Approved-Visa Australia - Student Registration Form

Overseas Student Application Form

This confidential Application Form asks for personal information about you. The main purpose for collecting this information is for administrative, regulatory and/or research purposes and to ensure our course is suitable for your needs. All staff at Approved-Visa and our partners are required by law to protect the information provided on this Application Form. More information about privacy is included in the notice at the end of this form.
Math Challenge
Full Name*

First NameMiddle NameLast Name
Country of Citizenship?*
In Australia, which state do you prefer to study?*
Birth Date*

DayMonthYear
Gender*
Mobile*
Email*
Course Selection*
Reason to choose the above course(s):*

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job promotionIt was a requirement of my jobIt was extra skills for my jobTo get into another course of studyFor personal interest or self - developmentOther reasons (Please specify):
Statement of Purpose:*

0/150
What interests or hobbies do enjoy when you not studying or working?*

SportsCookingVideo GamesReadingGym/Working OutFashionPhotographyTechnologyTravelOther (Please add):
Parents (Father or Mother) or Legal Guardian*

PrefixFirst NameMiddle NameLast Name
Parent or Guardian*
Parents Occupation or Industry*
Parents Email*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Country of Birth*
Town/City of Birth*
Passport ID*
Passport Expiry Date*

DayMonthYear
Date
Passport Date of Issue*

DayMonthYear
Date
Have you ever had an Australian visa refused?*

NoYes
Please provide full details and reasons for the refusal:

0/250
Are you currently in Australia?*

NoYes
Do you wish to apply for Recognition of Prior Learning?*

NoYes
Have you enrolled with any Education Provider in Australia before?*

NoYes
Please select the intake (Start) date below:*

JanuaryAprilJulySeptemberOther:
Do you wish to apply for Credit Transfer?*

NoYes
Do you consider yourself to have a disability or impairment?*

NoYes
Highest Level of Education completed*

High SchoolCollegeUniversityOther

Upload Passport - Front Page Only*

Cancelof
Education and Certified Documents*

Cancelof
I confirm that the following has been discussed with me during my enrolment process.*

My enrolment and the Qualification detailsMy training plan (If applicable)My assessment processEvidence requirementsWho to contact for support and adviceHow Recognition of Prior Learning (RPL) can be integrated into my training planResources required for my enrolmentAny special needs I have which need to be taken into considerationEducation Provider appeals and complaints procedureFees, charges, and method of payment availableConfidentiality of records and access to my recordsInformation contained in the Student HandbookEducation Provider has permission to use of my image and or testimonial in the Marketing and Advertising materials of the Education Provider
Full Name*

First NameMiddle NameLast Name
Date

DayMonthYear
Student Signature*

Clear
MEDIA CONSENT

From time to time, Education Provider staff may request to take photographs/videos or verbal/written interviews/testimonials of students at the Education Provider 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 the Education Provider in print, digital or broadcast media such as documents, student magazine, website, 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.
Full Name*

First NameMiddle NameLast Name
Select:*

I do give consent to the Education Provider using any of the above materials involving me for the purposes outlined above.I do not give consent to the Education Provider using any of the above materials involving me for the purposes outlined above.
Date

DayMonthYear
Student Signature*

Clear
Age
Date Now*

DayMonthYear
Date
Should be Empty:

	Course/Award	Institution	Country	Year Started	Year Finished
1.
2.
3.

Overseas Student Application Form