Attendee details

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Course registration fee

Declarations

I agree to allow the result of this Program (i.e., pass or fail) to be conveyed to your employer and to a database managed on behalf of the Industry by Safer Together or its agent. This nomination process is designed to comply with relevant Privacy legislation.
I understand that information collected about me on this form can be provided, in certain circumstances, to the Australian Government and designated authorities. In other circumstances, it can be disclosed without your consent where authorised or required by law, in accordance with the Privacy Act 1988.