ELICOS - International Student Application Form

General English (ELICOS) - International Student Application Form

RTO:40679, CRICOS: 03406J
Application Fee - AUD $500/(non-refundable)
Section 1: Personal Details
Name*

First NameMiddle NameLast Name
Sex*

MaleFemaleN/A
Date of birth*

DayMonthYear
Date
Applicant's phone*

Country CodeArea CodePhone Number
Applicant's email*

Confirmation Emailexample@example.com
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you currently studying in Australia?

NoYes
If Yes, your current education provider's name in Australia?
Section 2: Visa Details
Passport number*
Citizenship*
Country of birth*
Upload your Passport*

Your Passport
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Do you hold an Australian Visa*

YesNo
If Yes, which visa type and subclass
Visa expiry date

DayMonthYear
Date
If No, which visa will you apply for?*

StudentVisitorBusinessOtherWorking Holiday
Have you had a visa refusal in the past from Australia, UK, Canada, New Zealand or the USA?

YesNo
Do you intend to bring spouse or children to Australia?*

YesNoNot Applicable
If Yes, how many family members?
Section 3: Course Selection
General English - ELICOS*

091501 - General English (ELICOS) [CRICOS Code 0101738]
Commencing intake and year: *
Choose ONLY one
Section 4: Previous Qualifications and Employment
Provide copies of your transcripts or statements of results for senior secondary and post-secondary study. Documents not in English must be accompanied by 'certified' translations.
What is your HIGHEST level of education completed?*

High School / SecondaryDiplomaDegreeOthers
Upload Copies of Transcripts, Results, Degree / Diploma

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Section 5: Student Support Services
Do you hold Overseas Student Health Cover (OSHC)?*

YesNo
If Yes, expiry date

DayMonthYear
Date
If No, what type of cover do you require?*

SingleCoupleFamily (with children)
Do you require airport pick-up assistance?

YesNo
Do you need short term accommodation assistance upon arrival?

YesNo
Do you have a disability, impairment or long-term medical condition which may affect your studies?*

YesNo
Do you require support from Lawson College Australia

YesNo
Upload evidence or supporting documents regarding your disability

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Section 6: Student Declaration
Declaration
1. I declare that the information submitted with this application is true and complete. I further declare that any academic results submitted are a complete record of all results I have obtained from every institution I have attended. 2. I understand that at the time of enrolment I will be required to supply originals of all documents used to support this application. 3. I acknowledge that the College reserves the right to alter any course, subject, admission requirement or fee without prior notice. 4. I acknowledge that I have read and understand the description of the program/s that I am applying for. 5. I declare that my signature is true and correct and matches the signature in my passport. 6. I understand that my student visa requires me to maintain satisfactory course attendance and progress. 7. I declare that I have accessed https://www.lawsoncollege.edu.au and have read and understood the Frequently Asked Questions (FAQ) and the Fact Sheets, including the implications of actions taken in the specific situations outlined.
Applicant's Signature*

Clear
Date*

DayMonthYear
Date
Hour MinutesAM/PM Option
Lawson College Australia Bank Details:
Bank Name: ANZ

Address: Dandenong Plaza, 69 / 23-55 McCrae Street, Dandenong - 3175

Account Name: Lawson College Australia Pty Ltd

BSB: 013289

Account Number: 395693584

SWIFT: ANZBAU3M
Please verify that you are human*
By submitting this form, I acknowledge and agree that I have read and understood the contents of the form.
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General English (ELICOS) - International Student Application Form

Section 1: Personal Details

Section 2: Visa Details

Section 3: Course Selection

Section 4: Previous Qualifications and Employment

Section 5: Student Support Services

Section 6: Student Declaration

Lawson College Australia Bank Details: