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Official Family Name (as in Passport) :

Given names :

Birthdate :

Country of Birth :

Nationality :

Sex :

Email Address. :

Phone No. :

Passport No. :

* Home/ Postal Address

Address in Home Country (compulsory) :

Address in Australia (if available) :

* Previous Study

Highest level of education completed :

Please attach your Academic transcripts and Completion letters :

* English Language

if you have taken an IELTS or TOEFL test, please give details and attach a copy of the test result.

IELTS Score :

TOEFL Score :

* Accommodation

Complete this section ONLY if you need accommodation or airport pick-up : (note : prices subject to change)

Please find me accommodation with price range from AUD$120 (Sharing) to AUD$300(Single) per week

I would like Homestay price range from AUD$250 to AUD$350 per week

Special request/ Comments :

I would like to have Airport pick-up: AUD$150

Arrival date and time :

Flight no :

* Additional Information

* Declaration

By submitting the form, I hereby certify that the information on the form is correct and complete in every detail, and I understand that in accuracies or omissions may result in non-acceptance or cancellation of enrolment at any time. I agree to the Condition of Enrolment and acknowledge that the personal information provided is covered under the Privacy Policy (required by law). I understand that by submitting this Declaration or by paying the course fees, I accept the Conditions of Enrolment.

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