International Student Offer Acceptance Form

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International Student Offer
Acceptance Form
This International Student Offer Acceptance Form, the Letter of Offer and the Terms & Conditions of Enrolment,
Fee Payment and Refund Policy (Terms) attached to it, together constitute your written agreement (Student
Agreement) with Melbourne Institute of Technology Pty Ltd, as required by Standard 3 of the National Code of
Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2007. You will
need to submit this form at the same time, or prior to payment of your tuition fees.
Print your name in BLOCK CAPITALS as it appears in your passport. All fields must be completed.
Section 1: Student’s Personal Details
: ……………………………………….
…………………………………………….....
Family Name
Given Name:
: …………………..
………………………………………………
Student ID or Reference Number
Date of Birth:
…………………………………..
……………………………………………….
Passport Number:
Citizenship:
……………………………………………………………………………………………………………..
Address:
………………………………………………………………………………………………………………………..
:………………………………………………………………………………………………………..
Email Address
:………………………………………………
:…………………………………………………..
Telephone
Mobile
 Yes
 No
:……./……. /……….
Do you hold a valid Australian visa?
Visa expiry date
Visa copy must be attached.
At which Australian Diplomatic Post do you intend to apply for your student visa?
………………………………………………………………………………………………………………………..
Section 2: Agreement to Course and Payment Requirements
By signing this Form, I, the Student, accept the offer from MIT in relation to the following course/s and agree to pay
the fees due in advance (see Letter of Offer) by one of the payment methods set out in the Letter of Offer:
Name of Course/s you wish to accept
Deposit Paid
Commencement Date
………………..
……/……./……….
1.…………………………………………………
………………..
……/……./……….
2.…………………………………………………
3…………………………………………………
………………..
……/……./……….
CRICOS Provider numbers: 01545C and 03245K NSW
Original Issue: 1 May 2001
Document/ Policy Authority: CEO
Revised: 11 November 2014
Review Date: 11 November 2015

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