Replacement Training Certificates - Individual - WHS Foundation

REPLACEMENT TRAINING CERTIFICATE

INDIVIDUAL REQUEST FORM

Please note: If you are requesting a certificate from 2020 onwards contact admin@whsfoundation.org.au or call 9333 9999

Complete this form if you require a copy of a certificate, statement of attainment, card or other training records. A fee of $55 (including GST) per item may be applicable. If fee is applicable an invoice will be issued. Payment must be made prior to replacement record/s being issued.

Please allow up to 3 working days for processing. If you require it sooner please advise the required date and reason

Reason for Replacement:(Required)

Date Required:

Full Name:(Required)

Date of Birth:(Required)

Postal Address:(Required)

Street Address City State / Territory Post Code Country

Email:(Required)

Phone Number:(Required)

Please indicated which you require:(Required)

Certificate

Transcript

Other

Name of Course:

Date of Course

Certificate No. (If known)

Expiry Date:

Company Name: (Name of company working with at time of course, if applicable)

Service

Academy

Categories

Replacement Training Certificates – Individual

REPLACEMENT TRAINING CERTIFICATE

INDIVIDUAL REQUEST FORM

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