Enrol To enrol simply download and return the enrolment form via email to [email protected] OR enrol online using the form below. One of the team will contact you soon! Online Enrolment Form Surname* First Name* First name (Preferred name that will appear on your course ID badge)Street Address* Suburb* StateSAWAVICNTNSWQLDTASACTPostcode* Postal Address* Same as above Other Postal Address Street Address Address Line 2 City State Postcode Email* Phone (Mobile)* 04xx xxx xxxPhone (Work/Other) Dietary RequirementsPlease enter any special dietary requirements or requests here.Are you a General Practitioner or a Registered Nurse?*General PractitionerRegistered NurseOtherIf other, please state what profession? Please specify which course date you wish to enrol for?14th to 17th March 202427th to 30th June 202424th to 27th October 2024Which state will you be applying for a radiation licence?SAWAVICNTNSWQLDTASACTAre you AHPRA registered?*YesNoAre you training with ACRRM or RACGP?*NoRACGP - RegistrarRACGP - FellowACRRM - RegistrarACRRM - FellowWhere will be your location of practice? Please record the location/name of centre that you will be primarily performing xrays Insurance* I accept I understand that Country X-Ray Training cannot cover me for Professional/Personal Indemnity Insurance.Cancellation Fee* I accept I understand that an administration fee applies for cancellation.Terms & Conditions* I agree I understand and agree to the terms and conditions.Future Enrolment?*YesNoIf your selected course is full. Do you wish to apply for a subsequent course?Who would you like the tax invoice addressed to?