Booking Form

Training session:

Cost of training:$0.00

Date:

The information collected in this booking/enrolment form is required as part of the College's obligations as a training company. We'd also like to draw your attention to our terms and conditions.

Payer Type

Note: If this booking is being paid for by an organisation (including companies, trusts, associations, charities, or government bodies), we may request basic verification information to meet our regulatory obligations. This does not apply to individual bookings. For more information about customer verification requirements in Australia, please visit the Australian Government’s AUSTRAC guidance on customer identification.

Select who is paying for this booking: Individual (personal booking)
Organisation (Company, Trust, Partnership, Association, Government, University, Research Organisation)

This is a simple step that applies to all organisation‑paid bookings, including companies, trusts, associations, charities, and government bodies. It helps us keep your booking secure and meet our regulatory obligations.

*Legal name of organisation:

*ABN/ACN:

*Registered business address:

*Contact person name:

*Contact person role:

*Contact person email:

*Contact person phone:

Please tell us why your organisation is booking this training, who the training is for (role or team), and the person's relationship with your organisation (e.g., employee, contractor, volunteer, learner, production crew member). This helps us meet our 2026 KYC (Know Your Customer) obligations.

*Purpose of training, student's relationship to organisation:

Verification Document

If your organisation is paying for this booking, please email one verification document to info@maritime.college. This helps us meet our 2026 KYC requirements. A single file is all we need. For example, an ASIC company extract, ABN/ACR summary, trust deed, partnership agreement, or certificate of incorporation. PDF is preferred, but JPG or PNG are also fine. Once we receive your emailed verification document, we'll be able to confirm your booking.

Personal Details

*Title: Mr Mrs Ms Miss

*Given names:

*Surname:

*Date of Birth:

*Country of Birth:

*Gender: Male Female

Contact Details

If possible, please provide us with both a home (landline) number and a mobile number as most of our courses have practical sessions within them and it may become important for our trainers to contact you.

Telephone:

*Mobile:

*Email:

*Confirm Email:

To protect you (& us) from cybercrime & cyber-nuisances: we've sent a verification code to the above email address. Please type or paste in the code to confirm it's really you.

*Verification code (check your email)

Driver Licence Number:

Passport Number:

Emergency Contact Details

*Name:

*Relationship:

*Phone Contact:

Address Details

Please provide the physical address (street number and name, not post office box) where you usually reside. 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. This is the address your qualification will be sent to.

Building/Property Name:

Flat/Unit Number:

*Street/Lot No:

*Street Name:

*Suburb, Locality or Town:

*State/Territory:

*Post Code:

Citizenship Details

*What is your citizenship status?:

Medical Disclosure

*Do you consider yourself to have a disability, impairment or medical condition which may impact on your ability to complete the training? Yes No

*You may indicate more than one area. This will not prevent you from enrolling in the course. Contact the College if you have any concerns. Hearing/deaf
Physical
Intellectual
Learning
Mental illness
Acquired brain impairment
Vision (includes colour blindness)
Medical condition (diabetes, asthma, epilepsy, blood pressure, heart, fainting, dizzy spells, back/joint)
Other

*If other, please specify:

Share a Note

Share a little about your boating experiences or anything you’d like us to know before you jump aboard.

Health and Attendance Statement

In the interests of public health and safety of all participants, we respectively ask that you do not attend training if you are experiencing symptoms of any cold, flu‑like, or other potentially contagious illness.

If you are feeling unwell on the day of your course, please call us. You will be able to postpone your attendance to a future course date.

Please select one option:

I declare that I will comply with this request
I do not wish to comply with this request

Booking Declaration:

I confirm the information I've provided is true and correct. I understand this booking will be final once submitted, and if an organisation is paying, I'll provide the required verification details.

I understand any medical information I share is only used to support my booking and help keep me safe. Ticking a medical item won't prevent me from joining, and I can speak confidentially with a course advisor if I have any concerns.

I recognise practical boating activities involve some risk and that the company has safety measures in place. I agree to follow the company's policies, course, training, or service conditions.

*I have read and agree to the declaration above.

To show you are a person filling in this form rather than a spamming script, what day of the week comes after Thursday

National Maritime College

National Maritime College

Booking Form

Payer Type

Personal Details

Contact Details

Emergency Contact Details

Address Details

Citizenship Details

Medical Disclosure

Share a Note

Health and Attendance Statement

Booking Declaration: