International UniSey Programme Application
Complete the application form using the exact fields, sections, and details from the PDF. Use Phone Number for all phone-related questions and include all required declarations, signatures, and checklist items.
Applicant Information
First Name
*
Surname
*
Title
*
Please Select
Mr
Mrs
Ms
Miss
Nationality
*
Marital Status
*
Please Select
Married
Not married
National ID Number
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
M
F
Telephone - Home
Please enter a valid phone number.
Format: (000) 000-0000.
Telephone - Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
Telephone - Office
Please enter a valid phone number.
Format: (000) 000-0000.
Personal e-mail Address
*
example@example.com
Address for Correspondence
*
Any disability you would wish to inform the University of?
Employment and Emergency Contact
Employment Sector
*
Government
Private Company
Unemployed
Employment Category
Wholesale
Tourism
Agriculture
Fisheries
Leisure & Sport
Other
Emergency Contact Full Name
*
First Name
Middle Name
Last Name
Relation to Applicant
*
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Email
Previous/Current UniSey Programmes and Programme Applied For
Previous/Current UniSey Programme Entries
Programme Applied For - Priority 1 Name
Programme Applied For - Priority 1 Code
Programme Applied For - Priority 2 Name
Programme Applied For - Priority 2 Code
Programme Applied For - Priority 3 Name
Programme Applied For - Priority 3 Code
Programme Applied For - Priority 4 Name
Programme Applied For - Priority 4 Code
Programme Applied For - Priority 5 Name
Programme Applied For - Priority 5 Code
List up to five programme priorities in order of preference. Enter the programme name and corresponding code for each priority.
Use the repeatable entries section to record any previous or current UniSey programme enrolments, including status and years attended.
If you have not previously enrolled in a UniSey programme, leave the repeatable entries section blank.
Ensure all programme names and codes match the official UniSey programme listings.
Academic Qualifications
E/IGCSE Ordinary Level Results
HSC Advanced Level Results
Other Qualifications
Mature Student and Employment History
Apply as a mature student
Yes
Name and Address of Employer/Company
Position held
From
To
Payment Declaration, Certification, and Checklist
My full name has been mentioned with the payment
*
Yes
Applicant’s Full Name
*
First Name
Middle Name
Last Name
Applicant’s Signature
*
Applicant’s Date
*
-
Month
-
Day
Year
Date
Parent/Guardian Name
Parent/Guardian Signature
Parent/Guardian Date
-
Day
-
Month
Year
Date
Included: Duly filled and signed application form
Included
Included: Certified copies of educational certificates/transcripts and other relevant documents
Included
Included: Documents to support work experience if applying as a mature student
Included
Included: Copy of passport; Two passport-sized photos; CV; Proof of payment
Included
Submit Application
Submit Application
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