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The Australian National University
Centre For Continuing Education
Canberra, ACT 0200. Tel: 6125 2892 Fax: 6125 5938
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Professional Development Program
Registration Form

When you have completed this form please click the Submit button at the end of the page.

 Course Details
 Select Course Name:
 Select Course Date

 Day  

Month  

Year  

 Course Fee (Please select correct fee)  
 

 Participant Details
Full Name
Dept/Org
 Address
 Suburb/Town
 State
 Postcode
 Phone (w)  Mobile
 Fax  Email

 Invoice Details

 
Contact Name
Organisation
 Postal Address
 Suburb/Town
 State
 Postcode
 Phone (w)  Mobile
 Fax  Email

 Payment Details
Please note: That all courses are subject to our minimum registrations requirement. For this reason payment is not usually processed until after the course has been completed. You may, if you wish, have you payment processed immediately. Please indicate your preference below.
 I am happy to have payment processed when course runs
 Sorry, can't wait, please process payment now
Please select one of the payment options below
 Please tick here if you prefer to be invoiced


Please read carefully if paying by credit card

You are enrolling on our unsecure connection. Centre staff will call you for credit card details during working hours so please make sure you choose your best 'daytime' contact number above.

If you would prefer to fax or post your enrolment you may do so by downloading our enrolment form by clicking on the link below.

Download Form

Please note that all courses are subject to our minimum registrations


How did you hear about this progarm / course?
Internet Friend/ Family Mailout Newspaper
PD Handbook Workplace Semester 1 Brochure


Professional Development Program, Centre for Continuing Education
The Australian National University, Canberra, ACT, 0200
Email: pdp.cce@anu.edu.au
Phone: (02) 6125 2892 | Facsimile: (02) 6125 5938