Polyethylene Jointing Registration

All fields are required

Please complete one registration form per trainee

Full Name:
First & Last Names - in capitals please

D.O.B:

Company - Full Company Name

Company Postal Address (including Post Code):

PO Box (Preferred)

OR

Street address, Suburb, City

Company Email Address Please leave this field empty.

Phone

Accounts Email Address

Purchase Order Number

Select Course: (All dates to be advised)

New Course : Fusion Jointing of Polyethylene Pipes Yes

Day 1:Electrofusion Jointing Theory and Practical Cost: $500.00 + GST

Day 2:Butt Fusion Jointing Theory and Practical Cost: $500.00 + GST

Unit Standard 31532 Demonstrate Knowledge of Fusion Jointing of Polyethylene Pipes for Water Networks - Level 4 - 5 Credits. Attendance is required for the 2 days.

Unit Standard 31532 Cost: $630.00 + GST - This is a theory based course only.

Unit Standard 31532 + Electrofusion Jointing Theory and Practical Cost: $880.00 + GST

Unit Standard 31532 + Butt Fusion Jointing Theory and Practical Cost: $880.00 + GST

Unit Standard 31532 + Electrofusion + Butt Fusion Jointing Theory and Practical Cost: $1130.00 + GST

Please provide your National Student Number - only required if completing U.S. 31532: (Don't know your number? Ring NZQA on 0800 697 296 or 04 463 3000)

On having been assessed as fully competent, you will be issued with a welding accreditation card and personalised welding number which is valid for 3 years.
No welding accreditation card will be issued if completing Unit Standard 31532 only.

Are you in a Connexis Training Plan for NZC in Infrastructure Works (Pipeline Construction & Maintenance) Level 4?
YesNo

Is Unit Standard 31532: Demonstrate Knowledge of Fusion Jointing of Polyethylene Pipes for Water Networks on your Connexis Training Plan?
YesNo

What is your training advisor's name?
What is your training advisor's email & phone number?
What is your training plan ID number? (TP-)

U.S. 31532 price will alter if you are in a Connexis Training Plan.

Refresher CourseYes

Refresher ElectrofusionCost of Electrofusion Refresher: $250.00 + GST

Refresher Butt FusionCost of Butt Fusion Refresher: $250.00 + GST

All Welding Accreditation Cards are valid up to 3 years from the date of issue. If the Welding Accreditation Card has expired beyond the 3 years from issue then a new course is required.

Terms & Conditions

Enrolment forms must be completed and submitted before being accepted.
Payment is required on the 20^th of the month following the invoice date.
Course assessment will be completed when payment has been received in full.
If you withdraw from a course within 5 days from the course dates, the full fee will apply.
Candidates are responsible for their travel and accommodation if required.
You can transfer a person enrolled for another person of the same company, providing they do the same course.
Candidates to bring and wear appropriate PPE as per your Company requirements; e.g. Safety footwear, Hi-Viz vest or equivalent.
Fee for replacement of lost welding card is $35.00 + GST per card.
Please note: outstanding assessments will only be processed up to 1 month after the course date.

I have read and agree to the terms and conditions and am responsible for payment.

Once the completed application form is received by us and we have sufficient numbers for a course, we shall set a course date.