TRANSFORMATION BY ANSHUMAN

DISCLAIMER

Issued in accordance with applicable Australian Commonwealth and State/Territory legislation

IMPORTANT: This Disclaimer governs the relationship between Transformation by Anshuman (ABN: [INSERT ABN]) and all participants, clients, and users of its training services, programs, workshops, and related materials. By engaging with any service offered by Transformation by Anshuman, you acknowledge that you have read, understood, and agreed to the terms of this Disclaimer in full. This Disclaimer is to be read together with the Participant Informed Consent Form, the Participant Enrolment Agreement, the Terms and Conditions of Service, and the Privacy Policy.

1. General Nature of Services

Transformation by Anshuman provides holistic transformation facilitation, personal development training, professional development workshops, experiential learning programs, and related educational services ("Services"). All Services are educational and facilitative in nature and are offered as training and personal development tools only.

Except where a trainer or facilitator is expressly identified in writing as a registered professional, nothing in any Service constitutes or should be construed as:

  • Medical advice, diagnosis, treatment, or clinical care of any kind

  • Psychological therapy, psychotherapy, counselling, or mental health treatment

  • Legal advice or legal services

  • Financial advice, investment advice, or financial planning services

  • Occupational therapy or rehabilitation services

  • Any other form of regulated professional service

Transformation by Anshuman's trainers and facilitators are not registered under the Health Practitioner Regulation National Law Act 2009 (Cth) and do not hold registration with AHPRA, the Psychology Board of Australia, the Medical Board of Australia, or any equivalent professional body, unless otherwise expressly stated in writing.

2. Not a Substitute for Professional Advice

The information, content, techniques, and practices shared during any Service are intended for general educational and personal development purposes only. Participants are strongly advised to:

  • Seek qualified medical or psychological advice from a registered health practitioner before commencing any program involving physical or emotional content

  • Continue any existing treatment, medication, or professional support during and after participation

  • Consult a qualified legal practitioner for any legal matters

  • Consult a qualified financial adviser holding an Australian Financial Services (AFS) Licence for any financial decisions

Transformation by Anshuman expressly disclaims any responsibility for decisions made by participants based on information or practices encountered during or after any Service, where such decisions should properly be informed by registered professional advice.

3. Australian Consumer Law — Consumer Guarantees

Nothing in this Disclaimer excludes, restricts, or modifies any right or remedy under the Australian Consumer Law (Schedule 2, Competition and Consumer Act 2010 (Cth)) that cannot lawfully be excluded. Under the ACL, consumers have non-excludable guarantees that services will be provided with due care and skill, be fit for purpose, and be delivered within a reasonable time. Where permitted by section 64A of the ACL, remedies are limited to re-supply of the relevant services or payment of the cost of re-supply.

4. Limitation of Liability

To the maximum extent permitted by law, Transformation by Anshuman's aggregate liability is limited to the total amount paid by the participant for the specific Service or session(s) to which the claim relates. Liability is excluded, to the extent permitted by law, for: indirect or consequential loss; loss of profits or opportunity; physical or psychological harm arising from failure to follow professional advice; outcomes not achieved; and actions of third-party services.

5. Participant Health, Safety, and Responsibility

Transformation by Anshuman maintains its environments in accordance with the Work Health and Safety Act 2011 (Cth) and State/Territory equivalents. Participants are responsible for disclosing all relevant health conditions, obtaining GP clearance where applicable, and acknowledging that experiential activities are voluntary and undertaken at their own risk, subject to ACL consumer guarantees.

6. Mental Health and Crisis Situations

Transformation by Anshuman is not a crisis, mental health, or emergency service. In a crisis, contact: 000 | Lifeline 13 11 14 | Beyond Blue 1300 22 4636 | Suicide Call Back Service 1300 659 467. Where a facilitator reasonably believes a participant is in crisis, the session may be paused or ended and the participant directed to appropriate services.

7. Privacy and Personal Information

Personal information is collected, held, used, and disclosed in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs). Participants have the right to access and correct their information and to lodge complaints with the Office of the Australian Information Commissioner (OAIC) at www.oaic.gov.au.

8. Mandatory Reporting and Disclosure

Transformation by Anshuman is subject to mandatory reporting obligations under child protection legislation in all States and Territories. Where a facilitator holds a reasonable suspicion that a child under 18 is at risk of harm or abuse, a report to the relevant authority is legally required. Disclosure to emergency services is also permitted where there is a serious and imminent risk of harm to any person.

9. Intellectual Property

All materials are protected under the Copyright Act 1968 (Cth). Participants receive a limited, non-exclusive, non-transferable licence for personal study only. Reproduction, distribution, or publication without prior written consent is prohibited. Session recording requires prior written consent, consistent with applicable surveillance and listening device legislation.

10. Equal Opportunity and Non-Discrimination

Transformation by Anshuman complies with the Disability Discrimination Act 1992, Age Discrimination Act 2004, Racial Discrimination Act 1975, Sex Discrimination Act 1984, and applicable State/Territory anti-discrimination legislation. Reasonable adjustments are available on request.

11. Governing Law and Jurisdiction

This Disclaimer is governed by the laws of Queensland, Australia, and applicable Commonwealth law. Participants submit to the non-exclusive jurisdiction of the courts of Queensland and the Federal Court of Australia.

12. Amendment and Review

Transformation by Anshuman reserves the right to amend this Disclaimer at any time. Continued participation following notification of an amendment constitutes acceptance of the updated Disclaimer.

Key Legislation Referenced: Competition and Consumer Act 2010 (Cth) Sch 2 (ACL) | Privacy Act 1988 (Cth) | Work Health and Safety Act 2011 (Cth) | Copyright Act 1968 (Cth) | Health Practitioner Regulation National Law Act 2009 (Cth) | Disability Discrimination Act 1992 (Cth) | Age Discrimination Act 2004 (Cth) | Racial Discrimination Act 1975 (Cth) | Sex Discrimination Act 1984 (Cth) | Child Protection Legislation (all States/Territories) | National VET Regulator Act 2011 (Cth) | Surveillance/Listening Device Acts (State/Territory)

TRANSFORMATION BY ANSHUMAN

Privacy Policy

Version 2.1 — Effective April 2026 | ABN: [INSERT ABN] | Applicable Australia-Wide

This Privacy Policy explains how Transformation by Anshuman ('we', 'us', 'the Trainer') collects, holds, uses, discloses, and protects personal information (including sensitive information) in accordance with the Privacy Act 1988 (Cth), the Australian Privacy Principles (APPs), and applicable state and territory privacy legislation across Australia, including the Privacy and Personal Information Protection Act 1998 (NSW) ('PPIPA'), the Information Privacy Act 2009 (Qld) ('IPA'), the Privacy and Data Protection Act 2014 (Vic), the Personal Information Protection Act 2004 (Tas), and equivalent legislation in WA, SA, ACT, and NT. By engaging our services or using our website, you consent to the practices described in this Policy.

