Yanburi Scholarship Payment Form NAME:* FIRST NAME: LAST NAME: ADDRESS:* STREET: SUBURB: POSTCODE: PHONE:*STUDENT SIGNATUREI 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.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 Accepted file types: pdf, jpg, doc, docx. NUMBER OF SUBJECTS ENROLLED IN:You will receive $250 per subjectLIST SUBJECTS:*TOTAL REIMBURSEMENTSFor any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au