Enrolment Form – Darwin Institute of Technology

Application for Enrolment
Which course or courses would you like to enroll into?*
Have you ever studied with Darwin Institute of Technology before?*
- No
- Yes

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Enter Your Full name
Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want to apply for a USI later, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.
Full Name*
First Name Middle Name Family Name
Photograph*
Date of Birth*
dd/mm/yyyy
Date Format: DD slash MM slash YYYY
Gender*
- Male
- Female

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Contact Details of Student
(put country code and area code before overseas numbers)
Email*
Home Phone*
Work Phone
Australian Mobile Number, if any
Overseas Mobile Number, if any
What is Address of Your Usual Residence? [Please provide the physical address (street number and name not post-office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a rural area use the address from your state or territory ‘rural property addressing’ or ‘numbering’ system as your residential street address.
Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.]
Residential Address*
Street Address City State / Province / Region ZIP / Postal Code
Parent/Guardian’ name*
First Last
Parent/Guardian’s Contact Number
Parent/Guardian’s Residential Address*
Street Address City State / Province / Region ZIP / Postal Code

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Emergency Contact Person in Australia
These are people that Darwin Institute of Technology may need to contact in an emergency during your participation in training. Please ensure that the people named are aware that they have been nominated as emergency contacts and agree to their details being provided to Darwin Institute of Technology.
Name*
First Last
Relationship to you*
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country

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Language and Cultural Diversity
In which country were you born?*
Do you speak a language other than English at home? If more than one language, indicate the one that is spoken most often.*
- No, English Only
Are you of Aboriginal or Torres Strait Islander origin? For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes.*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander

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Employment
Of the following categories, which BEST describes your current employment status? For Casual, Seasonal, Contract and Shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week)*
Tick one box only
- Full-time Employee
- Part-time Employee
- Self Employed (Not employing Others)
- Self Employed (employing Others)
- Employed as Unpaid worker in family business
- Unemployed, seeking full time work
- Unemployed, seeking part time work
- Unemployed, Not seeking work

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Privacy Notice
Why we collect your personal information:
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. These information are crucial in determining your application outcome and managing your enrolment throughout your student journey. Providing inaccurate, inadequate or false information may result in unsuccessful application or cancellation of enrolment in future.
How we use your personal information:
We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.
How we disclose your personal information
We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority. We will disclose your information to overseas recipients only after expressed order from Australian Government.
How the NCVER and other bodies handle your personal information:
The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:
- administration of VET, including program administration, regulation, monitoring and evaluation
- facilitation of statistics and research relating to education, including surveys and data linkage
- understanding how the VET market operates, for policy, workforce planning and consumer information.
The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

The NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at ncver.edu.au

If you would like to seek access to or correct your information, in the first instance, please contact a Student Support Officer at DIT using the contact details listed below.

DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at dese.gov.au

If you cannot access the DESE VET Privacy Notice in the above-mentioned website, please contact a Student Support Officer at DIT to obtain a hard copy of the notice.
Surveys:
You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.
Contact information:
At any time, you may contact Darwin Institute of Technology (DIT) to:
- request access to your personal information
- correct your personal information
- make a complaint about how your personal information has been handled
- ask a question about this Privacy Notice.
For enquiry, please contact at:
Darwin Institute of Technology (DIT)
37 Gregory Street, Parap, NT 0820, Australia
Phone: 1300 420 156 (from Australia), +61 421 196 622 (from overseas)
Email: info@dit.edu.au
DIT Privacy Policy: dit.edu.au

General use of information:
Under the Data Provision Requirements 2020, DIT is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by DIT for statistical, regulatory and research purposes. DIT may disclose your personal information for these purposes to third parties, including:
- Commonwealth and State or Territory government departments and authorised agencies.
- NCVER.
- Organisations conducting student surveys; and/or
- Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
- Issuing a VET Statement of Attainment or VET Qualification and populating Authenticated VET Transcripts.
- facilitating statistics and research relating to education, including surveys.
- understanding how the VET market operates, for policy, workforce planning and consumer information; and
- administering VET, including program administration, regulation, monitoring and evaluation.

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Terms and Conditions
This course is a Nationally Recognised Training and AQF-Compliant. DIT is authorised to offer courses to overseas student, but does not guarantee success in this application, or course, and in any employment or migration outcome. DIT will inform whether student needs to take work-based training in its offer letter and agreement.

We have our own admission criteria including age limit, minimum English proficiency level, formal qualification level, and admission test. Claiming credit or RPL may affect duration of student visa.

DIT has a Privacy Policy that guides the collection, storage, use and disclosure of information. Our Privacy Policy is provided on our website at www.dit.edu.au and in our Student Handbook. This confidential Enrolment Form asks for personal information about you. The main purpose for collecting this information is for administrative, regulatory and/or research purposes and to allocate appropriate resources for your learning and assessment needs.

All staff at DIT are required by law to protect the information provided on this Enrolment Form. These are people that DIT may need to contact in an emergency during your participation in training. Please ensure that the people named are aware that they have been nominated as emergency contacts and agree to their details being provided to DIT.

