International-Student-Application-Form

International Student Application Form
*Please make sure you complete all the sections of this application.

**If you need help completing this form, including translation services, please contact DP Training.
Student Details
Title*
Gender*
Name*

Given NameMiddle nameFamily Name
Previous Name
If Applicable
Postal Address
Next of Kin/ emergency contact details*

NameRelationship
Visa Details
Do you hold a current Australian Temporary entry permit or visa?*
Visa type/name*
Visa Expiry*
English Proficiency
Is English your first language?*
English Language Test*
Band/Score*
Do you have a disability?*
If yes, please select the ones applicable*
(USI)
Unique Student Identifier (USI) - If you do not have a USI and would like us to apply on your behalf, please tick the below box

Previous Education (Please provide details of your previous education qualifications)*

COURSE DETAILS
Campus Location*
Select your course from the dropdown menu*
Course intake*
Additional Details
Do you need assistance with Overseas Student Health Cover (OSHC)?*
If yes, specify what type of OSHC*
If no, (you have arranged your own OSHC policy) please provide*

Provider NamePolicy Number
Expiry date*

DayMonthYear
Date
Do you require accommodation assistance?*
Would you like an airport transfer on arrival?*
If yes for airport transfer, please provide

Flight detailsArrival time
Arrival date

DayMonthYear
Date
Are you currently enrolled with another education provider?*
If yes, please provide*

Provider NameReason for change
Education Agent
Are you applying through an education agent?*
If yes, please provide*

Agent's Company NameConsultant's Name
Consultant's Email*
example@example.com
Consultant's phone number*

Country CodeArea CodePhone Number
Supporting Documents

Please provide certified copies of the following documents. If documents are in a language other than English, please also provide certified translated copies
Select the ones applicable*
File Upload*

Cancelof
Student signature*

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Date *

DayMonthYear
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International Student Application Form