Southern English College - International Student Application Form

International Student Application Form

This confidential Enrolment 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 Southern English College are required by law to protect the information provided on this Enrolment Form. More information about privacy is included in the notice at the end of this form.
1. Personal Details
Title*

MrMissMrsM/sOther
Name*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

DayMonthYear
Date
Country of Birth*
Martial Status*

SingleMarriedOther
Nationality*
Email address*
example@example.com
Passport Number*
Passport Expiry Date*

DayMonthYear
Date
Passport Upload*

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Address in your home country
Address in your home country*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Home country telphone number

Country CodeArea CodePhone Number
2. Emergency Contact Details
Name*

First NameLast Name
Relationship*
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
3. Course Options

GENERAL ENGLISH (Starter, Elementary, Pre-Intermediate, Intermediate, Upper Intermediate, Advanced) CRICOS Course Code : 108792K - ENGLISH FOR ACADEMIC PURPOSES (EAP) CRICOS Course Code : 095482B
Course Selection*
Set intake dates are subject to change

Courses and Timetables are Subject to availability and operational requirements
4. English Proficiency
What is your current level of English?*

StarterElementaryPre-intermediateIntermediateUpper-IntermediateAdvanced
Have you completed an accredited English language ability test (IELTS/PTE/Cambridge) in the last 2 years?*

YesNo
If yes, please provide details:
Have you studied an accredited English language course in Australia?*

YesNo
If yes, please provide details
Upload Proof of English Language Proficiency*

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5. Overseas Student Health Cover (OSHC)
Do you require SEC to arrange OSHC for you?*

YesNo
If yes, which cover do you require?

SingleCoupleFamily
If you have a current OSHC, please provide
6. Current Visa
Do you already have an Australian Visa that allows you to study here?*

YesNo
If yes, what type of visa?

SingleTouristWorking HolidayOther
Address in Australia (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
Phone Number in Australia (if known)

Country CodeArea CodePhone Number
Upload Valid visa (if you have one)

Cancelof
7. Agent Details
Organisation Legal Name
Agent Counsellor Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
8. Privacy Statement & Student Declaration
Student to complete*

I acknowledge that this is an application only and there is no guarantee of a place. If an offer is made to me, my acceptance is subject to the terms and conditions set out in the letter of offer.I declare that the information I have provided is true and correct.I am aware of the consequences that may arise from providing false, misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by Southern English College.I understand that Southern English College is required to submit data sourced from this enrolment form to the Commonwealth and state government agencies as a regulatory reporting requirement. The information contained on my enrollment form may be used by Southern English College or third parties for administrative, regulatory and/or research purposes.
I declare that the information that I have provided is accurate and complete
Name*

First NameLast Name
Signature*

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Date*

DayMonthYear
Date
Southern English College (SEC)

95 Bathurst Street, Sydney, NSW 2000, Australia
Postal Address: PO Box A819, NSW 1235
1300 852 205 (Australia)
+61 2 8031 7727 (Overseas)
info@sabt.edu.au

CRICOS Provider Code 03613B

Version: 3.0 - Updated 27 May 2025
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International Student Application Form

1. Personal Details

2. Emergency Contact Details

3. Course Options

4. English Proficiency

5. Overseas Student Health Cover (OSHC)

6. Current Visa

7. Agent Details

8. Privacy Statement & Student Declaration