Enrolment Application Form

Enrolment Application Form
Personal Details
Full Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Date
Email*
Mobile*

Area CodePhone Number
Phone (Home)

Area CodePhone Number
Phone (Work)

Area CodePhone Number
Gender (As on Passport)*

FemaleMaleIndeterminate
Are you an Offshore or Offshore Student*

OFFSHOREONSHORE
Which course would you like to enroll into?*

English for Academic Purposes - CRICOS Code:118109GEnglish for IELTS Preparation - CRICOS Code: 118108HGeneral English - CRICOS Code: 097137C
How many weeks do you wish to enrol with UK English College?*
Unique Student Identifier (USI), if known:
Please note that applicants are required to be 18 years of age or older
Home address (overseas or in Australia)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Residency and other visa details
Country of Birth*
Passport Number*
Citizenship*
Do you already have an Australian visa that allows you to study here?*

YesNo
If yes, What type of visa?
COURSE DETAILS

1. English for Academic Purposes -CRICOS Code:118109G

Course Duration: 5 TO 22 weeks total:
- EAP Level 1 (10 weeks)
- EAP Level 2 (10 Weeks)
- EAP Level 3 (12 Weeks)
2. English for IELTS Preparation- CRICOS Code: 118108H

Course Duration: 5 TO 22 weeks total

3. General English- CRICOS Code: 097137C

Course Duration: 52 weeks total:
- Elementary (12 weeks)
- Pre Intermediate (10 weeks)
- Intermediate (10 weeks)
- Upper Intermediate (10 weeks)
- Advanced (10 weeks)
You can commence your course on any Monday. What is your preferred start date?*

DayMonthYear
Date
UK English College courses offer a minimum of 20 hours face-to-face scheduled course contact per week for the course. There will also be one hour of optional self-access study time per day.
Note: The fees and charges stated above are subject to change or variation without notice. Notice will be given of any changes wherever possible.

Campus delivery location: Level 8, 140 Elizabeth Street, Sydney NSW 2000 Australia

Course materials: Mandatory course materials, including course books, will be provided for each level. These are not part of your tuition fees and there will be an additional charge. Any optional textbooks or materials that may be recommended but are not required for completion of the course are not included in the tuition and non-tuition fees.
General information
1. Have you ever studied with UK English College before?

YesNo
2. Have you completed at least four years of secondary schooling equivalent to the Australian Record of School Achievement (RoSA) level?

Yes – go to question 3No – go to question 4
3. In which YEAR did you complete that school level?
4. Are you still attending secondary school?

YesNo,I have never attended secondary school
If Yes, Enter expected year of completion
Current English Level
5. Have you taken any formally-recognised English language tests?

Yes – indicate belowNo – Go to next section
If YES, then tick ANY applicable tests and state your score (you may indicate more than one)
IELTS Score
TOEFL score
Other, Test name
Score
Please attach documentary evidence of your test and score.
Next of kin / Emergency Contact
Name*

First NameLast Name
Emergency Contact #*
Relationship to you:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone (Home)

Area CodePhone Number
Phone (Work)

Area CodePhone Number
Mobile

Area CodePhone Number
Email
example@example.com
Application checklist
Provide a certified copy of the following documents when you submit this Enrolment Application Form to UK English College. You will need to bring the originals to your orientation day for verification.
Provide a certified copy of the following documents

Valid passport copyValid visa (if you have one)Proof of any formally-recognised English language tests you have taken, including scores (if applicable)Completed and signed UK English College Enrolment Application FormProof of Overseas Student Health Cover (OSHC)Proof of payment of AUD $350 as Enrolment Application Fee (non-refundable)Proof of payment of 50% of the tuition fees for your
Upload the documents*

Cancelof
Name of Bank: Commonwealth Bank of Australia

Account Name: UK ENGLISH COLLEGE

BSB: 062-005

Account no: 1155 3367

You are responsible for keeping a copy of the signed Enrolment Application Form and the Letter of Offer and Student Agreement, as well as receipts of any payments for tuition fees or non-tuition fees.
Agreement

In signing this Enrolment Application Form, you agree:
- That the information you have provided on this form is true, correct and complete.
- That you have been provided with appropriate and sufficient information to make an informed decision about your enrolment in this course.
- That you have read and understood UK English College’s Privacy Policy:
  - Information concerning students, including information submitted on the Enrolment Application Form may be shared among Australian Global Institute of Language Pty Ltd, the Commonwealth, the Australian Government and designated authorities, and, if relevant, the Tuition Protection Service (TPS) and the ESOS Assurance Fund Manager. This information includes personal and contact details, course enrolment details and changes, and the circumstances of any suspected breach by the student of a student visa condition.
  - The information may be disclosed to the National Centre for Vocational Education Research (NCVER) and/or other authorised agencies and departments. In certain circumstances information collected during your enrolment can be disclosed without your consent where authorised or required by law, as described above.
  - The provision of this information is necessary for both enrolment and re-enrolment. Information provided will be held securely and disposed of securely when no longer needed. You may access your personal information by contacting UK English College.
- That you have been provided with detailed information about the tuition fees and non-tuition fees associated with your course enrolment including information on all tuition fees and non-tuition fees, payment terms, and the applicable Refund Policy.
- That you have the financial capacity to meet all tuition fees and non-tuition fees, and agree to pay them as they become due.
- To provide UK English College with current and accurate contact details and notify UK English College if within 7 days anything changes.
- To be bound by UK English College’s Student Code of Conduct and other student policies and procedures, as well as National and State legislation and regulations including any variations that are made from time to time.
- That you have included certified documents to meet the conditions of your offer (if applicable).
- “This written agreement, and the right to make complaints and seek appeals of decisions and action under various processes, does not affect the rights of the student to take action under the Australian Consumer Law if the Australian Consumer Law applies.
Student Signature*

Clear
Date

MonthDayYear
Date
Printed Name
Agent details
Agent details (if applicable)*

YesNo
Name*
Contact Details*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Stamp*
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

Enrolment Application Form

Personal Details

Residency and other visa details

COURSE DETAILS

1. English for Academic Purposes -CRICOS Code:118109G

Course Duration: 5 TO 22 weeks total:

2. English for IELTS Preparation- CRICOS Code: 118108H

Course Duration: 5 TO 22 weeks total

3. General English- CRICOS Code: 097137C

Course Duration: 52 weeks total:

General information

Current English Level

Next of kin / Emergency Contact

Application checklist

Name of Bank: Commonwealth Bank of Australia

Account Name: UK ENGLISH COLLEGE

BSB: 062-005

Account no: 1155 3367

Agreement

Agent details