Course Enrolment Form

Please select the course you are interested in:

*Course Name
*Date Preferred

Please provide the following information:
*IMPORTANT: This is how it will be on your Boat License.

* Required Fields  
*First Name
*Last Name
*Postal Address
*PostCode
Please enter your phone numbers including area code & without spaces as shown in red below:
Phone e.g. 0454123123
*E-mail
*Date of Birth
Photo Drivers Licence No./ Photo Learner Permit No.

If the above is not held two forms of evidence are required

Proof of Identity Type of ID ID Number
Primary
Secondary

We need to sight your ID otherwise we are not authorised to issue the Marine Safety Victoria Certificate required by VicRoads.

Under the Privacy Act, the individual’s registration details stated on this form will only be used for issuing a training certificate for the purpose of applying for a Victorian Recreational Boating License. However, Marine Safety Victoria have requested the phone and email details of course participants.

* Do you give your permission for the training provider to supply Marine Safety Victoria with your phone and email details?

View Marine Training Services Privacy Statement (19KB PDF)

Please read carefully:

  • Your booking is subject to a vacancy & confirmed at the time of receiving your enrolment form.
  • The fee is for training, assessment & the certificate. You pay the license fee to VicRoads when you get your license.
  • Complete the enrolment form with your full details that must match those on your Driving License or similar identity document.
  • Bring photo I.D. (Drivers License etc...) Proof of I.D. is essential.
  • Click on Submit Form.

Refund Policy

Fees will be refunded on the following conditions.

  1. Cancellation of the course.
  2. When a course venue or timing is changed and this results in students being unable to attend.
  3. Withdrawal before the course begins

Location

MELWAYS REF: 2E C7
Shed 3, North Wharf Rd. Docklands. Click HERE for location map.

By submitting this form you certify that you are not currently subject to any boating licence suspension or cancellation.

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