Comcare Approval - HSR 010 Please scroll down and complete all required information. A tax invoice will be emailed to the accounts payable email address entered below and can be paid by eft or credit card.
Contact Name : Contact e-mail : Contact No : (If entering landline number, include area code) PCBU : (Name of Company or Organisation) Accounts payable email : (Invoices will be sent to this address) Purchase Order: (Enter purchase order number if applicable) Select Course Date/s : 5 days - 14 to 18 May 2018 - Perth 5 days - 18 to 22 June 2018 - Darwin 5 days - 9 to136 July 2018 - Cairns 5 days - 23 to 27 July 2018 - Townsville 5 days - 13 to 17 August 2018 - Mackay 5 days - 3 to 7 September - Brisbane 5 days - 24 to 28 September - Adelaide 5 days - 15 to 19 October - Melbourne 5 days - 5 to 9 November - Canberra 5 days - 26 to 30 November - Sydney Participant/s details Please enter a valide email address and phone number for each participant listed. If entering landline number include area code. Yes I am authorised by each of the persons and/or PCBUs listed in this form (including all partners/principals/directors) to: a) complete this form; and b) make these declarations i) payment for all participants listed will be made by the PCBU within 7 days of the invoice date or before the course start date, if less than 7 days of the invoice date; and ii) any cancellations will be made 21 days before the course start date;and iii)all fees paid will be retained by Job Safety Assistance Pty Ltd for cancellations made less then 21 days before the course start date; and e) acknowledge and accept the full "Registration Terms" on their behalf. Enter the number as shown : - . Return to top of form ▲.
Please enter a valide email address and phone number for each participant listed. If entering landline number include area code.
If entering landline number include area code.
a) complete this form; and b) make these declarations i) payment for all participants listed will be made by the PCBU within 7 days of the invoice date or before the course start date, if less than 7 days of the invoice date; and ii) any cancellations will be made 21 days before the course start date;and iii)all fees paid will be retained by Job Safety Assistance Pty Ltd for cancellations made less then 21 days before the course start date; and e) acknowledge and accept the full "Registration Terms" on their behalf.
i) payment for all participants listed will be made by the PCBU within 7 days of the invoice date or before the course start date, if less than 7 days of the invoice date; and ii) any cancellations will be made 21 days before the course start date;and iii)all fees paid will be retained by Job Safety Assistance Pty Ltd for cancellations made less then 21 days before the course start date; and
Return to top of form ▲.
