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Student Online Application

    Personal Information

    First Name

    Last Name

    Preferred Name

    Email

    Gender

    Nationality

    Date of Birth

    Birthplace

    Country of Birth

    Passport No

    Expiry Date

    Visa Status

    Visa Number

    Visa Expiry Date

    USI: Unique Student Identifier

    Do you have your USI number available now?

    What is USI? | Steps to Create your own USI

    Current Street Address

    Country

    Building/Property Name

    Flat/Unit Details

    Street Number (e.g. 205 or Lot 118)

    Street Name

    City/Town/Suburb

    State

    Postcode

    Home Phone

    Work Phone

    Mobile Phone

    Postal Address

    Country

    Building/Property Name

    Flat/Unit Details

    Street Number (e.g. 205 or Lot 118)

    Street Name

    Postal Delivery Information (e.g. PO Box 254)

    City/Town/Suburb

    State

    Postcode

    Home Phone

    Work Phone

    Mobile Phone

    Overseas/Permanent Address

    Country

    Address

    City/Town/Suburb

    State

    Postcode

    Home Phone

    Work Phone

    Mobile Phone

    Language and Cultural Diversity

    Are you of Australian Aboriginal or Torres Strait Islander origin?
    (For persons of both Australian Aboriginal and Torres Strait Islander origin, select the last item.)

    Is English your main language?

    what is your language spoken at home?

    Was English the language of instruction in previous secondary or tertiary studies?

    Have you completed a test of English Language Proficiency?

    Education History

    What is your highest completed school level?

    Previous Qualifications Achieved

    Qualification Level

    Qualification Name

    School/Institution Name

    State/Country

    Year Completed

    Employment

    Which best describes your current employment status?

    Previous Employment History

    Employer

    Occupation

    Duration From

    Duration To

    Duties

    Enrolment Details

    Intake Year

    Select Course

    Preferred Study Period (Start)

    Preferred Study Period (Finish)

    Enrolment Fee

    Study Reason

    Application Request

    How did you hear about us?

    Please specify

    Additional Service Request

    Select Service

    Service Category

    Select Facility

    Service Date

    Price

    AUD 50.00 Per Service

    Service Comment

    Request Additional Service

    Would you like us to arrange Overseas Student Health Cover?

    Disability

    Do you consider yourself to have a disability, impairment or long-term condition?

    If YES, indicate the areas of disability, impairment or long-term condition:
    (You may indicate more than one area.)

    Would you like to receive advice on support services, equipment and facilities which may assist you?

    Guardian Contact

    Contact Name

    Relationship

    Phone

    Email

    Address

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