Acceptance Form

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Acceptance form
Need assistance with your acceptance?
Complete all details on this form, including your payment options
International Recruitment Services
Email: scenquiries@adm.monash.edu.au
Sign the Declaration
Telephone: +61 3 9903 4788
Return it to us before the offer lapse date indicated on your
Offer Statement
1. What type of offer are you accepting?
(see Offer Letter)
Full Monash University offer
Conditional Monash University Offer
Monash University entry package offer*
Type of offer will be indicated on your Offer Letter. * Entry package offers combine Monash University with Monash College and/or Monash University English Language Centre
2. Your contact details
Your Monash ID number
(see Offer Statement)
Family name
Given names
Mailing address
Is this your new permanent address? Should we update your records?
Yes
No
Email address
Telephone
Date of birth
D
D
M M
Y Y Y Y
Gender M F
/
/
if you are under 18 you must also complete the Monash Under 18’s form and submit with this acceptance form – see How to Accept Step 1
3. Your course details
(see Offer Statement)
Monash University English Language Centre
Commencing date
D D
M M
Y Y Y Y
/
/
Course name
(PLEASE PRINT)
Monash course code
Campus
CRICOS code
Monash College Commencing year
Y Y Y Y
Commencing trimester: Feb
June
Oct
Offer lapse date
D D
M M
Y Y Y Y
/
/
Course name
(PLEASE PRINT)
Monash course code
Campus
CRICOS code
Monash University
Commencing year
Commencing semester: 1
2
Y Y Y Y
Offer lapse date
D D
M M
Y Y Y Y
/
/
Course name
(PLEASE PRINT)
Monash course code
Campus
CRICOS code
Enrolment Conditions (if applicable)
(PLEASE PRINT)
4. Your visa details
What type of visa will you be applying for to study at Monash?
Student visa
Temporary visa
Your country of birth
Your nationality
(as per passport)
Your passport number
Your country’s visa assessment level (1-4)?
Have you provided DIAC Pre-Visa Assessment?
Yes
No
(see How to Accept your Offer booklet for information)
(see How to Accept your Offer booklet for information)
Where will you apply for your visa: City
Country
If you are applying for your visa in Melbourne, at which visa office?
Lonsdale St, Melbourne
Dandenong

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