1. Who We Are and How to Contact Us

1.1 Transformation by Anshuman is a professional corporate training and development practice operated by Anshuman, based in Bella Vista, New South Wales, Australia. We provide corporate training, professional development, leadership, and organisational transformation services to corporate clients and their employees, delivered in person, online, and by phone, Australia-wide.

1.2 Privacy enquiries, access requests, and complaints can be directed to:

2. What Personal Information We Collect

2.1 We collect personal information necessary to deliver our Services and meet our legal obligations. The types of personal information we collect include:

  • Identity information: full name, date of birth, gender;

  • Contact information: postal address, email address, phone number;

  • Emergency contact details: name, relationship, and contact number of a nominated emergency contact;

  • Corporate client details: organisation name, ABN, authorised contact name, role, and billing information;

  • Service and booking information: session history, training records, notes, and feedback;

  • Payment information: payment method details (processed securely through third-party providers; we do not store full card details);

  • Website usage information: browser type, operating system, pages visited, and usage patterns (collected through cookies — see clause 9).

2.2 Sensitive Information

2.2.1 We may collect sensitive information within the meaning of the Privacy Act 1988 (Cth). Sensitive information may include information about a Participant's physical health, mental health, psychological wellbeing, and personal circumstances disclosed during the intake or onboarding process or during training delivery.

2.2.2 We will only collect sensitive information with the explicit written consent of the corporate client and/or Participant, and only to the extent necessary to deliver the Services safely and effectively.

2.2.3 Sensitive information will not be used for any purpose other than delivering the Services, meeting our legal obligations (including mandatory reporting obligations across all Australian jurisdictions), or as otherwise required by law.

3. How We Collect Personal Information

3.1 We collect personal information through the following channels:

  • Pre-engagement onboarding forms, corporate agreements, and consent documentation completed prior to service commencement;

  • Session bookings, correspondence, and communications (email, phone, SMS, or video conferencing);

  • Face-to-face meetings, telephone calls, or video-based training sessions;

  • Our website at www.transformationbyanshuman.com;

  • Third parties (such as referrers or the corporate client on behalf of Participants), where the individual has consented or we are otherwise permitted by law to collect information in this way.

3.2 Where practicable, we will collect personal information directly from the individual concerned. We will not collect personal information about an individual from third parties without their knowledge or, where required, their consent.

4. How We Use Personal Information

4.1 We use personal information for the following purposes:

  • To deliver corporate training and development services safely and effectively;

  • To assess suitability for specific training programs and conduct any necessary pre-engagement screening;

  • To communicate with corporate clients and Participants about bookings, sessions, and service updates;

  • To comply with our legal obligations, including mandatory reporting obligations under child protection legislation applicable in each state and territory (see clause 5.3), and the Notifiable Data Breaches scheme under the Privacy Act 1988 (Cth);

  • To comply with obligations under applicable work health and safety legislation, including the Work Health and Safety Act 2011 (NSW), the Work Health and Safety Act 2011 (Qld), and equivalent legislation in other jurisdictions;

  • To improve the quality of our services through supervision and professional development (using anonymised and de-identified information only);

  • To manage complaints and disputes;

  • To send you information about services, events, and updates that may be of interest — subject to your communication preferences (see clause 4.2).

4.2 You may opt out of receiving promotional communications at any time by emailing contact@transformationbyanshuman.com or clicking 'unsubscribe' in any email. Opting out of promotional communications will not affect communications relating to booked services or legal obligations.

5. Disclosure of Personal Information

5.1 We will not sell, rent, or trade your personal information. We may disclose your personal information only in the following circumstances:

5.2 Trusted Service Providers

5.2.1 We may share information with trusted third-party service providers who assist us in delivering the Services, including: payment processors; video conferencing platform providers; scheduling software providers; learning management systems; and professional advisors (legal, financial, or insurance). These providers are required to handle your information in accordance with this Policy and applicable privacy law.

5.3 Legal and Statutory Obligations — All Australian Jurisdictions

5.3.1 We may disclose your information where required by law, including:

  • Mandatory child protection reporting obligations under applicable legislation in each state and territory, including (without limitation): the Children and Young Persons (Care and Protection) Act 1998 (NSW); the Child Protection Act 1999 (Qld); the Child Wellbeing and Safety Act 2005 (Vic); the Children and Community Services Act 2004 (WA); the Child Safety (Prohibited Persons) Act 2016 (SA); the Children, Young Persons and Their Families Act 1997 (Tas); the Children and Young People Act 2008 (ACT); and the Care and Protection of Children Act 2007 (NT);

  • Compliance with court orders, subpoenas, or lawful requests from law enforcement or regulatory bodies in any Australian jurisdiction;

  • Compliance with any other applicable legal obligation under Commonwealth, state, or territory law.

5.4 Discretionary Disclosure — Serious Risk of Harm

5.4.1 Where we reasonably believe there is a serious and imminent risk of harm to a Participant or another person, information may be disclosed to emergency services (000) or appropriate authorities to the extent reasonably necessary to prevent that harm, consistent with our duty of care obligations under common law and applicable state and territory legislation.

5.5 Corporate Client Reporting

5.5.1 Where Services are engaged by a corporate client on behalf of its employees, we may share aggregated, de-identified program reports or individual completion records with the corporate client as agreed in writing. We will not share detailed individual session content with the corporate client without the Participant's prior written consent, except where required by law.

5.6 International Transfers

5.6.1 Our Services are delivered using third-party digital platforms (including video conferencing, email, and scheduling tools) that may store or process data on servers located outside Australia, including in the United States of America and the European Union. We take reasonable steps to ensure that overseas recipients handle your information consistently with the APPs.

5.6.2 By engaging our Services, you consent to your personal information being transferred to and processed in countries outside Australia in connection with the delivery of our Services, where such transfer is necessary and subject to appropriate safeguards.

5.7 Business Transfers

5.7.1 In the event of a business sale, merger, or transfer of assets, personal information may be transferred to a successor entity, which will be required to handle it in accordance with this Policy and applicable law.

