Testamur Issue Request Form RTO-JF-072 V3

Testamur Issue Request

RTO-JF-072 V3
Students/Employees/Contractors who have completed their studies and would like to receive their certificate, statement of attainment and/or record of results must complete this form. The completed form together with photo ID should be emailed to training@railtrain.com.au

Upon Railtrain’s receipt of all outstanding monies (admin fee and/or training cost) and where applicable uniforms, keys, access cards etc. testamurs will be issued.
1. Personal Information
Student Name*

First NameLast Name
Student Email*
Student Mobile
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

DayMonthYear
2. Course Information
Course Title
3. Identification
Please provide photo identification i.e. Please provide a copy of Drivers Licence or Passport
ID Type?
ID Upload*

Upload a File

Cancelof
4. Authorisation for Postage of Testamur
Postage of Testamur*

As per postal address abovePost to the following postal address
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Signature
Date*

DayMonthYear
Should be Empty: