Offer Acceptance Form
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1OFFER ACCEPTANCE FORM
FOR STUDY ABROAD AND EXCHANGE STUDENTS
Please email the completed form to deakin-inbound-sae@deakin.edu.au
Study Abroad Coordinator
Deakin University
Melbourne Burwood Campus, Building C1.15
221 Burwood Highway
Burwood, Victoria 3125, AUSTRALIA
Fax: +613 9251 7754
Student ID (refer to your offer letter)
PERSONAL DETAILS
(AS SHOWN IN PASSPORT) – PLEASE PROVIDE CERTIFIED COPY OF PASSPORT
Title
Mr
Mrs
Ms
Miss
Dr
Other:
Gender
Male
Female
Family name
Given name(s)
Country of citizenship
Country of birth
Nationality
D D
M M
Y
Y
Date of birth
/
/
CORRESPONDENCE ADDRESS
Address
Country
Postcode
Email
Fax (
)
Telephone (
)
Mobile (
)
In which country will you lodge your application for a student visa?
CHECKLIST
I have completed the Payment of Fees Form (if applicable).
I am accepting this offer and declare that I have read and understand the admission procedures, fees and refund policy, description of the course
content, its duration and location.
I understand the associated costs, English language proficiency requirements, descriptions of the teaching methods, assessment, facilities equipment and
learning resources.
D D
M M
Y
Y
Applicant’s signature:
Date:
/
/
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Deakin University CRICOS Provider Code 00113B
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Parent category: Letters