2009 Application Form
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2009/2010
Email application and supporting documents to: [email protected] Family name (as shown on your passport) name: Given names
Preferred name
Address:
Date of birth (DD/MM/YY)
Sex (Male/Female)
Number and street
Suburb/Town/Country
contact numbers:
Post code/ZIP
Home telephone (country code/area code/number)
Mobile telephone
Email address
Country of birth
Nationality (as shown on your passport)
Passport number
Are you currently enrolled at another college/university in Australia?
Y
N
Have you been at this institution longer than 6 months?
Y
N
Do you have a husband, wife or any dependents who will be joining you in Australia? Do you have any type of disability or illness?
Are you applying for a visa in Australia or outside Australia?
In
Y
If NO, you must provide a release letter. Y
N
N
If yes, please specify:
Outside
Do you hold an Australian Visa?
Y
If yes, type of visa:
Student
Working holiday
Tourist/Visitor
Other – specify visa subclass
If no, what type of visa will you apply for?
Student
Working holiday
Tourist/Visitor
Other – specify visa subclass
You must attach evidence of current health cover.
N
Expiry Date
Do you have current Overseas Student Health Cover?
Y
N
If yes, who is your provider? Membership number:
Expiry Date
If no, do you need Family or Single membership?
2009 International Course Guide |
Single
83
| TAFE Western Australia
Family
english course:
Course name Number of weeks
tafe course:
Course number
Commencement Date (refer to term dates p.7) Course Name
Please list highest qualification first. If you would like a specific pathway, please list.
Semester/Intake
February
July
Year
Do you wish to package this application with a University degree?
Y
N
If yes complete and attach the University application form. Go to www.eti.wa.edu.au for further information, fees and university application forms. Please note that packaged applications take longer to process.
Please tick the following and provide evidence with your application.
English is my first language. English was the language of instruction during my secondary school or college studies and I gained a satisfactory pass in English. I have undertaken an IELTS test.
Date:
Overall Band Score:
I have undertaken a TOEFL test.
Date:
TOEFL Score:
Evidence of qualifications must be attached. Documents not in English must be accompanied by certified translations. Please indicate highest level of education achieved. Secondary:
Name of qualification (eg. A levels)
School/Institution
Country
Period of study
Post secondary:
Name of qualification (eg. Degree)
School/Institution
Country
Period of study
If you believe you have relevant work experience, please attach evidence with application (ie. employer reference)
I would like my offer sent to:
My agent (details below)
My email address (from front page)
Agent name: Agent address: Agent telephone (country code/area code/number): Agent email address (all offers will be emailed):
Note: if you are under 18 this declaration must also be signed by your parent or guardian. 1. I declare the information in this application and supporting documentation is true. 2. I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my application may result in cancellation of my enrolment. 3. I confirm that I have read a copy of the current TAFEWA International Student Guide and information available at www.eti.wa.edu.au and fully understand the requirements of the course. 4. I have read and understood the code of conduct, conditions of enrolment, fee payment and refund policy in the TAFEWA International Student Guide or at www.eti.wa.edu.au.
5. I agree that Education and Training International may disclose information in regard to my enrolment and tuition fee status, visa status, course progress and results to my parent(s), welfare carer and/or agent. 6. I consent that my personal information may be made available to Australian Commonwealth and State agencies including DIAC pursuant to obligations under the ESOS Act and the National Code. 7. I understand that this agreement, and the availability of Education and Training International’s complaint and appeals processes, does not remove my right to take action under Australia’s consumer protection law.
Applicant’s Signature
Date
Parent or Guardian’s Signature (if under 18 years of age)
Date
CONTACT DETAILS Education and Training International: Level 2, 123 Adelaide Terrace, East Perth Western Australia 6004 Postal addess: PO Box 6830, East Perth BC Western Australia 6892 Tel (+61 8) 9218 2100 Email: [email protected] Web: www.eti.wa.edu.au CRICOS Provider Code 00020G
2009 International Course Guide |
84
| TAFE Western Australia
Email application and supporting documents to: [email protected] Family name (as shown on your passport) name: Given names
Preferred name
Address:
Date of birth (DD/MM/YY)
Sex (Male/Female)
Number and street
Suburb/Town/Country
contact numbers:
Post code/ZIP
Home telephone (country code/area code/number)
Mobile telephone
Email address
Country of birth
Nationality (as shown on your passport)
Passport number
Are you currently enrolled at another college/university in Australia?
