Student Application

  • Membership with Avant Mutual Group Limited ABN 58 123 154 898
    Student Indemnity Insurance with Avant Insurance Limited ABN 82 003 707 471 AFSL 238765

    Note: By submitting this form or otherwise providing your personal information to Avant you consent to your personal information being collected, held, used and disclosed by Avant in accordance with the Avant Privacy Policy found here

    Compulsory fields are marked with *

    1. Contact Information

    (dd/mm/yyyy)

    e.g. 0400111222

    e.g. 0386735015
    Note: By providing my email address I consent to receiving emails from Avant in accordance with Avant’s Privacy Policy.

    Do you agree to receive electronic communications from Avant, such as specialist medico-legal bulletins, risk education and e-learning bulletins, and product updates and offers that may be of interest to you? *

    Do you agree to receive the Product Disclosure Statement, Financial Services Guide and renewal documentation in future years electronically? *

    Note: You may alter these consents at any time.

    Avant’s Financial Reports will only be made available to members at avant.org.au unless you elect to be sent a copy. Please indicate how you would like to receive Avant's Financial Report:

    Note: This is a standing selection unless you tell us otherwise.
    IMPORTANT: Professional indemnity insurance products available from Avant Mutual Group Limited ABN 58 123 154 898 are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765. The information provided here is general advice only. You should consider the appropriateness of the advice having regard to your own objectives, financial situation and needs before deciding to purchase or continuing to hold a policy with us. For full details including the terms, conditions, and exclusions that apply, please read and consider the policy wording and PDS, which is available here or by contacting us on 1800 128 268.