NEW STUDENT RECORD FORM

Please complete this Student Record Form for New Students

It is a legal requirement for us to maintain accurate student records, so please follow the instructions on each of the four sections of this form.

All sections are mandatory and must be completed.

Step 1 of 4

PART 1: STUDENT NAME(S)

First / Given Name:

Other / Middle Names & Last / Family Name:

Certificate Name:

Preferred Name:

Part 1: Confirmation

LLA Logistics Learning Alliance