Student Financial Declaration Form (Page 2 of 2) in pdf

Edith Cowan University

Admissions – Student Services Centre

My anticipated total expenses will be funded from the following sources:

Other__________________

Personal or Family Savings*

Bank Loan*

Sponsorship

*Name of bank must be stated below

Name of Bank / Loan / Sponsor / Scholarship / Other provider:

______________________________________________________________________________

Have you already received approval for a bank loan?

Yes

I confirm that these funds are genuine and are to be used for no other purpose than to support me in

my course of study. I acknowledge that any false or misleading statement may result in denial of my

admission application or subsequent cancellation of my enrolment at the University, which in turn may

affect the validity of my visa.

Signature of applicant: ___________________________________ Date: _____/_______/______

WITNESS DECLARATION

I confirm that I have viewed a valid form of ID and that this “Student Financial Declaration Form” has

been signed in my presence.

Signature of authorised witness: ________________________

Witness stamp

(if applicable):

Name of authorised witness:____________________________

Qualification as witness:

(from the list below)

____________________________________________________

Address of witness:___________________________________

____________________________________________________

AUTHORISED WITNESSES

• Authorised ECU Representative

• Doctor

• Patent Attorney

• Academic (post-secondary institution)

• Electorate Officer (State – WA only)

• Physiotherapist

• Accountant

• Engineer

• Podiatrist

• Architect

• Industrial organisation secretary

• Police officer

• Australian Consular Officer

• Insurance broker

• Post Office Manager

• Australian Diplomatic Officer

• Justice of the Peace (any State)

• Psychologist

• Bailiff

• Lawyer

• Public Notary

• Bank Manager

• Local government CEO

• Public Servant

• Chartered secretary

• Local government councillor

• Real Estate agent

• Chemist

• Loss adjuster

• Settlement agent

• Chiropractor

• Marriage Celebrant

• Sheriff or deputy Sheriff

• Company auditor or liquidator

• Member of Parliament

• Surveyor

• Court officer (magistrate, registrar or clerk)

• Minister of religion

• Teacher

• Defence Force officer

• Nurse

• Tribunal officer

• Dentist

• Optometrist

• Veterinary surgeon

Page 2 of 2

Telephone: + (61 8) 6304 5377

Email: admissions@ecu.edu.au

CRICOS IPC 00279B

Student Financial Declaration Form Page 2

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