KBDi Student Membership Application

"*" indicates required fields

Step 1 of 4

25%

Your Personal Information

Your Name*

First Last

Your Email Address*

Enter Email Confirm Email

Your Phone*

Address*

Street Address Address Line 2 Suburb State Postal Code

Course Information

Course Name*

Course Provider*

Student No.

Course Start Date

Anticipated Completion Date

Upload Your Statement of Enrollment

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

Authorisation

Within the last five years, have you or any company you have been a director of been insolvent, bankrupt or under administration, committed a criminal offence or been disqualified by a State Licensing or Home Warranty body?*

Yes

If yes, please provide further details.

Membership Application Authorisation*

Ticking the box below represents and warrants that the information you provided is true and correct and that if accepted as a member of KBDi, you agree to abide by the KBDi Code of Ethics, Constitution, Policies and Procedures. [Please refer to the KBDi website (www.kbdi.org.au) to view these documents.]

Yes, I agree to abide by the KBDi Code of Ethics, Constitution, Policies and Procedures.

Payment

Payment Options

We offer two payment options for this annual membership. Please select your preferred payment schedule.

Payment Plan Terms & Conditions

This payment option is a 12-month commitment. At the end of your 12 month membership, you will be notified that it will automatically renew for another year unless you cancel. For further information please view the terms and conditions.

I have read and agree to the payment plan terms and conditions.

KBDi Student Membership - Annual

Price:

Student Membership per month

Price:

Payments Start

Membership Expiry Date

Total

TOTAL
$15.00 will be charged on the 1st of next month. No funds will be deducted on submission of this form but KBDi will validate your card details.

Payment Method*

Direct Deposit

Credit Card

Hidden

Payment Plan Start Date