Please enable JavaScript in your browser to complete this form.

Personal Information

Layout

Full Name *

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Country of Citizenship

Gender *

Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Langurage Spoken at Home

Date of Birth *

Mobile

Email Address *

Country of Birth *

Visa Details

Layout

Have you applied for permanent Residency in Australia?

Visa type you will be holding during your studies (eg. Student visa) *

Passport Number

Will you take any family members with you?

Do they need OHSC cover?

Are you currently enrolled at any institution?

Start date (dd/mm/yyyy)

Have you ever been refused a visa, had your visa cancelled or overstayed your visa in any country?

Date of refusal or cancellation:

Have you ever been excluded from an Australian education institution before?

Please provide details:

Current Visa Status in Australia

Which Immigration Office (Country) will you be applying for the student visa? *

Have you ever visited or studied in Australia?

Date of First Arrival *

Will you take any family members with you?

Name of the Institution

Expecting Completion Date (dd/mm/yyyy)

Date

Time

Country:

Course Details

Layout

Institution Name

Course Code/ Specialization

End Year

2nd preference (code/campus)

Course Name

Start Year

Campus Location

3rd preference (code/campus)

English Proficiency

Reference Letters

Click or drag a file to this area to upload.

Upload reference letters from employers, trainers, or supervisors.

Layout

Is English your first language?

Which test?

*Is the score verified?

Click or drag a file to this area to upload.

Proposed Test Date (mm/dd/yyy)

Have you completed secondary/tertiary studies that were taught, examined and assessed entirely in English within the last 5 years?

Test Date

Have you scheduled to sit an English language proficiency test?

Have you taken an English language proficiency test within the last 2 years?

Overall Score

Which test?

Standardized Test

Layout

Have you taken GaoKao?

Have you taken SAT or ACT?

Test Date (mm/dd/yyy)

Score

Qualifications (Education Background)

Layout

Name of final secondary institution

Language of instruction

Start Date (dd/mm/yyyy)

Name of final tertiary qualification

Education institution

Start Date (dd/mm/yyyy)

Standard Length of degree (in months)

Class or Grade (GPA)

Did you study as full or part time?

Full Time
Part Time

Institution Location

ATAR rank, UAI score or equivalent (Class)

Completion Date (dd/mm/yyyy)

Full Course Title

Institution Location

Completion Date (dd/mm/yyyy)

Language of instruction

Have you completed this qualification?

RPL: Would you like to submit an application for credit for previous studies?

If you are assessed not to meet the academic entry requirements for your program, do you wish to be considered for a pathway program?

Emergency Contact Detail

Layout

Name *

First

Last

Address

Relationship

Email Address

*(If you have any relevant work experience to be considered, please send us any work reference letter, CV or Resume which includes – Name of employer, Position or job title, start date (dd/mm/yyyy) and end date (dd/mm/yyyy)

Click or drag a file to this area to upload.

Date of Birth

Country

Telephone