UQ’s Privacy Policy is available at
11
Academic qualifications
6
Please provide details of your current studies. You should either (i) request the Registrar of your home institution to send one official transcript to the address listed under the
instructions on the front of this form, or (ii) attach to this form original or officially certified copies of your transcript. A certified copy of an original document is one which has been
certified as a true copy of the original document by an authorised representative of this University, a staff member of an Australian Education Centre, a university or college registrar,
a headmaster, a Justice of the Peace or notary public, or an examining authority. A key/guide to the grading system must also be included. Documents not in English must be
accompanied by official English language translations.
Program/award
Institution name
Country
Attendance dates Completion/
(from-to)
expected
completion date
.................................................................................................................... .................................................................................................................. ............................................................ .................................... ......................................
.................................................................................................................... .................................................................................................................. ............................................................ .................................... ......................................
.................................................................................................................... .................................................................................................................. ............................................................ .................................... ......................................
Overseas Student Health Cover
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It is a condition of a student visa that you maintain Overseas Student Health Cover (OSHC) for the duration of your studies in Australia.
On your behalf, The University of Queensland can organise program-length cover with Allianz Global Assistance, its preferred provider of OSHC.
Yes, I would like UQ to arrange single rate OSHC for myself
No, I will make my own arrangements for the duration of my studies at UQ
I am a Swedish or Norwegian student covered by a government insurance scheme recognised by the Australian Government
Financial support
7
Do/will you receive a student loan?
(e.g. US Stafford Loan)
:
No Yes
If yes, please provide details:
............................................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................................................................................................
Academic transcripts
9
Please advise where you wish your UQ transcripts to be sent
(in most cases this should be your home institution)
:
Contact name:
.....................................................................................................................................................................
Contact phone number
(required for delivery purposes)
:
.............................................................
Contact address:
.......................................................................................................................................................................................................................................................................................................................................................
IntSAExch April14
Declaration and signature
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I agree:
• to The University of Queensland (the University)
communicating with me via electronic means;
• to permit the University to obtain my academic results
from other institutions directly or through Qualsearch;
• if any information provided by me is discovered to
be untrue or misleading in any respect, I consent to
the University collecting, storing and disclosing this
information to Universities Australia (UA) and UA
member institutions, the Australasian Conference of
Tertiary Admission Centres (ACTAC) and any other
relevant authority.
I understand that:
• submitted documents supporting this application become the property of the University and will not be returned to me;
• the University may vary or cancel any decision it makes if the information I have given is incorrect or incomplete;
• information is collected on this form and during my enrolment in order to meet UQ’s obligations under the
ESOS Act
and the
National Code 2007
; to ensure student compliance with the conditions of their visas and their obligations under
Australian immigration laws generally. The authority to collect this information is contained in the
Education Services for
Overseas Students Act 2000
, the
Education Services for Overseas Students Regulations 2001
and the
National Code
of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2007
. Information
collected about me on this form and during my enrolment can be provided, in certain circumstances, to the Australian
Government and designated authorities and, if relevant, the Tuition Assurance Scheme and the ESOS Assurance Fund
Manager. In other instances information collected on this form or during my enrolment can be disclosed without my
consent where authorised or required by law.
I declare that the information I have given in this application is
correct and complete.
Applicant’s signature:
......................................................................................................................................
Date:
.....................................................
Signature of parent/legal custodian if student is under 18 years of age.
Parent’s/legal custodian’s signature:
....................................................................................................
Date:
.....................................................
D D / M M / Y Y Y Y
D D / M M / Y Y Y Y
Permission to release information (optional)
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I authorise the following person to access details regarding my application (compulsory for students under 18 years of age):
Family name:
...........................................................................................................
Given name:
......................................................................................
Relationship to applicant:
......................................................................
Delegate’s signature:
.......................................................................................................................................
Date:
..........................................................
D D / M M / Y Y Y Y
Student disability arrangements
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For information, please visit
and contact UQ’s Disability Advisor: email
or phone +61 7 3365 1704
