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Please complete this form. Click on 'Send it' button when ready to send. Please fill in English or will not be assessed.

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A. Application Details

Personal Information
Family/Surname:
Given Name/Other Name:
Gender:
Country of citizenship:
Date of Birth: (dd/mm/yy)
Email Address:
Home Address:
Phone no:
Fax:
Marital Status:
Health Condition:

Education/Qualifications
(Please enter all your tertiary education and qualifications, including institute names, year attained and mm/yy to mm/yy attended)

List any other training, apprenticeships or memberships relevant to your assessment here.

Language Skills
First Language:
English Skills:
English Test Marks:
Other Languages:

In which country do you want to study?
Australia
New Zealand

Preferred Course Details
Enter details about your preferred course and duration (for example, Master of Computer Science, etc.)
Course:
Institution:

Do you want us to suggest some institution and courses for you?
Preferred starting date:
Home-stay required:
Airport pickup required:

How will you support your study in Australia/New Zealand?
I will pay the tuition fees and living expenses.
I will pay the tuition fee and work part-time during study.
Scholarship
Scholarship and pay expenses for myself.

Please specify how will you be getting money to support for your studies. (Your parents, friends, etc.)

Details of your Family
(Provide details of your family members who will be accompanying you to Australia/New Zealand).
Family Name Given Name Relationship Age

Your Employment History
(if you have employed before).
Start Date End Date Position Title Duties
Start Date End Date Position Title Duties
Start Date End Date Position Title Duties

Other Information
Please provide any other information that you think may helpful to your assessment.

How do you know/hear about us?
From Advertisements
From Travel Agents
From Friends/Families
From Your Institution
From The Internet


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