UNSW Institute of
Languages Application Form
1. Personal Details
(as in passport)
Family Name:
Given Name:
Other Names
(i.e. your English name, if any):
Birthday
(DD/MM/YEAR):
Country of Birth:
Nationality:
Passport No.:
Male
Female
Have you been granted a scholarship? Yes
No
Scholarship’s Name or Sponsor’s Name:
Level of course:
Bachelors Degree (Undergraduate)
Masters Degree (Postgraduate)
PhD (Doctorate)
Please attach a copy of the frst page of your passport which shows your photograph.
Will you be under 18 on arrival? Yes
No
If you are under 18 years of age on commencement of study, certain visa regulations apply.
Are you a citizen or permanent/temporary resident of Australia?
Yes
No
What type of visa will you be applying for?
Student
Student Dependant
Tourist
Working Holiday
2. Citizenship
3. Student Home/Postal Address
(must be student’s address, not agents address)
4. English Programs
5. English Language Test Scores
6. Do you have future study plans in Australia?
If you ticked a box with an asterisk (*), you will need Overseas Student Health Cover (OSHC). This can be arranged by UNSW Institute of Languages in section 8.
Address in Home Country (compulsory):
Address in Australia:
IELTS
Score (Overall):
IELTS Writing Score:
IELTS Test Report Form No.:
Cambridge Score:
TOEFL/IBT/PBT
Score:
PTE
Score:
City:
Telephone:
Fax:
Email:
State:
Postcode:
Country:
City:
Telephone:
Fax:
Email:
State:
Postcode:
Country:
Student Address in Australia
(if known)
Academic English
If you have taken an IELTS or TOEFL or other test, please give details and
attach a copy
of the test result if available. Test must have been taken within 12 months of the enrolment date.
General English (GE)
Professional English
Term and start date?
Introduction to Academic English (IAE)
Academic English
Tertiary Orientation Program (TOP)
IELTS Test Preparation (ITP)
Pre-Foundation Year English (PFY)
University English Entry (UEEC)
General English (Beginner to Advanced)
GE Cambridge Exam Preparation
No
Yes, UNSW Foundation Studies
Yes, UNSW
Yes, other university
English for Business Communication (int & adv)
English for Law
English for Medical Professionals
How many weeks do you intend to study English?
Number of weeks (in 5 week blocks)
Name of course:
Faculty:
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