ENROLMENT FORM

FASHION, GLAMOUR & BRIDAL MAKEUP ARTISTRY

Please fill in this form and Fax to Please fill in this form and Fax to Please fill in this form and Fax to Please fill in this form and Fax to +612 +612 +612 +612- -- -8088 8088 8088 8088- -- -7630 or Post to Napoleon Perdis Makeup Academy, 7630 or Post to Napoleon Perdis Makeup Academy, 7630 or Post to Napoleon Perdis Makeup Academy, 7630 or Post to Napoleon Perdis Makeup Academy,
Att: Att: Att: Att: (Course coordinator name) PO Box 7198 Alexandria, NSW 2015 Australia PO Box 7198 Alexandria, NSW 2015 Australia PO Box 7198 Alexandria, NSW 2015 Australia PO Box 7198 Alexandria, NSW 2015 Australia
S T U D E N T D E T A I L S S T U D E N T D E T A I L S S T U D E N T D E T A I L S S T U D E N T D E T A I L S
n nn name ame ame ame date of birth date of birth date of birth date of birth
a aa address ddress ddress ddress
home telephone home telephone home telephone home telephone work telephone work telephone work telephone work telephone
m mm mobile obile obile obile e ee email mail mail mail
course code course code course code course code
contact your course coordinator on 1 3 0 0 7 9 1 6 9 9 1 3 0 0 7 9 1 6 9 9 1 3 0 0 7 9 1 6 9 9 1 3 0 0 7 9 1 6 9 9
start date start date start date start date o oo occupation ccupation ccupation ccupation
where did you first where did you first where did you first where did you first hear about Napoleon Perdis Makeup Academy hear about Napoleon Perdis Makeup Academy hear about Napoleon Perdis Makeup Academy hear about Napoleon Perdis Makeup Academy? ?? ?
E N R OL ME N T S C L OS E 2 1 DA Y S P R I OR T O C OU R S E C OMME N C E ME N T E N R OL ME N T S C L OS E 2 1 DA Y S P R I OR T O C OU R S E C OMME N C E ME N T E N R OL ME N T S C L OS E 2 1 DA Y S P R I OR T O C OU R S E C OMME N C E ME N T E N R OL ME N T S C L OS E 2 1 DA Y S P R I OR T O C OU R S E C OMME N C E ME N T
Privacy Disclaimer Privacy Disclaimer Privacy Disclaimer Privacy Disclaimer The Napoleon Perdis Makeup Academy trading under Napoleon Perdis Cosmetics Pty Ltd, herein referred to NPC PTY LTD, and all related entities as defined in the
Corporations Act 2001, (the 'Napoleon Group') will use the information provided by you in this form for the purposes of general student administration, planning and communication.
This information will not be provided to any external parties for any purpose without written consent from the applicant. Napoleon Perdis Makeup Academy complies with the Federal
Government Privacy Act. I do not wish to receive marketing material from Napoleon Perdis Cosmetics Pty Ltd I do not wish to receive marketing material from Napoleon Perdis Cosmetics Pty Ltd I do not wish to receive marketing material from Napoleon Perdis Cosmetics Pty Ltd I do not wish to receive marketing material from Napoleon Perdis Cosmetics Pty Ltd
C O U R S E L O C A T I O N S C O U R S E L O C A T I O N S C O U R S E L O C A T I O N S C O U R S E L O C A T I O N S Alllocationsaresubjecttoavailability
Alexandria Alexandria Alexandria Alexandria 90 Euston Rd Paddington Paddington Paddington Paddington 74 Oxford Street Parramatta Westfield Parramatta Westfield Parramatta Westfield Parramatta Westfield Shop 2188, 159 - 175 Church Street
Melbourne Melbourne Melbourne Melbourne Level 1 Como Centre, 299 Toorak Road Brisbane Brisbane Brisbane Brisbane Level 2, 243 Edward Street Other __________________________________ Other __________________________________ Other __________________________________ Other _________________________________________ _______ _______ _______

