Course Booking Form

For the best experience, please ensure your browser is fully updated. If you experience any issues using this page, please contact us so our friendly staff can make a booking for you over the phone.

Please complete the form below and check our website for full information about any of the courses or contact our office on 02 8292 0111

Job Active Provider Details

Job Active Provider Organisation* :

Job Active Provider Suburb* :

Address* :

Postcode* :

JAP Consultant First Name* :

JAP Consultant Last Name* :

JAP Consultant Email* :

JAP Consultant Phone* :

Accounts Email* :

Invoices Attention* :

PO Number* :

Name of L4W Consultant (if applicable) :

State or Territory? *:

Student Details

First Name* :

Last Name* :

Student Phone* :

Student Email* :

LLN* :

Excellent Average Poor

Course* :

Options* :

Course Level* :

Course Date* :

Select Course Date

On receipt of your booking form you will see a Thank You page and receive a confirmation email. If you do not see this page AND get the email, your order may not have gone through. Please contact us with if you are unsure.On successful submission of this form you can click on “Add Another Attendee” to book additional courses if desired.

You can also download a pdf version of this form to fill out if preferred. Please download the form here, after filling it out please scan and email it to us at bookings@licences4work.com.au .

If you would like to print this page for the purpose of creating a purchase order, please use the Print Form button below after filling in all the details. Printing the form does not mean you have made a booking nor does it submit the form so you will not get a confirmation email.

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Course Booking Form

Job Active Provider Details

Student Details

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