International Course Guide 2015 - page 91

INTERNATIONAL STUDENT
APPLICATION FORM
PLEASE COMPLETE ALL SECTIONS USING BLOCK LETTERS
Electronic submissions are recommended. Please apply at
APPLICANT DETAILS
Family Name
Given Names
Date of Birth
Male
Female
Age
Country of Birth
Nationality on Passport
Passport Number
Passport Expiry Date
Do you have any type of disability?
Yes
No
If yes what is your disability?
Contact Address in Australia
(if applicable)
Postcode
Phone
Mobile
Email
Overseas Address
Overseas Contact Number
(include area code)
LANGUAGE ABILITY - ATTACH CERTIFIED COPIES OF RESULTS
First language
Language spoken at home
If English is not your rst language, have you passed a recognised English language test in the past 2 years?
Yes
No
English Test
Result
Date taken
EDUCATION HISTORY
Have you ever been excluded/precluded from an Australian CRICOS registered institution?
Yes No
If yes, please provide supporting documentation.
Details of past education including highest level achieved. (
Please attach copies of all results relevant to this application.)
D D MM Y Y
D D MM Y Y
D D MM Y Y
Year
School/Institute
Country
Name of Quali cation
Course Length
Results Attached
YES
NO
Year
School/Institute
Country
Name of Quali cation
Course Length
Results Attached
YES
NO
Year
School/Institute
Country
Name of Quali cation
Course Length
Results Attached
YES
NO
TAFE South Australia International
Level 1, 120 Currie Street
Adelaide South Australia 5000
Tel:
+61 8 8207 8279
Fax:
+61 8 8207 8283
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