6. Data Retention and Security

6.1 We retain personal information only for as long as necessary to fulfil the purposes for which it was collected, or as required by law. Client and Participant records (including training records, session notes, and consent documentation) are retained for a minimum of 7 years from the date of last service, or, for Participants who were minors at the time of service, until the Participant turns 25 years of age (whichever is later). Retention periods may vary in accordance with the requirements of applicable state and territory legislation and any applicable professional standards.

6.2 At the end of the applicable retention period, personal information will be securely destroyed or de-identified in accordance with applicable law.

6.3 We protect personal information using reasonable physical, electronic, and procedural safeguards, including: password-protected systems; encrypted communications where practicable; restricted access to personal information on a need-to-know basis; and secure disposal of physical records. We acknowledge that no transmission of data over the internet is completely secure. While we take all reasonable precautions, we cannot guarantee absolute security of information in transit.

7. Notifiable Data Breaches

7.1 We comply with the Notifiable Data Breaches (NDB) scheme under Part IIIC of the Privacy Act 1988 (Cth). If we become aware of a data breach that is likely to result in serious harm to any individual whose personal information is involved, we will:

  • Assess the breach promptly and contain it as far as practicable;

  • Notify affected individuals as soon as practicable, describing the breach, the type of information involved, and the steps individuals should take to protect themselves;

  • Notify the Office of the Australian Information Commissioner (OAIC) within 30 days of becoming aware of the eligible data breach, in accordance with the NDB scheme requirements.

7.2 We maintain a written Data Breach Response Plan to ensure prompt and appropriate action in the event of a breach.

7.3 Where applicable state or territory legislation imposes additional data breach notification obligations (including under the PPIPA (NSW) or the IPA (Qld)), we will comply with those obligations in addition to the NDB scheme.

8. Your Rights — Accessing and Correcting Your Information

8.1 You have the right to: (a) request access to the personal information we hold about you; (b) request correction of personal information that is inaccurate, incomplete, or out of date; and (c) make a complaint about how we handle your personal information.

8.2 To make an access or correction request, please contact the Privacy Officer at contact@transformationbyanshuman.com We will respond within 30 days. A reasonable administrative fee may be charged for access requests in accordance with the Privacy Act 1988 (Cth) and applicable state and territory legislation.

8.3 We reserve the right to decline access requests in limited circumstances permitted under the Privacy Act 1988 (Cth) or applicable state and territory privacy legislation. Where we decline, we will provide written reasons.

8.4 Individuals in NSW may also exercise rights under the Privacy and Personal Information Protection Act 1998 (NSW), and individuals in Queensland may exercise rights under the Information Privacy Act 2009 (Qld). Individuals in other states and territories may have additional rights under equivalent legislation in their jurisdiction. We will honour all such rights to the extent applicable.

9. Website Cookies and Analytics

9.1 Our website at www.transformationbyanshuman.com may use cookies and similar tracking technologies to enhance your browsing experience, analyse site traffic, and support service delivery. Where analytics tools such as Google Analytics are used, data collected may be transferred to servers outside Australia.

9.2 Cookies are small files stored on your device that help us recognise returning visitors and remember preferences. You may disable cookies through your browser settings; however, some website functionality may be limited as a result.

9.3 Our website may contain links to third-party websites. We are not responsible for the privacy practices of those websites and encourage you to review their privacy policies before sharing personal information.

10. Spam Act Compliance

10.1 All commercial electronic messages sent by us comply with the Spam Act 2003 (Cth). We will only send promotional electronic messages with your consent, and every such message will include a functional unsubscribe mechanism. We will action unsubscribe requests promptly and within the timeframes required by law.

11. Privacy Complaints

11.1 If you believe we have not handled your personal information in accordance with this Policy or applicable privacy law, you may submit a written complaint to the Privacy Officer at contact@transformationbyanshuman.com. We will acknowledge your complaint within 5 business days and respond substantively within 21 business days.

11.2 If you are not satisfied with our response, you may lodge a complaint with the relevant authority for your jurisdiction:

  • All jurisdictions — Commonwealth: Office of the Australian Information Commissioner (OAIC) | www.oaic.gov.au | 1300 363 992 | GPO Box 5218, Sydney NSW 2001

  • NSW: NSW Privacy Commissioner (Information and Privacy Commission NSW) | www.ipc.nsw.gov.au | 1800 472 679

  • Queensland: Office of the Information Commissioner Queensland | www.oic.qld.gov.au | (07) 3234 7373

  • Victoria: Office of the Victorian Information Commissioner | www.ovic.vic.gov.au | 1300 006 842

  • WA: Office of the Information Commissioner WA | www.oic.wa.gov.au | (08) 9278 7888

  • SA / TAS / ACT / NT: Complaints may be directed to the OAIC or the relevant state/territory ombudsman or information commissioner.

12. Policy Updates

12.1 We may update this Privacy Policy from time to time to reflect changes in our practices or applicable law across any Australian jurisdiction. Where we make material changes, we will notify current clients and corporate contacts by email. The updated Policy will be available at www.transformationbyanshuman.com. We encourage you to review this Policy periodically.

Approved by: Anshuman — Corporate Trainer & Privacy Officer | Last Updated: April 2026 | ABN: [INSERT ABN]

Note: This Privacy Policy has been prepared for compliance with the Privacy Act 1988 (Cth) and applicable state and territory privacy legislation as at April 2026, covering all Australian jurisdictions including NSW, QLD, VIC, WA, SA, TAS, ACT, and NT.

TRANSFORMATION BY ANSHUMAN

Terms and Conditions of Service

Version 2.1 — Effective April 2026 | ABN: [INSERT ABN] | Applicable Australia-Wide

IMPORTANT: Please read these Terms carefully before engaging services. By booking or attending any session, you acknowledge that you have read, understood, and agreed to be bound by these Terms. These Terms are prepared in compliance with the Australian Consumer Law (Schedule 2, Competition and Consumer Act 2010 (Cth)) and the applicable fair trading legislation in each Australian state and territory, including the Fair Trading Act 1987 (NSW), the Fair Trading Act 1989 (Qld), the Australian Consumer Law and Fair Trading Act 2012 (Vic), the Fair Trading Act 2010 (WA), the Fair Trading Act 1987 (SA), the Australian Consumer Law (Tasmania) Act 2010, the Fair Trading (Australian Consumer Law) Act 1992 (ACT), and the Consumer Affairs and Fair Trading Act 1990 (NT).

1. Nature and Scope of Services

1.1 Transformation by Anshuman ('the Trainer') provides professional corporate training and development services ('Services') to corporate clients and their employees ('Participants'). Services are delivered via video conferencing, telephone, or in-person as agreed in writing.

1.2 The Services are professional training and development in nature and are not therapy, psychotherapy, counselling, medical treatment, or professional advice of any kind (legal, financial, medical, or psychological). The Trainer is not a registered health practitioner and does not diagnose, treat, or cure any condition.

1.3 Services may include corporate training programs, professional development workshops, leadership and mindset development, behavioural and cultural transformation facilitation, team effectiveness programs, and facilitated learning experiences. This list is illustrative, not exhaustive.

1.4 The Participant and the corporate client acknowledge that: (a) training and development work may involve exploring professional habits, beliefs, and behaviours; (b) outcomes are not guaranteed and vary between individuals and organisations; (c) each Participant is responsible for the decisions and actions they take following training; (d) the Services complement but do not replace professional medical, psychological, legal, or financial care; and (e) Participants should seek appropriate professional help for any medical, mental health, legal, or financial matters.

1.5 Corporate clients must ensure that Participants are suitable for the nominated training program. The Trainer reserves the right to decline to provide Services, or to refer a Participant to an appropriate professional, if the Trainer reasonably determines that the Services are unsuitable for the Participant's needs or circumstances.

2. Consumer Guarantees — Australian Consumer Law

2.1 Nothing in these Terms excludes, restricts, or modifies any right, guarantee, or remedy that the Participant or corporate client has under the Australian Consumer Law (ACL) or the applicable state or territory fair trading legislation that cannot lawfully be excluded, restricted, or modified.

2.2 Under the ACL, consumer guarantees apply to Services, including that they will be rendered with due care and skill and will be reasonably fit for any disclosed purpose. These guarantees apply to Services provided under these Terms where the Participant or corporate client is a 'consumer' as defined under the ACL.

2.3 Where the Trainer is liable for a failure to comply with a consumer guarantee and that failure is not a major failure, the Trainer's liability is limited to: (a) resupplying the Services; or (b) paying the reasonable cost of having the Services resupplied. Where the failure is a major failure, the Participant has additional rights under the ACL including the right to a refund.

2.4 Nothing in these Terms limits the Trainer's liability for: (a) death or personal injury caused by the Trainer's negligence or wilful misconduct; (b) fraud or fraudulent misrepresentation; or (c) any other liability that cannot be excluded or limited under the ACL or applicable law.

3. Fees, Payment, and Refund Policy

3.1 All fees for Services are communicated to the corporate client in writing prior to booking and must be paid in full before the scheduled session unless otherwise agreed in writing. The Trainer's ABN and applicable GST information will be stated on all invoices.

3.2 Fees are subject to change. The Trainer will provide at least 30 days' written notice of any fee changes. Fee changes will not apply to sessions already paid for.

3.3 Cancellations by the Corporate Client

3.3.1 Cancellations with more than 48 hours' notice: the corporate client may reschedule without penalty (up to one reschedule per booking). A further reschedule request may incur an administrative fee notified in advance.

3.3.2 Cancellations with less than 48 hours' notice, or failure to attend without notice (no-show): the session will be forfeited and the fee will not be refunded, except where the client is entitled to a refund under the ACL.

3.4 Cancellations or Failure to Deliver by the Trainer

3.4.1 Where the Trainer cancels a session, the corporate client will be offered a rescheduled session at no additional cost within 14 days, or a full refund of the fee paid for that session if rescheduling is not possible or not agreed.

3.4.2 Where the Trainer is unable to complete a program or course of sessions due to illness, emergency, or circumstances beyond the Trainer's reasonable control, the corporate client will receive a pro-rata refund for any sessions paid for but not delivered.

3.5 Refunds — General

3.5.1 Requests for refunds outside the circumstances in clause 3.4 are assessed on a case-by-case basis at the Trainer's reasonable discretion. Nothing in this clause limits any right the client has under the ACL or applicable state/territory law.

3.5.2 Approved refunds will be processed within 10 business days to the original payment method.

3.6 Failure to pay fees as agreed may result in suspension or cancellation of Services. The Trainer reserves the right to pursue recovery of outstanding fees through lawful means.

4. Scheduling, Sessions, and Participant Conduct

4.1 Sessions are approximately 60 minutes unless otherwise agreed in writing. The Trainer will endeavour to commence sessions on time. Late arrival by the Participant will not extend the session beyond the scheduled end time.

4.2 The Participant agrees to: (a) participate honestly and in good faith; (b) engage with sessions in a professional and unimpaired state; (c) treat the Trainer with respect and professionalism; (d) refrain from harassment, discrimination, or abusive behaviour; and (e) approach the training with openness and willingness to engage.

4.3 The Trainer reserves the right to terminate a session immediately, without refund, if the Participant is abusive, threatening, or engaging in conduct that compromises the safety or wellbeing of either party. In such cases, the Trainer may also terminate the service agreement pursuant to clause 10.2.

5. Confidentiality and Its Limits

5.1 The Trainer will treat all information shared by the Participant or corporate client during sessions as confidential and will not disclose it to third parties without prior written consent, except as set out in clauses 5.2 and 5.3.

5.2 Mandatory Disclosure — Child Protection (Statutory Obligation, All Jurisdictions)

5.2.1 The Trainer is legally required under applicable child protection legislation in each Australian state and territory to report to the relevant child protection authority if the Trainer forms a reasonable suspicion that a child under 18 years of age has suffered, is suffering, or is at risk of suffering harm, including physical, emotional, or sexual abuse, or neglect. Applicable legislation includes (without limitation): the Children and Young Persons (Care and Protection) Act 1998 (NSW); the Child Protection Act 1999 (Qld); the Children, Young Persons and Their Families Act 1997 (Tas); the Children and Young People Act 2008 (ACT); the Care and Protection of Children Act 2007 (NT); the Child Safety (Prohibited Persons) Act 2016 (SA); the Children and Community Services Act 2004 (WA); and the Child Wellbeing and Safety Act 2005 (Vic).

5.2.2 This reporting obligation is mandatory. It applies regardless of how or when the information is disclosed, regardless of confidentiality, and cannot be waived or limited by agreement between the parties.

5.3 Discretionary Disclosure — Serious Risk of Harm to Adults

5.3.1 Where the Trainer reasonably believes, in good faith, that there is a serious and imminent risk of harm to the Participant or to an identifiable third party, the Trainer may disclose information to emergency services (000) or other appropriate authorities, to the extent reasonably necessary to prevent that harm.

5.3.2 This discretionary disclosure reflects the Trainer's common-law duty of care and is not a statutory mandatory reporting obligation. The Trainer will exercise professional judgment in determining whether such a disclosure is necessary.

5.4 The Trainer may discuss anonymised and de-identified session material with supervisors, mentors, or professional peers for the purposes of continuing professional development and quality assurance. No identifying information will be shared in this context.

5.5 Confidentiality does not apply where disclosure is required by court order, subpoena, or any other lawful legal process in any Australian jurisdiction.

6. Participant Wellbeing and Crisis Protocol

6.1 The Trainer is not a mental health professional and is not qualified to provide crisis intervention, mental health treatment, or emergency psychological support. The Trainer's role is facilitative and educational in nature.

6.2 If at any point during or between sessions the Trainer forms a reasonable belief that the Participant is experiencing acute psychological distress, a mental health crisis, suicidal ideation, or a risk of harm to themselves or others, the Trainer may take the following steps in good faith:

  • Pause or immediately terminate the session;

  • Encourage the Participant to contact emergency services: 000 (Police/Ambulance/Fire);

  • Provide referral information to: Lifeline — 13 11 14 (24/7 crisis support); Beyond Blue — 1300 22 4636; Suicide Call Back Service — 1300 659 467;

  • Where the Trainer reasonably believes there is imminent risk to life, contact emergency services directly.

6.3 The Participant acknowledges that the actions described in clause 6.2 are consistent with the Trainer's duty of care and do not impose liability on the Trainer, and do not constitute a breach of confidentiality under these Terms or at law.

6.4 The Participant agrees that email and voicemail between sessions are not appropriate channels for mental health emergencies. In any emergency, the Participant must contact 000 or present to the nearest hospital emergency department.

6.5 The Trainer is not liable for any loss, harm, or damage arising from the Participant's failure to seek appropriate professional mental health or medical care, or from the Participant's reliance on training services as a substitute for such care.

7. Privacy and Personal Information

7.1 The Trainer collects, holds, uses, and discloses personal information in accordance with the Privacy Act 1988 (Cth), the Australian Privacy Principles (APPs), and applicable state-based privacy legislation, including the Privacy and Personal Information Protection Act 1998 (NSW) and the Information Privacy Act 2009 (Qld), as well as equivalent legislation in other states and territories. The Trainer's Privacy Policy is available at www.transformationbyanshuman.com.

7.2 By engaging the Services, the corporate client and Participants expressly consent to the collection and use of personal information for the purpose of delivering the Services, as described in the Privacy Policy.

7.3 In the event of a data breach that is likely to result in serious harm, the Trainer will comply with the Notifiable Data Breaches scheme under Part IIIC of the Privacy Act 1988 (Cth), including notifying affected individuals and the Office of the Australian Information Commissioner (OAIC).

8. Training Delivery, Participant Safety, and Physical Wellbeing

8.1 Training activities (including, without limitation, experiential exercises, breathwork, movement, embodiment, and mindfulness practices used as training tools) are delivered for professional development and educational purposes only. The Trainer provides guidance on their application but cannot control individual outcomes or responses.

8.2 Before participating in any physical or experiential training activity, the Participant and corporate client must: (a) disclose all relevant health conditions prior to the program; and (b) where a condition may be affected by physical training activity (including cardiovascular conditions, respiratory conditions, pregnancy, epilepsy, or a diagnosed mental health condition), obtain written clearance from a registered medical practitioner before participating.

8.3 The Trainer reserves the right to decline to deliver a specific training activity where the Participant has not obtained required medical clearance, or where the Trainer reasonably determines the activity is unsuitable for the Participant.

8.4 The Participant accepts sole responsibility for: (a) honouring their physical and psychological limits during any training activity; (b) stopping any activity that causes discomfort, distress, or pain; (c) any physical consequences of participating in activities against the Trainer's or a healthcare professional's advice; and (d) ensuring they have the necessary clearance before participating.

8.5 Subject to clause 2 (Consumer Guarantees) and applicable state and territory personal injuries legislation (including the Civil Liability Act 2002 (NSW), the Civil Liability Act 2003 (Qld), and equivalent legislation in other jurisdictions), the Trainer is not liable for any physical or psychological injury arising from the Participant's voluntary participation in any training activity where the Participant has been advised of its nature and risks.

9. Work Health and Safety Obligations

9.1 The Trainer acknowledges obligations as a Person Conducting a Business or Undertaking (PCBU) under the Work Health and Safety Act 2011 (Cth model law) as adopted in each relevant state and territory, including the Work Health and Safety Act 2011 (NSW), the Work Health and Safety Act 2011 (Qld), and equivalent legislation in other jurisdictions, and will take all reasonably practicable steps to ensure the health and safety of Participants during the delivery of Services.

9.2 Corporate clients, as PCBUs, are reminded of their own independent obligations under applicable WHS legislation to ensure that the engagement of training services is consistent with their duty of care to their employees.

9.3 Where Services are delivered at the corporate client's premises, the corporate client is responsible for ensuring the venue is safe, compliant with applicable WHS laws, and fit for the purpose of training delivery.

10. Termination of Services

10.1 The corporate client may terminate the service relationship at any time by written notice. Subject to clause 3 and the ACL, fees already paid for sessions not yet delivered will not be automatically refunded on client-initiated termination, unless the client has grounds for a refund under the ACL or applicable state/territory law.

10.2 The Trainer may immediately terminate the service relationship, without refund (subject to the ACL), if: (a) the corporate client or Participant engages in threatening, abusive, or harassing conduct; (b) the corporate client repeatedly fails to attend sessions without notice; (c) the Participant requires services that are beyond the Trainer's scope of practice; (d) the Trainer reasonably determines that the training is unsuitable or potentially harmful for the Participant's needs; or (e) the corporate client materially breaches these Terms.

10.3 Where the Trainer terminates Services under clause 10.2(d) for reasons relating to a Participant's wellbeing, the Trainer will provide appropriate referral information to relevant professional services.

11. Limitation of Liability and Indemnification

11.1 Subject to clause 2 (Consumer Guarantees) and any rights that cannot be excluded under applicable law, and to the fullest extent permitted by law:

  • The Trainer excludes all liability for any indirect, incidental, special, consequential, or punitive loss or damage, including loss of profit, loss of opportunity, or loss of data, arising in connection with the Services;

  • The Trainer's total aggregate liability to the corporate client or Participant for any claim arising under or in connection with these Terms or the Services is limited to the total amount paid for the specific session(s) to which the claim relates.

11.2 The limitations in clause 11.1 do not apply to: (a) death or personal injury caused by the Trainer's negligence or wilful misconduct; (b) fraud or fraudulent misrepresentation; or (c) any liability that cannot be excluded under the ACL, the Civil Liability Act 2002 (NSW), the Civil Liability Act 2003 (Qld), or equivalent legislation in the relevant jurisdiction.

11.3 The corporate client agrees to indemnify and hold harmless the Trainer from and against any claim, loss, damage, liability, cost, or expense (including reasonable legal costs) arising directly and solely from: (a) the corporate client's or Participant's own negligence or wilful misconduct; (b) the corporate client's material breach of these Terms; or (c) false or misleading information provided by the corporate client or Participant. This indemnity does not apply to the extent that the Trainer's own negligence or breach contributed to the relevant loss or damage.

12. Technology, Virtual Delivery, and Recording

12.1 For virtual sessions, the Participant is responsible for: (a) maintaining a stable internet connection and functioning audio/video technology; (b) ensuring they are in a private, safe, and appropriate environment; and (c) confirming they can access emergency services from their location if needed.

12.2 Technical difficulties caused by the Participant's own equipment or connection will not extend session time or entitle the Participant to a refund. Where technical difficulties on the Trainer's side prevent a session from proceeding, the session will be rescheduled or refunded.

12.3 No audio or video recording of sessions is permitted by either party without prior written consent from both parties. Unauthorised recording may result in immediate termination of Services under clause 10.2.

13. Intellectual Property

13.1 All materials, tools, frameworks, worksheets, and content created by or for the Trainer and provided to the corporate client or Participants ('Materials') remain the intellectual property of the Trainer. Materials are licensed to the corporate client for internal organisational use only and may not be reproduced, distributed, shared, sold, or commercialised without prior written consent from the Trainer.

13.2 The Trainer may request permission to use anonymised testimonials or transformation stories for marketing purposes. No identifying information will be used without the corporate client's and Participant's separate written consent.

14. Complaints and Dispute Resolution

14.1 The Trainer is committed to resolving complaints promptly and fairly. If a corporate client or Participant has a complaint, the following process applies:

  • Step 1 — Submit: Submit the complaint in writing to contact@transformationbyanshuman.com, clearly describing the issue and the outcome sought.

  • Step 2 — Acknowledgement: The Trainer will acknowledge receipt within 5 business days.

  • Step 3 — Investigation & Response: The Trainer will investigate and provide a written substantive response within 21 business days of acknowledgement.

  • Step 4 — Resolution: If the complaint is upheld, the Trainer will offer an appropriate remedy, which may include resupply of services, a partial or full refund, or another agreed resolution.

  • Step 5 — Escalation: If unresolved, the corporate client or Participant may escalate to the relevant state or territory consumer protection agency: NSW Fair Trading (13 32 20); Queensland Office of Fair Trading (13 74 68); Consumer Affairs Victoria (1300 55 81 81); WA Consumer Protection (1300 30 40 54); SA Consumer and Business Services (131 882); or the OAIC (1300 363 992) for privacy matters.

14.2 Nothing in this clause limits the corporate client's or Participant's rights to seek any remedy available under the ACL or applicable state and territory law.

15. Amendments to These Terms

15.1 The Trainer may amend these Terms at any time. For new corporate clients, the amended Terms take effect when first accepted.

15.2 For existing corporate clients who have pre-paid for sessions or are mid-program, the Trainer will provide at least 30 days' written notice of any material amendments.

15.3 If an existing corporate client does not wish to accept materially amended Terms, they may terminate the service relationship within that 30-day notice period. In that event, the corporate client is entitled to a pro-rata refund for any pre-paid sessions not yet delivered.

16. General Provisions

16.1 These Terms, together with the Trainer's Privacy Policy and any written service agreement, constitute the entire agreement between the parties with respect to the Services and supersede all prior discussions and agreements.

16.2 These Terms are governed by the laws of Australia. The parties submit to the non-exclusive jurisdiction of the courts of the state or territory in which the Services are primarily delivered, or where the corporate client is domiciled.

16.3 If any provision of these Terms is found to be unenforceable in any jurisdiction, it will be severed in that jurisdiction only and the remaining provisions will continue in full force and effect.

16.4 Failure by the Trainer to enforce any right under these Terms does not constitute a waiver of that right.

16.5 For enquiries, contact: Transformation by Anshuman | contact@transformationbyanshuman.com | (+61) 0415 835 851 | 30 Linden Way, Bella Vista NSW 2153 | ABN: [INSERT ABN]

CORPORATE CLIENT & PARTICIPANT ACKNOWLEDGEMENT

By signing below, I confirm that I have read these Terms and Conditions in full, had the opportunity to seek independent legal advice, and freely agree to be bound by them on behalf of the corporate client and/or as an individual Participant.

Authorised Signatory (Corporate Client):Participant Name:Signature: ___________________________Full Name: __________________________Date: ________________________________Date of Birth: _______________________Company Name:Position / Title:________________________________________________________________

Note: These Terms have been prepared for compliance with the Australian Consumer Law and applicable state and territory legislation as at April 2026, covering all Australian jurisdictions including NSW, QLD, VIC, WA, SA, TAS, ACT, and NT.

TRANSFORMATION BY ANSHUMAN

PARTICIPANT INFORMED CONSENT FORM - TRAINING SERVICES

Company Name.............................................................

To be completed by all Participants prior to commencement of training

IMPORTANT LEGAL NOTICE: This Informed Consent Form is a legally binding document. Please read it carefully and in full before signing. By signing, you confirm you understand and freely agree to all matters set out. This document operates together with the Participant Enrolment Agreement, Terms and Conditions of Service, and Privacy Policy. It has been prepared in compliance with applicable Australian Commonwealth and State/Territory legislation.

Section A — Participant Details

Full Legal Name / Date of Birth / Email / Phone / Training Program / Commencement Date

1. Nature of Training Services

The services are educational/vocational in nature. Before consenting, participants acknowledge:

  • Training services are educational and do not constitute medical, psychological, legal, or financial advice or treatment.

  • The Trainer/Facilitator is not a registered health practitioner unless expressly stated.

  • Training is not a substitute for professional medical, psychological, legal, or financial advice.

  • The Trainer/Facilitator cannot diagnose, treat, or cure any health condition.

  • Where training is delivered by an RTO, the Standards for RTOs 2015 (Cth) apply.

2. Participant Expectations and Responsibilities

Sessions may involve group discussion, practical exercises, role-play, skills assessments, and reflection. Participants acknowledge:

  • Sessions may involve group interaction, role-play, and discussion of professional experiences.

  • Learning outcomes and results cannot be guaranteed and vary per individual.

  • Participants are responsible for communicating if they feel unsafe, unwell, or overwhelmed.

  • Participants have the right to withdraw from any activity without penalty.

  • All physical, mental health, or accessibility requirements must be disclosed, enabling reasonable adjustments under the Disability Discrimination Act 1992 (Cth).

  • Non-attendance may affect eligibility for qualifications, statements of attainment, or certificates.

3. Physical or Experiential Activities — Specific Consent

Some programs may include movement, breathwork, outdoor activities, role-play, or simulation. Participants acknowledge:

  • Such activities may produce physical sensations or emotional responses, generally temporary.

  • Health conditions must be disclosed; medical clearance from a GP may be required.

  • Participants agree to respect their physical limits and stop if experiencing pain or distress.

  • Participation in optional physical activities is voluntary, subject to consumer guarantees under the Australian Consumer Law (Schedule 2, Competition and Consumer Act 2010 (Cth)).

  • [Company Name] will maintain a safe environment in compliance with the Work Health and Safety Act 2011 (Cth) and applicable State/Territory equivalents.

4. Confidentiality and Mandatory Disclosure

Information shared is treated with discretion. However, legal limits to confidentiality apply:

  • Mandatory child protection reporting is required under applicable legislation in each State/Territory (including the Child Protection Act 1999 (Qld), Children and Young Persons (Care and Protection) Act 1998 (NSW), Children, Youth and Families Act 2005 (Vic), and equivalent Acts in ACT, SA, WA, Tas, NT). This overrides confidentiality and cannot be waived.

  • Disclosure to emergency services is permitted where there is serious and imminent risk of harm.

  • Anonymised information may be shared with supervisors for quality assurance and compliance.

  • Personal information is handled in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs).

5. Mental Health and Wellbeing — Support Resources

[Company Name] is not a crisis or emergency service. In a crisis, contact:

  • 000 — Emergency Services (Police/Ambulance/Fire)

  • 13 11 14 — Lifeline (24/7 Crisis Support)

  • 1300 22 4636 — Beyond Blue

  • 1300 659 467 — Suicide Call Back Service

  • 1800 614 434 — MindSpot (Online and Phone Therapy)

  • 1800 55 1800 — Kids Helpline (Under 25)

Participants acknowledge: email and voicemail are not suitable for emergencies; if the Trainer/Facilitator believes a participant is in crisis, the session may be paused/ended and the participant directed to emergency services.

6. Privacy and Personal Information

Governed by the Privacy Act 1988 (Cth) and the Australian Privacy Principles:

  • Consent is given to collect, hold, use, and disclose personal information (including sensitive health information) to deliver training, administer enrolment, assess learning, and meet regulatory obligations.

  • [Company Name] may be required to disclose training records to ASQA, State/Territory training authorities, or other regulators under the National Vocational Education and Training Regulator Act 2011 (Cth).

  • Information may be stored on cloud platforms outside Australia subject to safeguards per APP 8.

  • Participants have the right to access and correct their information, and to lodge complaints with the Office of the Australian Information Commissioner (OAIC) at www.oaic.gov.au or 1300 363 992.

7. Anti-Discrimination and Equal Opportunity

[Company Name] complies with:

  • Disability Discrimination Act 1992 (Cth) — reasonable adjustments available on request

  • Age Discrimination Act 2004 (Cth)

  • Racial Discrimination Act 1975 (Cth)

  • Sex Discrimination Act 1984 (Cth)

  • Applicable State/Territory anti-discrimination legislation

All participants are expected to treat trainers, staff, and fellow participants with respect. Harassment, bullying, and discrimination are prohibited.

8. Intellectual Property

  • All training materials are protected under the Copyright Act 1968 (Cth) and remain the property of [Company Name] or its licensors.

  • Participants must not reproduce, distribute, or publish materials without prior written consent.

  • Session recording (audio or video) requires prior written consent from [Company Name] and all participants, in compliance with applicable surveillance and recording laws.

9. Personal Responsibility and Limitation of Liability

  • Participants are responsible for all decisions and actions during and after training.

  • Subject to the Australian Consumer Law, liability is limited (where permitted) to the amount paid for the specific session(s) or program to which a claim relates, or re-supply of the services.

  • Nothing excludes rights under the Australian Consumer Law or other applicable law that cannot lawfully be excluded, including guarantees that services are provided with due care and skill.

10. Voluntary Participation and Right to Withdraw

  • Participation is entirely voluntary and freely given.

  • Participants may withdraw consent at any time, subject to cancellation, refund, and assessment terms.

  • Participants confirm they have completed the Enrolment and Health Disclosure Form honestly and in full.

Participant Declaration

By signing, I confirm I have read this form in full; I understand its contents; I freely consent to training services; I have completed all required forms honestly; and I acknowledge this form does not limit my statutory rights under the Australian Consumer Law or any other applicable Australian law.

Signature / Full Name / Date / Date of Birth

Parent/Guardian Consent (if Participant is under 18)

[Company Name] does not ordinarily provide services to persons under 18. Where an exception applies, a parent or guardian must complete this section.

Guardian Name / Relationship / Contact / Signature / Date

For Office Use Only

Date Received / Enrolment ID / Program Code / Enrolment Form Complete / Health Disclosure Form / Medical Clearance / Reasonable Adjustments / Notes / Authorising Signature / Date Processed

LEGAL RETENTION NOTICE: This document is retained securely for a minimum of 7 years in accordance with the Privacy Act 1988 (Cth), National Vocational Education and Training Regulator Act 2011 (Cth), Standards for RTOs 2015 (Cth) (where applicable), and applicable State/Territory record-keeping legislation.

TRANSFORMATION BY ANSHUMAN

CLIENT INTAKE & HEALTH SCREENING FORM - TRAINING SERVICES

To be completed in full by all new Participants before their first session

PRIVACY NOTICE: This form collects sensitive health information to enable Transformation by Anshuman to deliver services safely and appropriately. Your information is treated as strictly confidential in accordance with the Privacy Act 1988 (Cth), the Australian Privacy Principles (APPs), and applicable State/Territory privacy legislation. It will be stored securely and retained for a minimum of 7 years. This form does not create a therapeutic or clinical relationship. You have the right to access and correct information held about you and to lodge a complaint with the OAIC at www.oaic.gov.au.

