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Accreditation - Application Form

NOTE: Final enrolments for the SDIA Accreditation Program close on 30 September 2008
The *new* SDIA Professional Program will replace the SDIA Accreditation Program. Please click here for further information.

Title

First Name

Last Name

Your Email

Organistion Details

Job Title

Organisation's Name

Postal Address

Postal Address (cont.)

City

State

Postcode

Personal Details

Home Address

Home Address (cont.)

City

State

Post Code

Business Phone

Business FAX

Mobile Phone

Home Phone

Home FAX

Fees**

$649.00 SDIA Individual Members
$869.00 Employees of SDIA Member organisations
$1529.00 Non-members
$165.00 Resit

If you do not have an SDIA RG146 Skills Assessor in your organisation, you will need to select from the below options:

Optional

$275.00 External Exam Venue
$165.00 External third party to conduct Skills Assessment (if applicable)

Billing Details

Credit Card

Cardholder Name

Card Number

4 digit code (AMEX only)

Expiration Date

* merchant fees now apply to credit card payments.

**All fees are in Australian Dollars and include GST. Prices effective as at 1 July 2008.

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