Training Provider Name * Company name as per your AITT Certificate

Training provider number * Not including prefix 2: or 3:

Instructors Name * as per AITT Instructor Certificate

Instructors Number * Not including prefix 1: or 4:)

Examiner Name * as per AITT Instructor Certificate

Examiner Number * Not Including prefix 1: or 4:

Candidate Name * Only use capital for the first letters

Date of Birth * Dates must be entered in mm/dd/yyyy else registration will fail

Course Type *

Motive Power *

Course Ratio *

Truck Type *

Own Certification Number

Course Start Date * Dates must be entered in mm/dd/yyyy else registration will fail

Course Test Date * Dates must be entered in mm/dd/yyyy else registration will fail

Total Course Duration * 1=7.5 hours, for courses less then 7.5 hours selection 1 day

Course Restriction *

Do you require a Certificate? If Yes, please complete the fields below

Choose a Certificate Type

Company Where trainee works

Make and Model of Truck

Rated Capacity (kg)

Lift Height on test (mm)

ID Card

ID Card Photo

Training Provider Email * This email will be used for registration communications