APPLICATION FORM

APPLICATION FORM

INTERNATIONAL STUDENT
Please Complete all sections in BLOCK LETTERS

Please fill the form details as stated in your passport

C. COURSE OF STUDY

Please list the course/s you are applying for to study at Blue Lotus College

	CRICOS CODE	Name of the Course	Course Duration	Purposed Commencement Date (e.g. July 2022)
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E. ENGLISH LANGUAGE PROFICIENCY
Please tick () which of the following applies to you. Attach relevant evidences/ documentation to support your selections.*

I intend to complete an ELICOS course in Australia.English is my first languageEnglish was the language of instruction in my secondary/tertiary studies.I have completed a recognised English language test. Name of the test (e.g. IELTS, TOEFL):Name of the TestOther (Please specify)
Name of the Test( e.g. IELTS,TOEFL)*
Test Score*
Please provide details and documentation of your past education including the highest qualification reached or completed.

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F. EDUCATION HISTORY

	Year Completed	Name of School/Institution	State/Country	Name of Qualification	Course Duration
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G. EMPLOYMENT HISTORY

Please provide details and documents of your relevant employment.

	Date Employed (e.g. MM YY - MM YY)	Name & Country of Employer (e.g. Sheraton Pty Ltd, Australia)	Position	Duties
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Please upload all the relevant supporting documents of your employment

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H. MEDIA CONSENT
From time to time, BLC staff may request to take photographs/videos or verbal/written interviews/testimonials of students at BLC or at places where the student is involved in an activity. These creations may be used in a classroom or on-the-job work activities or could be published by BLC in print, digital or broadcast media such as documents, student magazine, website, BLC TV, newsletters, displays, journals, professional development materials for trainers and marketing collateral. Staff may also at times request students provide any of the above of the students’ own creation for the same purposes.*

I do consent to BLC using any of the above materials involving me for the purposes outlined aboveI do not consent to BLC using any of the above materials involving me for the purposes outlined above
STUDENT DECLARATION
I confirm that I have read and understood Blue Lotus College’s current Student Prospectus or information provided on its website (www.bluelotus.edu.au) have detailed information about the

ESOS framework, course entry requirements, English entry requirements, LLN requirements. I also understand fees payments and refund policy, including an explanation of what occurs, if for some unforeseen reason, the course is not delivered.

as stated on this offer letter (or 50% of the tuition fee) before the start of the course. However, I am also aware that I have a choice to pay more than 50% of the tuition fees or the full course fees upfront if I choose to do so. Any amount of fees paid before the start of the course will be reflected in my Confirmation of Enrolment (CoE

I confirm that I am fully aware of the fees and refund policy, conditions of enrolment and privacy statement as set out in Privacy Policy and Procedure, available at www.blueotus.edu.au/policies, which I agree to abide by as a student at Blue Lotus College.

I declare that all information provided in this application is complete and correct. I understand that failure to provide correct information or documentation in relation to this application may result in cancellation of my enrolment.

I understand that I am not required to pay more than the initial tuition fee amount
Signature of Student*

Clear
Signature of Parent or Legal guardian*

Clear
Date (dd/mm/yyyy)*

DayMonthYear
Date
*Note: This application and declaration must be signed by a parent or legal guardian if the student is under 18 years of age at the time of application. Student must be at least 18 years of age at the time of arrival in Australia.

RTO CODE: 45392 | CRICOS CODE: 03790G
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APPLICATION FORM

STUDENT DECLARATION