Education Assessment

Australian Education Assessment Form

Date
Section A: Your Personal Details
Title
Full Name (as per passport)
Surname Given Names
Previous Name (if applicable)
Surname Given Names
Sex
- Male
- Female
Date of Birth
Birth Place
City Country
Relationship Status
- Never Married
- Married
- Engaged
- De Facto
- Separated
- Divorced
Passport No
Passport Issue Date
Passport Expiry Date
Nationality
Passport Issuing Authority
Current Visa Type (If applicable)
Current Visa Expiry Date (If applicable)
Contact Details
Email Address*
Australian Phone Number
Address in Australia
Overseas Phone Number
Overseas Address
Alternative Contact Person
Name
Name
Contact No.
English Language Ability
Test Type
Listening Reading Writing Speaking
Overall Result
Test Date
Do you hold permanent residency in Australia?
- Yes
- No
Have you completed an Australia Year 12 qualification?
- Yes
- No
Do you need to apply for a Student Visa?
- Yes
- No
Do you have any close relatives in Australia?
- Yes
- No
If yes, please provide the details
Full Name
Relationship
Address
Section B
Academic Qualifications (Start from High School to Current):
Name of Qualification Start Date (dd/mm/yy) Completion Date (dd/mm/yy) School/ Institute Country
Employment Experience (Start from the First Employment to Current)
Position Company Name Start Date (dd/mm/yy) End Date (dd/mm/yy) Duties
Section C
Course Preferences (If you are not sure of what you want to study, please lists some interests)
No. 1:
No. 2:
What is Your Ideal Occupation:
Education Provider Preferences (If you are not sure of which school, please list your criteria, e.g., cheap, mid-range, expensive, well known, doesn’t matter etc.)
No.1:
No.2:
Would you consider migrating to Australia in the future if the option was open?
Yes
No
Details
Do you have any previous criminal convictions?
Yes
No
Details
Do you have any health problems?
Yes
No
Details
Do you have any previous Visa refusals or cancellations in Australia or other countries?
Yes
No
Details
Please indicate your planned source of financial support while studying:
Self-supported
Family supported
Loan
Do you wish to enroll in a Pre-enrolment English Program/Foundation Program?
Yes
No
Details
Do you need to buy Overseas Student Health Cover?
Yes
No
Details
Section D
Have you attached the following documents?
A copy of the Bio Page, the Signature Page and the Visa Page (if applicable) of your Passport
An original copy and English translated copy of all your transcripts and Graduation Certificates that were listed in Section B
A copy of your latest IELTS test that should not be more than 2 years old (if applicable)
Any copy of documents that may be relevant to your application, for example a resume, work reference letter etc.
Upload File

Drop files here or
Section E
1. Your reasons for choosing to undertake the course(s) of study specified in your application.
2. Your reasons for choosing your education providers(s).
3. Your reasons for choosing to study in Australia rather than in your home country or usual country of residence.
4. Your planned living arrangements in Australia.
5. The relevance of your course(s) of study to your academic and/or employment background.
6. The relevance of the course(s) of study to your future career and/or educational plans
Section F
1. List all the countries that you have visited in the past 10 years.
Countries Date From (dd/mm/yy) Date To (dd/mm/yy) Purpose
2. If you have previously been in Australia, please provide the visa type and the date of visa grant if possible.
Australian Visa Type Date of Australian Visa Grant
3. Parents and Siblings Details
Name Date of Birth (dd/mm/yy) Relationship

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Australian Education Assessment Form

Section A: Your Personal Details

Section B

Section C

Section D

Section E

Section F

Contact Us

Office Location

Postal Address

Phone:

Fax:

Email

Preparing for IELTS?