Session Times : Weekends 10am to 4.30pm; Weeknights (Monday and Tuesday) 6.30pm to 9.00pm (Wednesday and Thursday) 6.30pm to 9.30pm
Each student is entitled to a 30% discount on their purchases (excluding brushes and kits). Valid for 6 months from course commencement.
PLEASE READ THE FOLLOWI NG TERMS AND CONDI TI ONS PLEASE READ THE FOLLOWI NG TERMS AND CONDI TI ONS PLEASE READ THE FOLLOWI NG TERMS AND CONDI TI ONS PLEASE READ THE FOLLOWI NG TERMS AND CONDI TI ONS
1. NON 1. NON 1. NON 1. NON- -- -REFUNDABLE REFUNDABLE REFUNDABLE REFUNDABLE UPFRONT PAYMENT OF $ $$ $1390.00 1390.00 1390.00 1390.00 or Deposit of $545 Deposit of $545 Deposit of $545 Deposit of $545 is required to confirm your position within the course. Students opting for the deposit payment method,
balance of fees to the amount of $ balance of fees to the amount of $ balance of fees to the amount of $ balance of fees to the amount of $845 845 845 845 is required 21 days prior to course commencement otherwise your p is required 21 days prior to course commencement otherwise your p is required 21 days prior to course commencement otherwise your p is required 21 days prior to course commencement otherwise your position will be cancelled osition will be cancelled osition will be cancelled osition will be cancelled. 2. 2. 2. 2. Payment of course fees can be made by Cash,
EFTPOS (in-store only), Credit Card or Bank Deposit. Napoleon Perdis Makeup Academy (NPMA) does not accept Cheques or Money Orders 3. 3. 3. 3. No refund for course fees paid - it is the
policy of NPMA to NOT issue refunds for any course fees paid. The enrolled student/financier acknowledges that these arrangements are reasonable having regard to the difficulties of
enrolling cancelled places at such short notice and the significant costs incurred administering cancelled enrolments. 4. 4. 4. 4. Once a course has Once a course has Once a course has Once a course has commenced the enrolled student/financier commenced the enrolled student/financier commenced the enrolled student/financier commenced the enrolled student/financier
is required to fulfill their financial obligations and pay the entire course fees even if they do not or can not complete the is required to fulfill their financial obligations and pay the entire course fees even if they do not or can not complete the is required to fulfill their financial obligations and pay the entire course fees even if they do not or can not complete the is required to fulfill their financial obligations and pay the entire course fees even if they do not or can not complete the course for ANY reason course for ANY reason course for ANY reason course for ANY reason. 5. 5. 5. 5. No enrolments can be deferred No enrolments can be deferred No enrolments can be deferred No enrolments can be deferred 6. 6. 6. 6.
If an enrolled student who is unable to commence or continue a course of study for which they have enrolled, wishes to undertake that course in future, the student will be required to
apply for re-enrolment without receiving a credit for previously paid fees 7. 7. 7. 7. Any fees paid to NPMA may be transferable at the discretion of Napoleon Perdis at a $75 fee. 8. 8. 8. 8. NPMA
reserves the right to cancel, postpone or reschedule courses at the discretion of the Directors. 9. 9. 9. 9. If the total class number is less than a minimum of 8 students, the class may be
cancelled, postponed or rescheduled at the discretion of the Directors. 10. 10. 10. 10. In the event a class is cancelled, students would be offered a refund or alternatively a transfer to an
alternate workshop. 11. 11. 11. 11. NPMA reserves the right to change (in accordance with Competition and Consumer Act 2010) course delivery structure. 12. 12. 12. 12. Upon enrolment students are Upon enrolment students are Upon enrolment students are Upon enrolment students are
required to commit to and attend all scheduled hours to qualify for a Napoleon Perdis required to commit to and attend all scheduled hours to qualify for a Napoleon Perdis required to commit to and attend all scheduled hours to qualify for a Napoleon Perdis required to commit to and attend all scheduled hours to qualify for a Napoleon Perdis Certificate Certificate Certificate Certificate. 13. 13. 13. 13. Napoleon Perdis reserves the right to exclude and/or expel students from the
course who fail to meet minimum course requirements, which are further outlined within the Student Information Handbook. 14 14 14 14. Enrolled participants are encouraged to disclose to
Napoleon Perdis Makeup Academy any illness, disability and/or learning disability that may involve accommodations or additional support. This will help us ensure that participants
have the best possible experience at the Academy. Napoleon Perdis Makeup Academy welcomes applicants with a disability and are bound by the Privacy Act so information will only
be disclosed to relevant personnel for purposes of general participant administration, planning and communication. 15. 15. 15. 15. All applications All applications All applications All applications, appeals and complaints must be received , appeals and complaints must be received , appeals and complaints must be received , appeals and complaints must be received
and recorded in writing and recorded in writing and recorded in writing and recorded in writing accompanied by sufficient and valid evidence to substantiate the application, complaint or appeal. Any authorised changes to your enrolment following a
written appeal will incur a fee, please refer to the Student Information Handbook or contact an Academy Administrator for further information before enrolling on 1300 791 699. 16 16 16 16.
You must be 18 years of age or over to be eligible for this course.
