ABN: 57 169 281 501 | E: [email protected] | W: www.sydneymetrocollege.edu.au
Sydney (Head Office): Level 2, 16-22 Wentworth Avenue, Surry Hills NSW 2010 | Melbourne: Level 5, 440 Elizabeth Street, Melbourne VIC 3000 | T: 02 8937 0991 / 03 9077 0758
Course selection
SITHFAB021 Provide Responsible Service of Alcohol (RSA)
(1-day face-to-face workshop)
16 years (RSA Certification cannot be used in the workplace until the student is 18 years old)
Time: 9:00 am – 5:00 pm
Participants are required to be present and ready to commence at 9:00 am sharp. Arrival more than 10 minutes late will result in the need to reschedule the course.
Please select the date of your choice
*Note: If your chosen workshop is full, you will be notified and allocated to the next workshop.
Title * MrMissMrsMsOther
Given Name *
Middle Name
Surname *
Date of Birth *
Gender * MaleFemaleOther
Phone Number *
Email Address * A confirmation email will be sent to this address. Interim certificates will also be sent to this email.
Country of Birth *
Place of Birth *
Are you of Aboriginal or Torres Strait Islander origin? * NoYes, AboriginalYes, Torres Strait IslanderBoth
Employment Status * Full-time employeePart-time employeeSelf-employed (not employing others)Self-employed (employing others)Employer – unpaid worker in a family businessUnemployed – seeking full-time workUnemployed – seeking part-time workUnemployed – not seeking employment
Highest Completed School Level * Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended school
Have you successfully completed any of the following qualifications? * Bachelor degree or higherAdvanced Diploma / Associate DegreeDiplomaCertificate IVCertificate III (including trade certificate)Certificate IICertificate IOther education
Are you currently residing in Australia? * YesNo
Do you only speak English at home? * YesNo
Do you consider yourself to have a disability, impairment, or long-term condition? * NoYes
Reason for enrolling in this course
Have you completed an RSA course in the last 5 years? * YesNo
Do you currently hold an RSA endorsement? * YesNo
RSA Certificate / Competency Card Number
Issuing Authority (e.g. Liquor & Gaming NSW)
Date Issued
Expiry Date (if applicable)
Upload a copy of your RSA certificate or competency card
Your USI * If you do not have a USI, please create one at: https://www.usi.gov.au Please note: You must provide a valid USI to proceed with this enrolment.
Full Name *
Relationship *
Mobile Number *
Email Address
Unit Number
Street Number *
Street Name *
Suburb *
State * NSWVICQLDSAWATASACTNT
Post Code *
Same as Residential Address
Street Number
Street Name
Suburb
State NSWVICQLDSAWATASACTNT
Post Code
Australian or New Zealand Citizen: • Australian or New Zealand Passport; OR • State/Territory Government-issued photo identification (e.g. NSW Photo Card)
Temporary Resident / Visa Holder: • Passport; OR • State/Territory Government-issued photo identification
Please upload your proof of identity documents here *
Sydney Metro College (SMC) may disclose personal information to the Australian Government, State or Territory authorities, and authorised agencies, including the National Centre for Vocational Education Research (NCVER), for the purposes of:
All complaints and appeals will be managed in accordance with SMC’s Grievance, Complaints and Appeals Policy. This does not affect a student’s rights under the Australian Consumer Law, where applicable.
Sydney Metro College is not liable for interruptions to training services caused by events beyond its control, including but not limited to natural disasters, industrial action, or critical incidents. SMC does not guarantee that a student will successfully complete the short course.
Refunds
Rescheduling
All courses must be completed within three (3) months of the original booking date.
By submitting this form, I declare that:
The information provided is true, correct, and complete. I understand false or misleading information may result in cancellation of enrolment. I have read and understood the Terms and Conditions, Student Handbook, Code of Conduct, and Code of Practice. I agree to comply with SMC's rules, regulations, and policies. My personal information may be shared with relevant government bodies for compliance and regulatory purposes. I consent to the use of my image or feedback for SMC marketing purposes. I agree not to post false, misleading, or harmful content about SMC on social media. I consent to being contacted by email or SMS regarding course requirements. I confirm that the payment details provided are correct and agree for my card to be charged.
Student Name *
Date *
