Agent Declaration
(if applicable)
I con rm that I have briefed the applicant on the Terms, Conditions and Policies relating to this application and that I have provided the applicant with
relevant information on TAFE South Australia and the course consistent with the requirements of the ESOS Act 2000 and the National Code 2007.
Signed
Date
AGENT STAMP
CHECKLIST
Completed all relevant sections of this application.
Attached a copy of your personal details and a signature page of your passport.
Attached copies of your Academic Transcripts. You must also include an explanation of the grading system of your home
institution. Certi ed English translations must be provided together with the home language version.
Attached copies of your English test scores, where applicable.
Signed the declaration, or, where student is under 18, parent/guardian has signed.
All documents must be certi ed copies. A certi ed copy is a copy of the original document that has been veri ed/certi ed as
being a true copy after the original document has been sighted by an authorised person. (eg. a TAFE South Australian staff
member, agent, Justice of the Peace).
VISA DETAILS
Are you applying in Australia or overseas?
In Australia
Overseas
Do you hold an Australian Visa? Yes
No
If ‘Yes’ Type of Visa
Visa Expiry Date
Sub-class
(eg. 570, 572, 573)
At which Embassy/High Commission/Immigration Of ce will you lodge your Student Visa Application?
Have you ever had a visa refused, cancelled, overstayed your visa or been issued a non-compliance notice?
Yes
No
If yes, please provide the decision record or noti cation correspondence.
Overseas Student Health Cover
(please tick one)
Single
Family
Not required
If you already have OSHC, What is your OSHC Membership Number
From
To
WHERE DID YOU FIND OUT ABOUT TAFE SOUTH AUSTRALIA?
Exhibition
Agent
Internet
Friend
Relative
Past Student
School
(Specify)
Other
(Specify)
AGENT INFORMATION
Agent Name
Email
D D MM Y Y
D D MM Y Y
D D MM Y Y
D D MM Y Y
