STUDENT APPLICATION FORM
STUDENT DETAILS
Title
*
Mr
Miss
Ms
Mrs
Dr
Prof
Name
*
Given Name
Family Name
Date of Birth
*
/
Day
/
Month
Year
Date
Gender
*
Male
Female
Others
Are of of 18 years and above
*
yes
No
Relationship Status
*
single
engaged
married
seperated/divorced
widowed
de-facto
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STUDENT CONTACT DETAILS (Please do not use of your agent)
Student Email ID
*
Confirmation Email
example@example.com
Student Mobile
*
-
Area Code
Phone Number
Student WhatsApp No.
Student home Phone Number
-
Area Code
Phone Number
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Passport Details
Country of Passport
*
Nationality (Citizenship country)
*
Country of Birth
*
Student Current Location (Country)
*
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WHO GAVE YOUR OUR REFERANCE/AGENT DETAILS
Person name (If any)
*
Business/Company name if any
Email ID of above person (agent/refree)
example@example.com
Phone number of above person
-
Area Code
Phone Number
WhatsApp number of above person
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Change of Name
Have student ever changed name ? if yes, previous name
*
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STUDENT CURRENT RESIDENTIAL ADDRESS
Building name
Flat Unit No
Street No
Street Name
*
Suburb/City
*
State
*
Post Code
*
Country
*
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STUDENT POSTAL ADDRESS
Building name
*
Flat/unit no
Street Name
Street Name
Suburb /city
State
Post code
Country
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STUDENT RESIDENTIAL ADDRESS IN PASSPORT COUNTRY
Building name
Flat unit no
Street No
Street Name
*
City/Suburb
*
State
*
Post code
*
Country
*
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Recognition of Prior Learning or Credit Transfer
Want to apply for RPL
*
YES
NO
Want to apply Credit Transfer
*
YES
NO
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STUDENT EMERGENCY CONTACT DETAILS
Name
*
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Relationship Type
*
street details
suburb/city
state
post code
country
Phone number
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VISA Details
Which Countries Current Visa Student does hold
*
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Student Preferred Course and City Preferance
Start from the pregerance one
Course/College preferances
*
Rows
Country
City
Course name or education sector
College /Uni if know
When want to start
1
2
3
4
5
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Student Education Background
Type a question (Higest one)
*
Rows
course name
Completion date
Country completed from
1
2
3
4
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English Test Details
Have you completed any English Test ? IELTS/PTE
*
Yes
No
Name of Test
*
IELTS
TOEFL
PTE
CAE (A)
OET
Others
Have you or any dependent refused visa for any country (select right option)
*
yes
no
Have you or any dependent visa cancelled of any country (select right option)
*
yes
no
Have you or any dependent deported from any country (select right option)
*
yes
no
Have you or any dependent any protection visa (select right option)
*
yes
no
Are you or any dependent planning to make application for protection visa (select right option)
*
yes
no
Have you or any dependent ever breached any visa condition
*
yes
no
Have you or any dependent ever been convicted of any crime or offence (anywhere in the world)
*
yes
no
Are you brining dependnets with you in Australia
*
yes
no
Do you want to stay in Australia after the completion of your study
*
yes
no
Are you aware that study in Australia or any other country cannot give you the guarantee of any Migration outcome of any country.
*
yes
no
Are you aware that study in Australia or any other country can not give you a guarntee of any skill assessment outcome of any country
*
yes
no
Do you have sufficient funds to study in Your country of chice ?
*
yes
no
Do you consider yourself to have disability, impairment or long term conditions, if yes, select the same
*
NO
HEARING/DEAF
Physical
Intecllectual
learning
mental illness
Acquired brain impariment
Vision
Medical conditions
others
DOCUMENTS
PASSPORT
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IELTS/PTE
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Year 10
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year 12
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current Visa grant letter
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Current CoEs copy
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other Documents
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other Documents2
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other Documents3
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