VERIFICATION CONSENT FORM

Ausinet - Australian Institute of
Electrotechnology
117 Victoria Street, West End, Brisbane QLD
Unit 11/41 Sadgroves Crescent, Winnellie, Darwin NT
Phone: +61 0421 677 541, Email: support@ausinet.com.au
Web: https://ausinet.com.au/
CRICOS ID: 03775F RTO ID: 41457
VERIFICATION CONSENT FORM
Family Name*
Given Name*
Date of Birth*

MonthDayYear
Contact No*
Email Address*
example@example.com
USI*
I understand AUSINET will contact the training provider where I completed my previous study to verify my enrolment details and I hereby give permission for AUSINET to be provided with the details required.
Student Signature*

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Date*

MonthDayYear
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