International students (PDF, 2.26MB) - SkillsTech Australia ...

Formal program enrolment
Preference Program code Program name Location Commencement date
1 DD / MM / Y Y Y Y
2 DD / MM / Y Y Y Y
3 DD / MM / Y Y Y Y
4 DD / MM / Y Y Y Y
Overseas Student Health Cover & dependency details
(Mandatory for all international Student Visa Holders. If more space is required, attach a separate sheet with details)
Overseas Student Health Cover o I will obtain OSHC via SkillsTech Australia o I will obtain OSHC privately
Dependant details
Do you have any dependants? o Yes o No If yes, how many?
Are they in Australia? o Yes o No Will they accompany you? o Yes o No
Family name First name Relationship Date of birth
Language details
Is English your first language? o Yes o No Language spoken at home
Have you passed a recognised English
Language test in the past 12 months?
o Yes o No – You must enrol in an English Language subject
Date taken DD / MM / Y Y Y Y Result
DD / MM / Y Y Y Y
DD / MM / Y Y Y Y
DD / MM / Y Y Y Y
How many weeks would you like to study? What date would you like to start? DD / MM / Y Y Y Y
Educational history (All records require Certified copies. If more space is required, attach a separate sheet with details)
Year School/institution State/country Name of qualification Duration Result attached
weeks o Yes o No
weeks o Yes o No
weeks o Yes o No
Employment history
(Attach referee details or proof of employment. Important for mature-aged students. If more space is required, attach a separate sheet with details)
Year Period of employment Full/part-time
o F/T o P/T
o F/T o P/T
o F/T o P/T
Employer name Occupation/duties
Scholarship details
Are you a sponsored student? o Yes o No Home government o AusAID o Other
Declaration
For your application to be valid, you must complete one of the declarations below. If you are over the age of 18, complete Part 1. If you are under the age of 18,
your parent or guardian must complete Part 2.
Part 1 - Applicant declaration Part 2 - Parent or guardian declaration (only if Applicant is under 18)
I certify that the information on this form and the supporting
documentation is correct and complete. I authorise SkillsTech
Australia to obtain other details relating to my academic
record. I acknowledge that the provision of incorrect
information and documentation relating to my application
may result in the cancellation of my enrolment.
I have read the information on this form and the details of the applicant are complete
and correct. I hereby apply for the entry of my child/ward to study with SkillsTech
Australia and declare that I have the financial capacity to meet the tuition fees and
expenses in Australia. I acknowledge that the provision of incorrect information
or documentation or the withholding of documentation or information relating to
my child’s/ward’s application may result in the cancellation of their enrolment.
Signed: DD / MM / Y Y Y Y Signed: DD / MM / Y Y Y Y
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