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Date
Section A: Your Personal Details
Title
Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
Full Name (as per passport)
Surname
Given Names
Previous Name (if applicable)
Surname
Given Names
Sex
Male
Female
Date of Birth
Birth Place
City
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Relationship Status
Never Married
Married
Engaged
De Facto
Separated
Divorced
Passport No
Passport Issue Date
Passport Expiry Date
Nationality
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Passport Issuing Authority
Current Visa Type (If applicable)
20 - Bridging B
100 - Partner
101 - Child
102 - Adoption
103 - Parent
114 - Aged Dependent Relative
115 - Remaining Relative
116 - Carer
117 - Orphan Relative
124 - Distinguished Talent
132 - Business Talent
143 - Contributory Parent (Migrant)
143 - Contributory Parent (Migrant) - Subs 600, holds 173, held 173 28d
143 - Contributory Parent (Migrant) - held 173 Comp
151 - Former Resident
155 - Five Year Resident Return
157 - Three Month Resident Return
159 - Provisional Resident Return
173 - Contributory Parent (Temporary)
186 - Employer Nomination Scheme
187 - Regional Sponsored Migration Scheme
188 - Business Innovation
188 - Business Innovation - Business Innovation Ex
188 - Business Innovation - Entrepreneur
188 - Business Innovation - Investor
188 - Business Innovation - Premium Investor
188 - Business Innovation - Significant Invest Ex
188 - Business Innovation - Significant Investor
188 - Business Innovation and Investment (Provisional)
189 - Skilled - Independent
190 - Skilled - Nominated
300 - Prospective Marriage
400 - Temporary Work (Short Stay Specialist)
403 - Temporary Work - Domestic Worker
403 - Temporary Work - Foreign Government
403 - Temporary Work - Government Agreement
403 - Temporary Work - Seasonal Worker
405 - Investor Retirement
407 - Training Visa
408 - Temporary Activity Visa - All Streams
408 - Temporary Activity Visa - Partial All Streams
445 - Dependent Child
457 - Temporary Work (Skilled) - Closes March 2018
461 - New Zealand Citizen Family Relationship (Temporary)
476 - Skilled - Graduate
485 - Temporary Graduate-Graduate Work
485 - Temporary Graduate-Post-Study Work
489 - Skilled - Regional (Provisional)
489 - Skilled - Regional (Provisional) holds
500 - Student Visa
500 - Student Visa - Postgraduate Research Sector
590 - Student Guardian Visa
600 - Visitor - ADS, Business, Sponsored Family, Tourist
600 - Visitor - Frequent Traveller
600 - Visitor - Tourist Inside Australia
602 - Medical Treatment
785 - Temporary Protection
790 - Safe Haven Enterprise Visa
801 - Partner
801 - Partner - Transitional visa holder
801 - Partner - Prospective Marriage
802 - Child
804 - Aged Parent
808 - Confirmatory (Residence)
835 - Remaining Relative
836 - Carer
837 - Orphan Relative
838 - Aged Dependent Relative
858 - Distinguished Talent
864 - Contributory Aged-Parent (Residence)
864 - Contributory Aged-Parent (Residence)
866 - Protection
884 - Contributory Aged-Parent (Temporary)
887 - Skilled - Regional Qual
887 - Skilled - Regional Other
888 - Business Innovation - All Streams
890 - Business Owner $2,180 $1,090
890 - Business Owner holds Class UX
891 - Investor
891 - Investor Class UX
892 - State/Territory Sponsored Business Owner
892 - State/Territory Sponsored Business Owner UX
893 - State/Territory Sponsored Business Investor
893 - State/Territory Sponsored Business Investor UX
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