Yanburi Scholarship Payment Form NAME:* FIRST NAME: LAST NAME: ADDRESS:* STREET: SUBURB: POSTCODE: PHONE:* STUDENT SIGNATURE I agree that my typed name above can be used as a digital representation of my signature to that fact.BANK DETAILSBSB:* ACCOUNT:* PAYMENT DETAILS:NAME:* FIRST NAME: LAST NAME: NUMBER OF COURSES ENROLLED IN:* You will receive $125 per courseENROLMENT:*Please upload enrolment details. You can upload a PDF, JPEG or Microsoft Word document.Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB.NUMBER OF SUBJECTS ENROLLED IN: You will receive $250 per SubjectCOURSE PAYMENT:*Please upload transcripts. You can upload a PDF, JPEG or Microsoft Word document. Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB. NUMBER OF SUBJECTS ENROLLED IN: You will receive $250 per subjectLIST SUBJECTS:*TOTAL REIMBURSEMENTS For any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au