International Student Application Form V.27

International Student Application Form V.27
Personal Details
Family Name (Surname) *
First Name(Given Name) *
Date of Birth *

Day Month Year
Gender *

Male Female Indeterminate
Nationality *
Passport Number *
Visa

Student Tourist Working Holiday

Overseas Student health Cover (OSHC)
Do you have Overseas Student health Cover (OSHC)?

Yes No
If yes, who is your provider?
Membership No:
Expiry

Day Month Year
Date
If no would you like Della to apply on your behalf?

Yes No

Contact Details
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Mobile *

Country Code Phone Number
Email *
example@example.com
Address
Address outside Australia:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Address in Australia: *

Street Address

Street Address Line 2

Suburb State

Post Code

Emergency Contact Details:
Emergency Contact Name: *
Contact No: *
Address: *
Relationship: *

Language and cultural diversity
In which country were you born?
Do you speak a language other than English at home?

No Yes
Please specify the language you speak at home
English Language proficiency (if available)

IELTS PTE CAE TOEFL
English Language proficiency result/score

Recognition of Prior Learning & Credit Transfer
I wish to apply for RPL: *

Yes No
I have attached my RPL Application Form

Yes
I wish to apply for Credit Transfer: *

Yes No
I have attached my Credit Transfer Application Form

Yes

Choose you Qualification
Choose your Course *

General English (Beginner to Advanced) BSB51918 Diploma of Leadership and Management BSB61015 Advanced Diploma of Leadership and Management BSB40515 Certificate IV in Business Administration CPC30211 Certificate III in Carpentry CPC30220 Certificate III in Carpentry CPC30611 Certificate III in Painting and Decorating CPC50308 Diploma in Building and Construction (Management)
How many weeks of General English would you like to study? *

Read Course Information
Please note that application fees and material fees for all courses are non-refundable.

Course Name	CRICOS Course Code	Course Duration	Total Tuition Fees	Payment as per study period	Material Fee	Application Fee
General English (Beginner to Advanced)	091955F	12 - 73 weeks	$253.00 per week		$300	$200
BSB51918 Diploma of Leadership and Management	098728E	52 weeks	$12,000	$2,875	$300	$200
BSB61015 Advanced Diploma of Leadership and Management	088814A	76 weeks	$16,000	$2,580	$300	$200
BSB40515 Certificate IV in Business Administration	087036B	30 weeks	$5,000	$2,250	$300	$200
CPC30211 Certificate III in Carpentry	091404D	52 weeks	$15,000	$3,500	$1500	$200
CPC30220 Certificate III in Carpentry	104860B	100 weeks	$27,200	$5,950	$3,200	$200
CPC30611 Certificate III in Painting and Decorating	077507C	100 weeks	$24,000	$3,650	$2,000	$200
CPC50308 Diploma of Building and Construction (Management)	082044J	52 weeks	$10,000	$2,375	$300	$200

Privacy Statement & Student Declaration
Privacy Statement

Under the Data Provision Requirements 2012, Della International College Pty Ltd is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Della International College Pty Ltd for statistical, administrative, regulatory and research purposes. Della International College Pty Ltd may disclose your personal information for these purposes to:
- Commonwealth and State or Territory government departments and authorised agencies; and
- NCVER.
- Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:
- populating authenticated VET transcripts;
- facilitating statistics and research relating to education, including surveys and data linkage;
- pre-populating RTO student enrolment forms;
- understanding how the VET market operates, for policy, workforce planning and consumer information; and
- administering VET, including program administration, regulation, monitoring and evaluation.
You may receive a student survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note you may opt out of the survey at the time of being contacted.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au ).

Student Agreement and Declaration

In signing this Application Form,

1.     I confirm I have been provided the necessary information to make an informed choice into the qualification/s for which I am applying including, entry requirements, course duration, modes of study and assessment requirements

2.     I have a genuine interest in studying the course, and I have the financial capacity to meet tuition fees, living expenses, travel expenses, Overseas Student Health Cover for the duration of my studies.

3.     I understand that I can pay full fees if I wish to, but I am not required to pay more than 50 percent up front. I also agree to pay tuition fees as they become due.

4.     I understand that the application fee is payable at the time of lodging the application form and is non-refundable.

5.     I understand that the material fee is payable upon commencement and is non-refundable.

6.     I can view current policies and procedures online at www.dellainternational.edu.au

7.     The college has permission to use any photographic image on which you may appear on marketing and advertising materials;

8.     Della International College Pty Ltd is required, under s19 of the ESOS Act, to tell the Department about changes to student's enrolment; and any breach by students of student visa conditions relating to attendance or satisfactory academic performance;

9.     I understand that Della International College Pty Ltd has access to my personal information for the purpose of verifying the USI number.

10. As an overseas student or intending overseas student, while in Australia and studying, I must notify Della International College Pty Ltd within 7 days of any changes to my contact details including:
- my current residential address, mobile number (if any) and email address (if any)
- who to contact in emergency situations
- any changes to those details, within 7 days of the change being made
11. I declare that the information I have provided to the best of my knowledge is true and correct.

12. I acknowledge that providing false information and /or failing to disclose any information relevant to my application for enrolment and /or failure to complete an application form may result in the withdrawal of any offer

13. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.
Student Name *
Your Signature *

Clear
Date *

Month Day Year
Date
Agent Name
Agent Contact Email
example@example.com
Marketing Rep?

Austin Zhou Gui Santos

Document Upload
Passport Copy

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Cancel of
English Test/IELTS

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Cancel of
Certificate of previous studies overseas

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Cancel of
Certificate of previous studies in Australia

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Cancel of
Current/Previous Visa (If Applicable)

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Cancel of
Other supporting documents

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Cancel of
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International Student Application Form V.27

Personal Details

Overseas Student health Cover (OSHC)

Contact Details

Address

Emergency Contact Details:

Language and cultural diversity

Disability

Schooling

Previous qualifications achieved

Recognition of Prior Learning & Credit Transfer

Choose you Qualification

Study reason

Employment

Unique Student Identifier (USI)

Other Fees Payable

Privacy Statement & Student Declaration

Document Upload