Water utilities courses Registration form

NSW Department of Industry | January 2018 | DOC18/016633 | 1

Course participant: Provide course participant details. If enrolling for more than one course or if

there is more than one participant, submit separate forms.

Title: ☐ Mr ☐ Miss ☐ Ms ☐ Mrs

Last name: First name:

Position:

Company: ABN:

Address:

Suburb: State: Postcode:

Office Phone: Mobile:

Email:

Special dietary needs/additional comments:

Course details: Tick only ONE of the following courses.

WASTEWATER ☐ WW178/180 Part 1: Wastewater Treatment Operations

☐ WW179/181 Part 2: Wastewater Advanced Treatment

☐ WWS4 Wastewater Treatment Update Seminar

☐ RW5 Wastewater Treatment – Recognition of Prior Learning

WATER ☐ W63/64 Part 1: Chemical Dosing Systems

☐ WT34/35 Part 2: Water Treatment Operations

☐ WS35 Water Treatment Update Seminar

☐ DS3 Water Distribution Systems

☐ WE3 Water Treatment for Engineers

☐ RW5 Water Treatment – Recognition of Prior Learning

LIQUID TRADE WASTE ☐ S27 Overview of Liquid Trade Waste Regulation

☐ TW27 Liquid Trade Waste Regulation

☐ TWS5 Trade Waste Regulation Update Seminar

BEST PRACTICE ☐ BP8 Best Practice Management Update Seminar

Course code:

Course dates:

Course location:

Course cost:

Purchase order:

Provide a purchase order to the NSW Department of Industry

(ABN 72 189 919 072). If no purchase order is provided, this registration form

will be deemed a purchase order.

Purchase Order No.: Authorising Officer:

Position:

Phone: Email:

Please forward registration form with a purchase order to: water.lwutraining@dpi.nsw.gov.au

This information can be found on the Training Calendar