- Certificate I
- Certificates other than the above

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8. Employment
Of the following categories, which best describes your current employment status?*
- Full-time employee
- Part-time employee
- Self employed - not employing others
- Employer
- Employed - unpaid worker in a family business
- Unemployed - seeking full-time work
- Unemployed - seeking part-time work
- Not employed - not seeking employment

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9. Study Reason
Of the following categories, which best describes your main reason for undertaking this course/traineeship/apprenticeship?*
- To get a job
- To start my own business
- To get a better job or promotion
- I wanted extra skills for my job
- For personal interest or self development
- To develop my existing business
- To try for a different career
- It was a requirement of my job
- To get into another course of study
- Other reasons

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10. Terms & Conditions
Payment is required 1 week in advance of the course starting date; or prior to booking times/dates.

Refund Policy & Procedure
1. A full refund of enrolment fees will be made if a course is cancelled by Yugo Driving School Pty Ltd for any reason.
2. An application for a 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.
3. 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.
4. Refund conditions:
  - Course changes/cancellations/transfer must be received 7 days prior to the commencement of the course otherwise no refund can be given.
  - In the event the training is being paid for by an employer course fees are transferable to other employees of the company.
  - No refunds will be given once a course has been commenced.
  - Management has the right to charge $100 Administration fee on all course cancellations.
5. In the event a refund is given a note with the following detail will be entered into the student file starting date of refund, amount of the refund and the reason for the refund being granted.
6. Staff are advised of the refund policy through induction and students are advised in the Course Information outline and on the enrolment form.
7. All Students are required to submit a USI number (Unique Student Identifier) prior to receiving a Statement Of Attainment/Qualification.
Payment is required 1 week in advance of the course starting date; or prior to booking times/dates.

Refund Policy & Procedure
1. A full refund of enrolment fees will be made if a course is cancelled by Yugo Driving School Pty Ltd for any reason.
2. An application for a 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.
3. 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.
4. Refund conditions:
  - Course changes/cancellations/transfer must be received 7 days prior to the commencement of the course otherwise no refund can be given.
  - In the event the training is being paid for by an employer course fees are transferable to other employees of the company.
  - No refunds will be given once a course has been commenced.
  - Management has the right to charge $100 Administration fee on all course cancellations.
5. In the event a refund is given a note with the following detail will be entered into the student file starting date of refund, amount of the refund and the reason for the refund being granted.
6. Staff are advised of the refund policy through induction and students are advised in the Course Information outline and on the enrolment form.
7. All Students are required to submit a USI number (Unique Student Identifier) prior to receiving a Statement Of Attainment/Qualification.

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11. Student Declaration and Consent
- I declare that the information I have provided to the best of my knowledge is true and correct.
- 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 and read and understand the Refund policy.
- I hereby agree to abide by the Yugo Driving School RTO Operating Procedures
- I agree to provide feedback to Yugo's for continuous improvement
- I authorise Yugo Driving School to release information regarding my enrolment to my employer (if applicable).
- I consent to allow Yugo Driving School to use photos/audio & Visual Camera Recording Footage of the assessment (for VicRoads Auditing Purposes) of me 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 understand that information requested in these forms may be provided to State and Commonwealth agencies and research organisations and I consent to that occurring. All data is confidential and is not forwarded to any other party with the sole exception of the national statistical database to inform future federal funding for Vocational Training.
- I declare that the information supplied on this enrolment form is correct and complete.
- I was adequately informed of the requirements and expectations of the course as outlined in the Course Information Brochure prior to enrolment.
If you have any comments or suggestions for improvement for the Student information or enrolment process then please write them here.
Date*
Signed:*
Add digital signature.
Yugo Newsletter Sign Up
- Sign me up to the Yugo newsletter.
Subscribe to the Yugo newsletter to receive updates about our courses and course discounts that you may be entitled to.

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12. LLN Assessment
Complete at least one of the following paragraphs, for us to asses your reading & writing skills.
Your previous learning experiences. Please complete MORE THAN 20 WORDS or your application will not be processed.*
If you have filled in the other question and this is not applicable please just write n/a or no
Any areas where you needed specific assistance or support*
If you have filled in the other question and this is not applicable please just write n/a or no
In order to test numeracy (FOR FORKLIFT STUDENTS ONLY) can you answer the following:
700 + 325 =*
12 mm x 20 mm =*
200kg ÷ 10kg =*
What does kg measure?*
What does km/h mean?*

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13. Licence Details (for Truck/Bus course participants)
Please complete the following for VicRoads Eligibility and reporting requirements:
Victorian Licence Number*
Expiry Date*
Class or classes of Licence: (eg: Car, R)*
Please state how long you have held your current Australian Car Licence for?*
* If you have changed your licence over from Interstate/Overstate, you may be required to complete an Exemption before applying for this course.
Please state any CONDITIONS on your licence (eg. Interlock)
How well do you speak English?*
- Very well
- Well
- Not well
- Not at all
Do you have any medical condition, incl. 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 answered YES to any of the above questions, give details below.
A medical report will need to be approved by VicRoads before booking in your course dates.
Eyesight Details:

EYE TEST TO BE COMPLETED AT YUGO DRIVING SCHOOL

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 course arrangements.
Left Eye:
Right Eye
Glasses/Contacts
- Yes
- No
Name of Yugo Personnel
Signature of Yugo Personnel

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14. Applicant Eligibility Declaration Form
Provider - Yugo Driving School Pty Ltd
Applicant Name*
Applicant Lic. No.*
I declare I hold a current Australian drivers licence and wish to apply for a;
Please select 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
Exemption Criteria
- 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
- I am required to have an interlock device fiited 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:*
Application Date*
Applicant Signature*
Add digital signature.
Phone
This field is for validation purposes and should be left unchanged.

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Name*
Email*
Name
This field is for validation purposes and should be left unchanged.

Find out more about Yugo Driving School and sign up to our newsletter

Contact:

79-85 Hallam Valley Road,
Dandenong VIC 3175,
Australia

(03) 9794 0040

info@yugodrivingschool.com.au

RTO number 22 356

ABN 78 006 438 848

Quicklinks:

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Courses:

Heavy Combination (HC) Licence Training
Light Rigid (LR) Licence Training
Medium Rigid (MR) Licence Training
Forklift Licence Training
Truck Driving Skills Refresher/ Assessment Course
Medium Rigid Bus Driver Training

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