ANTA > Students > Student Membership Application

Student Membership Application Form

The First Step...

We invite you to apply for Free Student Membership online by completing the form below, or, you may download the Student Application Form and post into ANTA at your convenience.

Before you begin the Student Membership Application process please ensure you are enrolled in and completing a Course that is Recognised by ANTA. You may also be eligible for Student Membership if you intend continuing onto an ANTA recognised course.

Please note: ANTA does not recognise undergraduate courses delivered substantially by Distance/Online or External modes.

Health Funds do not recognise for provider registration purposes any undergraduate qualifications attained substantially by Distance/Online or External Modes.

Student Application Form

* denotes required field

Personal Information (Kept confidential by ANTA)

Title: *
First Name: *
Middle Name:  
Surname: *
Date of Birth: *
Email: *

Residential Address

Street Number/Street Name *
Suburb: *
State: *
Postcode: *

Contact Info

Phone No. Area Code: *
Phone No: * Enter Phone number without space
Mobile: * Enter Mobile number without space

Postal Address

Same as Residential: *
Postal Address:  
Postal Suburb: *
State:  
Postcode:  

Modalities Studying

Check Modalities Studying: * Acupuncture
Aromatherapy
Ayurvedic Medicine
Chinese Herbal Medicine
Counselling
Homoeopathy
Myotherapy
Musculoskeletal Therapy
Naturopathy
Nutrition
Oriental Remedial Therapy
Remedial Massage Therapy
Shiatsu
Western Herbal Medicine

Educational Facility

Currently Enrolled at: *
Student ID Number: *
Course Qualification: *
Name of Course: * Completing a Recognised Course?
Expected Date of Completion: * E.g: 01/02/2008

Note: ANTA (including Health Funds & WorkCover) does not recognise undergraduate courses delivered in total by Distance Education

Disclaimer:   I confirm that the course I am studying or enrolled in is not delivered by distance education

Terms and conditions

  1. The course I am currently enrolled in is not being undertaken "Substantially" by Distance Education.
  2. I hereby consent to ANTA making the necessary checks with my Course Provider to confirm that I am currently enrolled as a student.
  3. I have not been convicted of a criminal offence in Australia or overseas.
  4. I acknowledge that ANTA may, in its absolute discretion, grant or refuse Student Membership without assigning any reason.
  5. If accepted as a Student Member of ANTA, I agree to be bound by the rules and regulations established from time to time by ANTA.
  6. ANTA reserves the right to cancel Student Membership at anytime without prior notice.
Disclaimer: I confirm/agree to the terms and conditions above.

Enter code as shown below:*

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The Natural Therapist

Issue: 32 No.1 | March 2017

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