REGISTRATION FORM

Register now to access world-class training, tailored resources, and expert support on your path to professional registration in Australia.

This form is only for NEW ENROLEES who have either PAID THEIR PROGRAM FEE or been ENDORSED by their agent/case officer to ACT. If you’d like to speak with a team member or learn more about our programs, please use our Contact Form or email us at info@actrainers.com.au. If you’re already enrolled and are experiencing issues with your enrolment, kindly reach out using the dedicated email address provided to you. AFTER COMPLETING THIS ENROLMENT FORM, please send us an email to let us know.

"*" indicates required fields

Last Name/Surname (as indicated in your ID/passport)*

Last

Given Name/s and Middle Name (as indicated in your ID/passport)*

Nickname/Preferred Name (We will address you by your first given name if this is left blank.)*

Email (Please ensure you can receive emails at this address. We will not respond to messages sent from an unregistered email address.)*

Mobile/WhatsApp Number*

Home Country/Country of Citizenship*

Current Location (If different from Home Country/Country of Citizenship)*

Valid Passport of Photo Identification (This must be a valid photo ID, not just a personal photograph.)*

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.

Agent/Case Officer (If you do not have, or are unsure whether you have, an agent or case officer, please provide the name and/or email address of your most recent contact person.)*

Course/Package*

NCLEX-RN Review Program

OSCE for RNs Coaching & Training

National Exam for Medical Radiation Practice Review Program

PTE Online Review

Physiotherapy Written Assessment Review

Physiotherapy Clinical Assessment Training

Full Payment of Fees (for OSCE Candidates)*

(For OSCE candidates) I understand that I will be required to pay the full amount of the program fee, regardless of my current mode of payment, before I can be allowed to attend the face-to-face training.

I am not an OSCE candidate.

Read the Terms and Conditions.

Comments

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HAVE QUESTIONS? WE’RE HERE TO HELP

If you have any questions about the program, our team is here to assist. We’re happy to provide more information, clarify any details, and help you move forward with confidence.

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