Application for Unique Student Identifier (USI)

If you would like us E Firstaid Pty Ltd to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at

<https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf&gt;.

You must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf.

Please ensure that the name written in ‘Personal Details’ section is exactly the same as written in the document you provide below.

In accordance with section 11 of the Student Identifiers Act 2014, E Firstaid Pty Ltd will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose.

(please write the name of the Australian or overseas town or city where you were born)