Diploma Application

		Application for Diploma of Permaculture Design Print this form and attach to your supporting documents (submit in English).	Printer friendly

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Applicant's Name: (please print clearly) ......................................................................................... .......................................................................................................................................................... Postal Address: ............................................................................................................................... .......................................................................................................................................................... Permanent Address: ....................................................................................................................... .......................................................................................................................................................... Where Permaculture Design Course was taken: .............................................................................. .......................................................................................................................................................... Teacher(s): ..................................................................................................................................... Date of course: Month ............……………....................... Year …….......……….…………………….. Diploma is applied for in the following area(s) (no more than three subjects may be marked):
Education	Finance and Business
Media	Technical Development
Site Development	Resource Development
Site Design	Architecture and Building
Community Services	Research

Evidence of Work: Only submit documents, photographs, tapes etc., you do not wish returned – please do not submit original documents for copying. Photocopies are acceptable. All documents to be submitted in English, or accompanied by accurate translations into English.
Aust $75.00 application fee. You can pay by cheque (in Australian dollars), Australia Post Money Order or Credit Card. We accept Visa, Mastercard and Bankcard - please provide cardholder's name, card number, expiry date, and card type (Visa etc).