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 The student must be studying (full or part-time) on a fitness qualification course within the award year. Must be currently registered as a student with Fitness Australia.

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* 1. Nominee Full Name:

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* 2. Fitness Australia Registration Number (If unknown contact 1300 211 311)

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* 3. Course Provider:
(Where currently studying or studied a fitness qualification)

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* 4. Contact Information

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