Y
N
Have you been at this institution longer than 6 months?
Y
N
Do you have a husband, wife or any dependents who will be joining you in Australia? Do you have any type of disability or illness?
Are you applying for a visa in Australia or outside Australia?
In
Y
If NO, you must provide a release letter. Y
N
N
If yes, please specify:
Outside
Do you hold an Australian Visa?
Y
If yes, type of visa:
Student
Working holiday
Tourist/Visitor
Other – specify visa subclass
If no, what type of visa will you apply for?
Student
Working holiday
Tourist/Visitor
Other – specify visa subclass
You must attach evidence of current health cover.
N
Expiry Date
Do you have current Overseas Student Health Cover?
Y
N
If yes, who is your provider? Membership number:
Expiry Date
If no, do you need Family or Single membership?
2009 International Course Guide |
Single
83
| TAFE Western Australia
Family
english course:
Course name Number of weeks
tafe course:
Course number
Commencement Date (refer to term dates p.7) Course Name
Please list highest qualification first. If you would like a specific pathway, please list.
Semester/Intake
February
July
Year
Do you wish to package this application with a University degree?
Y
N
If yes complete and attach the University application form. Go to www.eti.wa.edu.au for further information, fees and university application forms. Please note that packaged applications take longer to process.
Please tick the following and provide evidence with your application.
English is my first language. English was the language of instruction during my secondary school or college studies and I gained a satisfactory pass in English. I have undertaken an IELTS test.
Date:
Overall Band Score:
I have undertaken a TOEFL test.
Date:
TOEFL Score:
Evidence of qualifications must be attached. Documents not in English must be accompanied by certified translations. Please indicate highest level of education achieved. Secondary:
Name of qualification (eg. A levels)
School/Institution
Country
Period of study
Post secondary:
Name of qualification (eg. Degree)
School/Institution
Country
Period of study
If you believe you have relevant work experience, please attach evidence with application (ie. employer reference)
I would like my offer sent to:
My agent (details below)
My email address (from front page)
Agent name: Agent address: Agent telephone (country code/area code/number): Agent email address (all offers will be emailed):
Note: if you are under 18 this declaration must also be signed by your parent or guardian. 1. I declare the information in this application and supporting documentation is true. 2. I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my application may result in cancellation of my enrolment. 3. I confirm that I have read a copy of the current TAFEWA International Student Guide and information available at www.eti.wa.edu.au and fully understand the requirements of the course. 4. I have read and understood the code of conduct, conditions of enrolment, fee payment and refund policy in the TAFEWA International Student Guide or at www.eti.wa.edu.au.
5. I agree that Education and Training International may disclose information in regard to my enrolment and tuition fee status, visa status, course progress and results to my parent(s), welfare carer and/or agent. 6. I consent that my personal information may be made available to Australian Commonwealth and State agencies including DIAC pursuant to obligations under the ESOS Act and the National Code. 7. I understand that this agreement, and the availability of Education and Training International’s complaint and appeals processes, does not remove my right to take action under Australia’s consumer protection law.
Applicant’s Signature
Date
Parent or Guardian’s Signature (if under 18 years of age)
Date
CONTACT DETAILS Education and Training International: Level 2, 123 Adelaide Terrace, East Perth Western Australia 6004 Postal addess: PO Box 6830, East Perth BC Western Australia 6892 Tel (+61 8) 9218 2100 Email: [email protected] Web: www.eti.wa.edu.au CRICOS Provider Code 00020G
2009 International Course Guide |
84
| TAFE Western Australia
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