DIT is also required to collect personal information and information about course enrolment and course progress for all international students which may be shared with the Australian Government for the purposes of:
- promoting compliance with the ESOS Act and the National Code
- assisting with the regulation of providers
- promoting compliance with the conditions of a particular student visa or visas, or of student visas generally
- or facilitating the monitoring and control of immigration.
Please let us know if any of your details change by providing updated information to our office. This is particularly important if you change phone numbers, move home address, or move employers. In most circumstances, you can access a copy of the records we hold about you. Please contact our office to arrange this.

If you have any concerns about the confidentiality of this information, please contact Student Support Manager at our office.

You may be contacted by either the National Centre for Vocational Education Research (NCVER) or DIT’s registering body, Australian Skills Quality Authority (ASQA), to participate in a survey about your experience as a student of DIT, course quality and/or vocational outcomes related to your course. If you participate, you may choose to keep your responses confidential.

Please read DIT’s Refund; Deferral, Cancellation and Suspension; Complaints & Appeals Policies, Course Progress and Attendance polices, Student Code of Conduct from our website before submission of application.

DIT reserves the right to decline this application if you don’t pass our admission criteria or on any other reasonable ground. This application, and the right to make complaints and seek appeals of decisions and action under various processes, does not affect the rights of the student to take action under the Australian Consumer Law if the Australian Consumer Law applies.

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Application Checklist
(you must tick the first four boxes, fifth one is optional, please read carefully)*
- I declare that the information I have provided to the best of my knowledge is true and correct and that it is my responsibility to update DIT if this information changes during my enrolment.
- I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice as outlined above.
- I declare that I have read the Terms and Conditions provided in section above and understood their consequences.
- I am aware of the consequences that may arise from providing false, misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by DIT.
Optional
I consent to the use of my testimonials and/or photos for marketing and/or advertisement purposes by Darwin Institute of Technology (DIT) in future.
Amount I am willing to pay as first Installment of Tuition Fee
Number of Family Members accompanying Me (if any)
Signature*
Date*
Date Format: DD slash MM slash YYYY
Printed Name

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Disability Supplement
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.
1. Hearing/deaf
  Hearing impairment is used to refer to a person who has an acquired mild, moderate, severe or profound hearing loss after learning to speak, communicates orally and maximizes residual hearing with the assistance of amplification. A person who is deaf has a severe or profound hearing loss from, at, or near birth and mainly relies upon vision to communicate, whether through lip reading, gestures, cued speech, finger spelling and/or sign language.
2. Physical
  A physical disability affects the mobility or dexterity of a person and may include a total or partial loss of a part of the body. A physical disability may have existed since birth or may be the result of an accident, illness, or injury suffered later in life, for example, amputation, arthritis, cerebral palsy, multiple sclerosis, muscular dystrophy, paraplegia, quadriplegia or post-polio syndrome.
3. Intellectual
  In general, the term ‘intellectual disability’ is used to refer to low general intellectual functioning and difficulties in adaptive behavior, both of which conditions were manifested before the person reached the age of 18. It may result from infection before or after birth, trauma during birth, or illness.
4. Learning
  A general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviors, social perception, and social interaction may exist with learning disabilities but do not by themselves constitute a learning disability.
5. Mental illness
  Mental illness refers to a cluster of psychological and physiological symptoms that cause a person suffering or distress and which represent a departure from a person’s usual pattern and level of functioning.
6. Acquired brain impairment
  Acquired brain impairment is injury to the brain that results in deterioration in cognitive, physical, emotional or independent functioning. Acquired brain impairment can occur as a result of trauma, hypoxia, infection, tumour, accidents, violence, substance abuse, degenerative neurological diseases or stroke. These impairments may be either temporary or permanent and cause partial or total disability or psychosocial maladjustment.
7. Vision
  This covers a partial loss of sight causing difficulties in seeing, up to and including blindness. This may be present from birth or acquired as a result of disease, illness or injury.
8. Medical condition
  Medical condition is a temporary or permanent condition that may be hereditary, genetically acquired or of unknown origin. The condition may not be obvious or readily identifiable yet may be mildly or severely debilitating and result in fluctuating levels of wellness and sickness, and/or periods of hospitalization; for example, HIV/AIDS, cancer, chronic fatigue syndrome, Crohn’s disease, cystic fibrosis, asthma or diabetes.
9. Other
For office use only
Considerations
Outcome
- Declined
- Approved
Officer’s name
Position
Signature*
Date*
Date Format: DD slash MM slash YYYY

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Step 1 of 17 - Application for Enrolment

Application for Enrolment

Enter Your Full name

Contact Details of Student

Emergency Contact Person in Australia

Language and Cultural Diversity

Visa Details

Qualification Details

English Proficiency

Employment

Disability

Study Reason

Unique Student Identifier Number

Application Document Checklist

Privacy Notice

Terms and Conditions

Application Checklist

Disability Supplement

For office use only