Sample Enrolment Form

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ABN: 50 606 511 353 | CRICOS CODE: 03549G | RTO: 45033
PART C:
EDUCATION & EXPERIENCE
Do you intend to claim recognition of prior learning
Yes
No
towards this course?
Have you enrolled in a similar course elsewhere?
Yes
No
Have you been employed in the area covered by the
Yes
No
course applied for?
(If your answer is ‘Yes’ on any of these questions, you may be eligible for Recognition of Prior Learning.
Please contact us for further information and attached certified copies of any relevant documents.)
Have you ever completed the following English test?
Yes
No
(IELTS, TOEFL, TOEIC Cambridge Test, PTE)
Test name:
Year of test:
Score:
ENROLMENT FORM
PART D:
COURSE SELECTION
Please complete and forward your application to:
Course duration 26 weeks
In Person or by Mail:
By e-mail:
BSB40215 Certificate IV in Business
(CRICOS 093640J)
Level 4, 338 Pitt St, Sydney
info@ybi.nsw.edu.au
Course duration 52 weeks
For more details, please call: +61 2 8316 6600
NSW 2000 AUSTRALIA
BSB60215 Advanced Diploma of Business
(CRICOS 093642G)
FNS40615 Certificate IV in Accounting
(CRICOS 093643F)
PART A:
PERSONAL DETAILS
FNS50215 Diploma of Accounting
(CRICOS 093644E)
USI:
FNS60215 Advanced Diploma of Accounting
(CRICOS 093645D)
Title:
Mr.
Ms.
Mrs.
Other: ______
Gender:
Male
Female
Preferred Starting Date:
Other:
/
/
First Name:
2017 Intakes
2017 Intakes
2018 Intakes
2018 Intakes
06 February
07 Augest
08 January
09 July
Last Name:
10 April
09 October
05 February
06 Augest
08 May
06 November
09 April
08 Octomber
Date of Birth:
/
/
Nationality:
10 July
07 May
05 November
Passport No:
Expires on:
/
/
Do you currently hold a student visa?
Yes
No
PART E:
ADDITIONAL INFORMATION
Tell us the reason you want to take our course:
Have your visa been cancelled/refused before?
Yes
No
Career
Academic
Personal
Other ________
Where did you hear about us?
No. of Dependants:
Main language spoken at home:
Agents
Advertising
Word of mouth
Other ________
Do you have any disabilities that will effect your learning?
How well do you speak English:
Very well
Well
Not well
Not at all
Yes, please specify __________________________
No
Note: Please make sure you refer to the specific entry requirements that apply to the course you are
Are you of Aboriginal or Torres Strait Islander origin?
applying for. These requirements are detailed in the student handbook. All courses require applicants
18 years and above and proficiency in English equivalent to the level of IELTS 5.5 or higher.
PART B:
CONTACT DETAILS
PART F:
PAYMENT DETAILS
Australian Address:
Enrolment Fee
AU$ 200
CoE Issue Fee
AU$ 50
Materials Fee
AU$ 50
Airport Pick Up
AU$ 150
(per term)
(Optional)
Suburb:
State:
Postcode:
Homestay
Overseas
AU$ 200
AU$ 255
(6 months)
Replacement
Student Health
AU$ 250
AU$ 510
(full board)
(12 months)
Fee
AU$ 180
Cover
AU$ 1020
(optional)
(OSHC)
(share board)
(24 months)
Phone Number:
Payment should be forwarded by bank transfer to the following:
Email Address (Mandatory):
Bank: Commwealth Bank
Account Name: York Business Institute
BSB: 062 016
Account Number: 1150 3126
Bank SWIFT Code: CTBAAU2S
Reference: Your Name & Student Number
Overseas Address (Must be applicant’s address):
Tuition fees must otherwise be paid in the form of a bank draft or bank cheque made payable to
“York Business Institute” only. York Business Institute is not responsible for any tuition fee paid to a third
party’s bank account. All payments must be made to an authorised education agent or directly to our
Postcode:
Country:
PART G:
CHECKLIST FOR APPLICATIONS
Please attach the following documents to this application:
Phone Number:
Certified copy of your passport page
Certified copies of your official final high school certificate and transcript
Emergency Contact Name:
Certified copied of your official college or university certificate and transcript
Certified copies of your IELTS or any relevant English certificate
Relationship:
Mobile Number:
(including the explanation of levels and grades)
Copy of your current visa
(if applicable)
Email Address:
Certified translations of any documents that are not in English
Information found here is correct at time of printing and is subject to change without notice. Please contact YBI for any additional information.
Version1.7 Dec 2016
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