Step 1 of 3 - Your Details

Fields marked with are required and must be filled in.

1. Course Selection

2. Personal Details

3. Address Details

Residential Address

Postal/Billing Address

4. Membership and Registration

5. Applicant Agreement and Declaration

The Cosmetic Physicians College of Australasia (CPCA) in partnership with Niche Education Group Pty Ltd. The information collected in this form is required to facilitate your enrolment and will be handled and stored in line with the Niche Education Group Pty Ltd’s Student Personal Information Policy. The Group reserves the right to verify any of the details you have provided on this form to assess your application.

Fields marked with are required.