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Step 1 of 2: Complete Booking Form.

COMPANY BOOKING - HEAVY RIGID TRUCK  

PLEASE READ CAREFULLY

Please complete this form to register your interest in enrolling yourself (or an employee) into a Truck Licensing Course.

Lessons & Assessment Time will be arranged during initial appointment or as arranged by management.
Call 08 9144 1170 for further information. 

Unit of Competency: TLIC3004 Drive a Heavy Rigid Vehicle

COURSE BOOKING FEE: $450 (Covers theory assessment, admin, certificate, LAPS Checks & Dept. of Transport license fees)  

Prior to completing this booking form, please read and ensure you understand our 5 Step Process to gaining the license including all costs involved and the Payment, Cancellation & Refund Policy.                         
You can READ or DOWNLOAD the 5 Step Process HERE

NOTE: A current HR Learners Permit is required prior to assessment. 

  • Section 1: HR GEARBOX
  • GEARBOX TYPE *
  • Section 2: COMPANY DETAILS
  • Company Name *
  • Company Representative *
    (Person completing this booking form)
  • Phone *
  • Contact email *
  • Section 3: STUDENT DETAILS
  • STUDENT-Full Name *
    (First and last name as shown on license)
  • Date of Birth *
  • Phone Number *
  • Email *
  • Special Needs-List here
    If there are any special needs, (numeracy, literacy, reading, language, mental health & physical disabilities or rural isolation and work commitment issues) alternate arrangements may be organised.
  • DRIVERS LICENSE DETAILS
  • Driver's License No. *
    NOTE: Must be WA License
  • License Expiry Date *
  • Learners Permit No.
    LEARNERS PERMIT -- NOTE: A current HR Learners Permit is required prior to assessment. If you have one please provide details.
  • Learners Permit Expiry Date
  • Section 4: PAYMENT OPTIONS
  • Booking Fee is required to secure appointment unless PO is supplied.
  • Payment method *
    (You will complete payment in STEP 2: Confirm and pay)
  • Purchase Order No. (If applicable)
  • Attach PO (If applicable)
    (Please attach a copy of your PO here)
  • Confirmation: *
  • Declaration *

Prior to submitting this booking form, please read and ensure you understand our 5 Step Process to gaining the license including all costs involved and the Payment, Cancellation & Refund Policy.                         
You can READ or DOWNLOAD the 5 Step Process HERE

You can now go to STEP 2 to confirm and place your order.

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