SECTION A — Personal Details

Full Legal Name / Preferred Name / Date of Birth / Gender (optional) / Email Address / Mobile Number / Best Time to Contact / Postal & Residential Address / State & Territory / Postcode / Occupation & Industry (optional)

SECTION B — Emergency Contact

Your emergency contact's information is handled under the Privacy Act 1988 (Cth) and used only in genuine emergency situations.

Emergency Contact Full Name / Relationship to You / Phone Number

☐ Has your emergency contact agreed to be named as your emergency contact for this purpose? Yes / No

SECTION C — General Practitioner / Health Practitioner Details

Providing GP details enables referral recommendations and medical clearance where required for physical or breathwork practices. You are not required to provide this but it is strongly encouraged.

GP / Doctor Name / Practice Name & Address / GP Phone Number

☐ I consent to Transformation by Anshuman contacting my GP if required for safety or clearance purposes, subject to my separate written authorisation. Yes / No

SECTION D — Physical Health Screening

This is a safety screening tool only — not a medical assessment. All information is confidential under the Privacy Act 1988 (Cth).

  • Do you have any current or past cardiovascular conditions (heart disease, high blood pressure, arrhythmia, pacemaker, angina, stroke, or similar)? ☐ Yes ☐ No → If Yes — describe:

  • Do you have any current or past respiratory conditions (asthma, COPD, chronic breathlessness, or similar)? ☐ Yes ☐ No → If Yes — describe:

  • Do you have epilepsy or any seizure disorder? ☐ Yes ☐ No → If Yes — describe:

  • Are you currently pregnant or breastfeeding? ☐ Yes ☐ No

  • Do you have any musculoskeletal conditions, injuries, or chronic pain that may affect participation? ☐ Yes ☐ No → If Yes — describe:

  • Have you had any surgery, significant procedure, or hospitalisation in the past 12 months? ☐ Yes ☐ No → If Yes — describe:

  • Do you have a neurological condition (TBI, MS, Parkinson's, or similar)? ☐ Yes ☐ No → If Yes — describe:

  • Do you have any diagnosed autoimmune, endocrine, or metabolic condition (diabetes, thyroid disorder, lupus, or similar)? ☐ Yes ☐ No → If Yes — describe:

  • Any other physical health condition the Trainer/Facilitator should be aware of? ☐ Yes ☐ No → If Yes — describe:

  • Current Medications & Supplements (relevant to physical or breathwork practices): [field]

SECTION E — Psychological & Mental Health Screening

This is not a diagnostic assessment. All information is strictly confidential under the Privacy Act 1988 (Cth). Sensitive health information receives the highest level of protection under Australian law.

  • Have you ever been diagnosed with a mental health condition (depression, anxiety, PTSD, bipolar disorder, BPD, psychosis, schizophrenia, eating disorder, OCD, ADHD, or other)? ☐ Yes ☐ No → If Yes — diagnosis and current status:

  • Are you currently receiving support from a psychologist, psychiatrist, counsellor, social worker, or other mental health professional? ☐ Yes ☐ No → If Yes — type of professional and frequency:

  • Are you currently taking any psychiatric medication or medication prescribed for a mental health condition? ☐ Yes ☐ No → If Yes — medication type (specific name not required):

  • Have you experienced trauma, abuse, significant loss, or adverse life events relevant to the work? ☐ Yes ☐ No → General indication only (entirely optional):

  • Have you ever experienced suicidal thoughts, self-harm urges, or thoughts of harming others (at any time in the past)? ☐ Yes ☐ No → If Yes — approximate timeframe and current status:

⚠ IMPORTANT — CURRENT CRISIS: Are you currently experiencing suicidal thoughts, thoughts of self-harm, or thoughts of harming yourself or others? ☐ Yes — currently ☐ No If Yes, please inform the Trainer/Facilitator before your session. Transformation by Anshuman is not a crisis service. Please contact Lifeline on 13 11 14 or Emergency Services on 000 immediately.

  • Do you have a history of dissociation, psychotic episodes, or significant loss of contact with reality? ☐ Yes ☐ No → If Yes — describe briefly:

  • Are you currently in a period of acute mental health crisis or significant distress? ☐ Yes ☐ No → If Yes — details and any safety plans:

  • Do you use alcohol, cannabis, or other substances regularly (daily or near-daily)? ☐ Yes ☐ No → If Yes — substance(s) and frequency:

  • Do you have any known triggers, sensitivities, or circumstances the Trainer/Facilitator should be aware of? ☐ Yes ☐ No → If Yes — describe:

SECTION F — Accessibility & Reasonable Adjustments

In compliance with the Disability Discrimination Act 1992 (Cth) and applicable State/Territory anti-discrimination legislation.

  • Do you require reasonable adjustments to how training or facilitation is delivered or assessed? ☐ Yes ☐ No → If Yes — adjustments required:

  • Do you have any communication, language, literacy, or learning support needs? ☐ Yes ☐ No → If Yes — describe:

  • Any other accessibility requirements or preferences: [field]

SECTION G — Goals, Referral & Previous Experience

What brings you to this work? [Open text field]

  • Have you previously participated in holistic facilitation, life coaching, or similar services? ☐ Yes ☐ No

  • Have you previously participated in breathwork, embodiment, somatic, or mindfulness practices? ☐ Yes ☐ No

  • How did you hear about Transformation by Anshuman? [field]

SECTION H — Participant Declaration

By signing below, I declare that:

  • The information I have provided is true, accurate, and complete to the best of my knowledge;

  • I understand that withholding relevant health information may affect the safety and suitability of services, and that I bear responsibility for undisclosed information;

  • I understand that this form does not create a therapeutic, clinical, or supervisory relationship;

  • I consent to this sensitive health information being collected, held, and used in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles;

  • I understand that I may request access to or correction of this information at any time;

  • I understand that I may lodge a complaint with the OAIC at www.oaic.gov.au or 1300 363 992;

  • I acknowledge that Transformation by Anshuman is not a crisis or emergency service.

Participant Signature / Date / Full Name (Print) / Date Completed

FOR FACILITATOR / OFFICE USE ONLY

Date Received / Form Complete / Enrolment ID / Program Code / GP Clearance Required / Reasonable Adjustments Required / Follow-up Required / Processed By / Authorising Signature / Date Processed

LEGAL RETENTION NOTICE: This is a confidential health document containing sensitive information under the Privacy Act 1988 (Cth). Retained securely for a minimum of 7 years in accordance with the Privacy Act 1988 (Cth), Australian Privacy Principles, Work Health and Safety Act 2011 (Cth), National VET Regulator Act 2011 (Cth), and Standards for RTOs 2015 (Cth) (where applicable).