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AEFL Provider Registration Form
First Name
Last Name
Business Name
Email
Phone
Certificate Level
Certficate Level
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Have you submitted these documents to the Upload Portal
Signed Ethics & Standards
Current FirstAid Certificate & CPR
Current Insurance Certificate of Currency
Working With Children and/or NDIS Clearance and/or Vulneable People (State Specific)
AEFL Provider Activity Form
How did you pay your Provider Fee's?
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Reciept/Transaction Number
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