Academic booking form

Registration for 2012 sessions

Please complete the registration form below.
Note: Submit one form per academic session.

Personal Information

* denotes required fields

Course Details
Educational Institution *	If Other:
Course name *
Course level *	Secondary Tertiary undergraduate Tertiary Post-graduate (general) Tertiary Post-graduate (Ph. D, Masters levels) Vocational training (e.g. Certificate IV) Overseas visiting students
Course stream *	Supply Chain / Logistics Business Information Technology / Systems Other
Number of students *

Contact Details
Title *
First Name *
Last Name *
Job Title *
Phone *
Mobile *
Email Address *

Session Details
Preferred times and dates
Session	Time Start	Time End	Day	Date [DD/MM/YYYY]
1st preference
2nd preference
3rd preference

Session Content Details
Classroom Lectures	GS1 Standards Overview – 1 hour GS1 Standards in Supply Chain – 2 hours (Post Graduate and Master levels) GS1 Certificate Introduction – 1 ½ hours GS1 Certificate – Full day
Supply Chain Knowledge Centre [Theatre and Interactive Model]	GS1works Overview – ½ hour GS1works – 1 hour

Session Location
GS1 Australia	Axxess Corporate Park, Unit 100 / 45 Gilby Road, Mt. Waverley, VIC, 3149
On Campus	Please supply full address:

Comments / Additional Requests

For any queries:
Please call Terry Papadis on 03 9550 3432 or e-mail: terry.papadis@gs1au.org

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