Western Union Payment Confirmation Form

Humanitarian Distance Learning Centre

HDLC (Western Union) Online Enrolment Form

Email Address
First Name
Last Name
Sent By (If payment was made by another person)
Address
City
State
Money Transfer Control Order (MTCN)		(What is this?)
Country of Residence
Country of Payment
From Amount & Currency
To Amount & Currency		AUD Australian Dollars

Which Course Are You Enrolling For? To select more than one course hold down the Ctrl button when making your selection.