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Accreditation Course Registration

COURSE DATE and ACCREDITATION LEVEL

Before registering please read the explanation and criteria under ‘ACCREDITATION’ for the appropriate accreditation level 1 or 2

YOUR DETAILS

YOUR MARTIAL ART AND GRADE

MEMBER / ASSOCIATE MEMBER SCHOOL DETAILS

– To attain accreditation you do need to be a member within either a Member or Associate Member School

Membership number is beside the school name in the Table here.

CRITERIA FOR ACCREDITATION

Satisfactory completion of this course and post course activities, goes towards the requirement for NCAS Accreditation levels 1 and 2. By completing this application you confirm your understanding of the criteria and if you attend the course agree to complete all requirements for accreditation. The course fee $285.00 includes coach’s folder, tea and coffee, (lunch is not included) and NCAS Accreditation on successful completion.

PRIVACY STATEMENT

Upon successful completion of accreditation, information on this form is entered onto the National Coaching Accreditation Scheme (NCAS) database of registered coaches maintained by the Australian Jujitsu Federation (AJF) as required by the Australian Sports Commission (ASC). Database information may be passed on to State Sport Education Centres and Names of accredited coaches may also be included on the AJF website. Coaches may be sent relevant up-to-date information and may be contacted by the AJF and the ASC. Your information will not be used or disclosed except in accordance with the provisions of the Privacy Act 1988.

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PAYMENT DETAILS

In submitting your payment of $285.00 please ensure you include within the reference the course STATE plus YOUR NAME name e.g. NSW W Smith … once your payment has been received your registration may then be confirmed.

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Alternatively you can arrange a direct deposit to:

Account Name: Coaching Accreditation

Suncorp BSB: 484 799

Account number: 079453636