I declare that I have read and agree to a I declare that I have read and agree to a I declare that I have read and agree to a I declare that I have read and agree to abide by the fee payment schedule and the Terms and Conditions outlined herein and am aware that I will be issued bide by the fee payment schedule and the Terms and Conditions outlined herein and am aware that I will be issued bide by the fee payment schedule and the Terms and Conditions outlined herein and am aware that I will be issued bide by the fee payment schedule and the Terms and Conditions outlined herein and am aware that I will be issued
with my Student Information Handbook on day 1 of course commencement. with my Student Information Handbook on day 1 of course commencement. with my Student Information Handbook on day 1 of course commencement. with my Student Information Handbook on day 1 of course commencement.
n nn name ame ame ame guardian name guardian name guardian name guardian name
please print please print please print please print (if student is under 18 years) please print (if student is under 18 years) please print (if student is under 18 years) please print (if student is under 18 years) please print
s ss signature ignature ignature ignature date / date / date / date / / // / signature signature signature signature date / date / date / date / / // /
F E E S A N D P A Y M E N T S F E E S A N D P A Y M E N T S F E E S A N D P A Y M E N T S F E E S A N D P A Y M E N T S P L E A S E F A X T O + 6 1 2 8 0 8 8 7 6 3 0 F O R P R O C E S S I N G P L E A S E F A X T O + 6 1 2 8 0 8 8 7 6 3 0 F O R P R O C E S S I N G P L E A S E F A X T O + 6 1 2 8 0 8 8 7 6 3 0 F O R P R O C E S S I N G P L E A S E F A X T O + 6 1 2 8 0 8 8 7 6 3 0 F O R P R O C E S S I N G
Full Payment $139 Full Payment $139 Full Payment $139 Full Payment $1390.00 0.00 0.00 0.00 ($545 Non Refun ($545 Non Refun ($545 Non Refun ($545 Non Refundable Deposit is required to secure your placement) dable Deposit is required to secure your placement) dable Deposit is required to secure your placement) dable Deposit is required to secure your placement) Pricesmaybesubjecttochangewithoutpriorwrittenwarning
Direct Deposit Academy Campus Store Credit Card (please circle) Visa Visa Visa Visa Master Card Master Card Master Card Master Card
To ensure there are places available for your chosen class, please contact a Course Coordinator on 1300 MAKEUP 1300 MAKEUP 1300 MAKEUP 1300 MAKEUP before you transfer any funds.
Bank: Bank: Bank: Bank: ANZ Account Name: Account Name: Account Name: Account Name: Napoleon Perdis Cosmetics Pty Ltd BSB: BSB: BSB: BSB: 012-204 Account Number: Account Number: Account Number: Account Number: 836-194-079 Agent Number: Agent Number: Agent Number: Agent Number: 405
I here I here I here I hereby authoris by authoris by authoris by authorise NPC PTY LTD to deduct the Non e NPC PTY LTD to deduct the Non e NPC PTY LTD to deduct the Non e NPC PTY LTD to deduct the Non- -- -refundable payment of $139 refundable payment of $139 refundable payment of $139 refundable payment of $1390 from the nominated credit card with this registration; 0 from the nominated credit card with this registration; 0 from the nominated credit card with this registration; 0 from the nominated credit card with this registration;
OR OR OR OR
I hereby authorise I hereby authorise I hereby authorise I hereby authorise NPC PTY LTD to deduct $545 Non NPC PTY LTD to deduct $545 Non NPC PTY LTD to deduct $545 Non NPC PTY LTD to deduct $545 Non- -- -refundable deposit from the nominated credit card with this registration; refundable deposit from the nominated credit card with this registration; refundable deposit from the nominated credit card with this registration; refundable deposit from the nominated credit card with this registration;
I authorise for a further direct debit of the balance of fees, being $ I authorise for a further direct debit of the balance of fees, being $ I authorise for a further direct debit of the balance of fees, being $ I authorise for a further direct debit of the balance of fees, being $845 845 845 845, to be taken from the same nominated credit card 21 days prior to , to be taken from the same nominated credit card 21 days prior to , to be taken from the same nominated credit card 21 days prior to , to be taken from the same nominated credit card 21 days prior to
course commencement, to avoid having my position cancelled within the course. course commencement, to avoid having my position cancelled within the course. course commencement, to avoid having my position cancelled within the course. course commencement, to avoid having my position cancelled within the course.
cardholder name cardholder name cardholder name cardholder name cardholder cardholder cardholder cardholder signature signature signature signature
cardholder address cardholder address cardholder address cardholder address
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Credit Card Number Credit Card Number Credit Card Number Credit Card Number Date of Expiry Date of Expiry Date of Expiry Date of Expiry
OFFICE USE OFFICE USE OFFICE USE OFFICE USE
ONLY ONLY ONLY ONLY
RECIEVED: RECIEVED: RECIEVED: RECIEVED: BY PAYMENT: PAYMENT: PAYMENT: PAYMENT:
DEP DEP DEP DEP RECEIPT # RECEIPT # RECEIPT # RECEIPT #

FINAL FINAL FINAL FINAL RECEIPT RECEIPT RECEIPT RECEIPT # ## #

ENROLLED: ENROLLED: ENROLLED: ENROLLED: BY STUDENT ID: STUDENT ID: STUDENT ID: STUDENT ID: CONFIRMATION SENT: CONFIRMATION SENT: CONFIRMATION SENT: CONFIRMATION SENT: BY

Napoleon Perdis Makeup Academy 2009 PO Box 7198, Alexandria NSW 2015 ABN 72 098 111 776
Napoleon Perdis Cosmetics Pty Ltd. All rights reserved FGBMA Enrolment V.4.1_090913 Page 1 of 1