Australian Ideal College Application Form

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Australian Ideal College
Registered as Australian Ideal College Pty. Ltd.
ABN: 15 126 592 756
RTO No.: 91679 CRICOS Provider Code: 03053G
Address: Level 8, 75 King St, Sydney NSW 2000 Australia
Tel: +61-2-9262 2968
Fax: +61-2-9262 2938
Email: .au Website:
Educating for Excellence
Application Form for Enrolment
All sections of this document constitute the written agreement between the student and Australian Ideal College Pty Ltd
1. Personal Details (PLEASE USE BLOCK LETTERS)
6. Select Your Preferred Courses
(Please check availability)
Please print your names as they appear in your passport
English Language Courses:
General English
No. of weeks_____ Start Date: ___/
____/
_____/
(069362D)
DD
MM
YYYY
Family name ____________________________________________________________________________
English for Academic Purposes
No. of weeks_____ Start Date: ___/
____/
____/
(066513G)
DD
MM_
YYYY
Given names ____________________________________________________________________________
Accounting Courses:
Sex
M
F
Date of birth _______ /
____ /
_______/
DD___
MM___
YYYY
Certificate III in Accounts Administration
26 weeks
(086438C)
Certificate IV in Accounting
52 weeks
(088885G)
Place of birth __________________________________________/_________________________________
Town/City
Country
Diploma of Accounting
52 weeks
(088881A)
Advanced Diploma of Accounting
78 weeks
(088882M)
4. Recognition of Prior Learning (RPL)
Passport No. ___________________________ Expiry Date _____________________________________
Business & Management Courses:
Certificate III in Business Administration
26 weeks
Current Address __________________________________________________________________________
(086865F)
Certificate IV in Business Administration
26 weeks
(087043C)
City _____________________________ State______________________ Postcode ____________
Diploma of Leadership and Management
52 weeks
(088883K)
Mobile __________________________________________________________________________________
Advanced Diploma of Leadership and Management
78 weeks
(0888884J)
Interpreting & Translating Courses:
E-mail __________________________________________________________________________________
Diploma of Interpreting
26 weeks
(085731F)
Are you applying for a student visa?
Advanced Diploma of Translating
26 weeks
(085732E)
Yes→ please advise where you will be lodging your visa application (Immigration office):
Select your preferred intake dates*:
2016:
22 Feb
11 Apr
16 May
13 Jun
18 Jul
22 Aug
10 Oct
14 Nov
_______________________________________________________________________________
2017:
16 Jan
20 Feb
10 Apr
15 May
17 Jul
21 Aug
09 Oct
13 Nov
No→ Please indicate what kind of visa you currently hold:
2018:
15 Jan
19 Feb
09 Apr
14 May
16 Jul
20 Aug
08 Oct
12 Nov
Student
Travel
Working Holiday
Other ___________________
2019:
14 Jan
18 Feb
08 Apr
13 May
15 Jul
19 Aug
07 Oct
11 Nov
2020:
13 Jan
17 Feb
06 Apr
11 May
13 Jul
17 Aug
05 Oct
09 Nov
Do you have an Unique Student Identifier (USI) *?
Other:
____________________________________________________________________________
Yes→my USI is _______________________________________________________________________
*AIC reserves the right to vary intakes at anytime without prior notice.
No→I give permission for AIC to apply a USIfor me
7. Recognition of Prior Learning (RPL)
*Please note that by law the College requires a USI before issuing a Statement of Attainment or
Depending on your previous studies and work experience, we are able to give you credit or exemptions from
Qualification.
certain course modules at the time of application. Do you wish to apply for RPL?
Yes→I would like to apply for RPL assessment (a RPL application fee $100 and then a fee of $250 per
2. Oversease Student Health Cover (OSHC)
unit of competency is applicable) – please fill in an PRL application form and attach all relevant
Yes→please provide the following details:
documentation such as course outline, methods of assessment, contact hours, duration of the
Do you have valid OSHC*?
No
course, and list of textbooks used.
No.
OSHC Provider _______________________ Membership No. ______________ Expiry Date ____________
Yes→If yes, please indicate which cover are
Do you require AIC to arrange OSHC?
No
8. Parent & Guardian Details
(for applicants under 18 years old ONLY)
you applying for?
Single
Couple
Family
PARENT DETAILS:
Family Name ____________________________________ Given Names ____________________________
*OSHC arrangement is a requirement for student’s visa application from DIBP. Single cover is for student only, Couple cover is
for the student and spouse/partner and Family cover is for the student and dependants(inc.spouse, partner and dependant
Gender
M
F
Relationship to Student
Mother
Father
children).
Address ___________________________________________________________ Postcode______________
Home Phone No. ____________________________________ Mobile Phone No. ______________________
3. English Language Proficiency
E-mail __________________________________________________________________________________
What is your present level of English?
GUARDIANSHIP ARRANGEMENT:
Do you require AIC to arrange guardianship for you?
Yes
No
Pre-Intermediate & lower
Intermediate
Upper-Intermediate
Advanced
If No→please provide your nominated GUARDIAN* DETAILS below:
Please provide details of any English proficiency test you have taken:
Family Name ____________________________________ Given Name _____________________________
English Test type _______________ Overall score ________
Test Date ____/
___ /
_____/
DD
MM
YYYY
Gender
M
F
Relationship to Student
Mother
Father
Other_______
Address ___________________________________________________________ Postcode _____________
4
. Accomodation and Airport Pickup
Home Phone No. ____________________________________ Mobile Phone No. ______________________
E-mail __________________________________________________________________________________
Do you want the College to arrange an accommodation for you?
No
Yes
*Please note the nominated guardian must be over 21 years old and must be Australian Citizen or Permanent Resident and approved
by AIC. AIC requires certified copies of citizenship certificate, AFP report and a proof of residential address.
Do you require airport pick-up?
No
Yes
9. Student Declaration
5. Agent Details (if applicable)
(Please read the Terms and Conditions of Enrolment on the reverse side of this form)
Agency Name (or Stamp)
I confirm I have read and agree to the Terms and Conditions of Enrolment at the back of this form and
acknowledge that the information I have provided is correct and accurate and can be used to assess my
suitability to study at AIC.
Signed (Student)* _______________________________________________
Date ________________
Signed (Parent/Guardian)* ________________________________________
Date ________________
*For applicants under 18 years old at the time of application, a parent or guardian’s signature is required, and all applicants
must be 18 years old or above on course commencement.
Application for Enrolment-V16.3_10.05.2016
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