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International Student Application for Enrolment
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policies
Title
Last Name
First Name
Date of Birth
Mr
Mrs
Miss
Ms
Dr
Sir
Street Address
State
Country
Post/Zip Code
Home Telephone
Work Telephone
Fax Number
Email
Address in Australia (if known)
Street Address
Suburb
State
Postcode
Gender
Country of Citizenship
Country of Birth
Male
Female
Passport Number
Passport Expiry
Current Visa Expiry
(if any)
Education Qualifications
School Attended
Country/State
Year Awarded
Language of instruction
City/Country(where you lodged your visa application)
Name of course you are applying for
English Proficiency (IELTS score)
Are you applying for exemptions? (if yes, please explain)
If you are currently studying in Australia, please complete the following
Health Insurance Provider
Membership #
Expiry Date
Visa Type
Expiry Date
How did you first learn about AIAS? (you may tick more than one box
Australian Education Centre in your home country
Internet
Newspaper/Magazine
Recommended by friend/relative
Recommended by an education agent
please specify...
Declaration
I declare that the information I have supplied on this form is, to the best of my undertanding and belief, complete and correct. I understand that the giving of false or incomplete information is illegal, and that I may be proscecuted under Australia's laws and statutes.
Applicants Name
Dated:
By checking this box, you agree to be bound by the above declaration, and that you have read and agree to the
Overseas Student Refund Policy
. This document is legally binding and by agreeing to it's terms and conditions, you are entering into a contract with AIAS, should your application be accepted. This application form in no way implies any liability on the part of AIAS and further that completing this application form does not guarantee any place in any course offered by AIAS.
