_Personal Details
Title
Mr
Miss
Mrs
Family name
First name
Address
Telephone
Mobile
E-mail
Date of Birth
/
/
Country of Birth
_Profiency in English
What is your level of english?
Beginner
Intermediate
Upper-Intermediate
Advanced
Have you taken TOFEL / IELTS / other English Test?
Yes
No IF "Yes", Score :
_International Details
(All International Students
MUST COMPLETE
This Section
)
County of Citizenship
*
Passport Number
*
Visa Type
*
Student
Working Holiday
Tourist
Other
(Please Specify)
Visa Expiry Date
/
/
*
_Australian Contact Details(If known)
Address
Telephone
Mobile
_Intened Copurse(s) and Duration(s)
General English(GE)
English for Academic Purpose(EAP)
IELTS Preparation
TESOL Training (Certificate Ⅳ in TESOL)
General English + Internship (Working Holiday Visa Only)
English + Flight Attendant / Aircraft Engineering
* Please state your preferred campus and study duration.
Total Duration
weeks
City Campus
- Duration
weeks
Start Date
/
/
Finish Date
/
/
Chatswood Campus
- Duration
weeks
Start Date
/
/
Finish Date
/
/
_Overseas Student Health Cover (OSHC)
The Australian Government requires all students entering Australia on a Student Visa to take Overseas Student Health Cover. Do you require SIEC to arrange OSHC for you?
Yes
No IF "Yes", For how many months?
months
_Airport Pick-Up
Do you want SIEC to arrange your air-port pick up service to your accommodation on arrival?
Yes
No
_Accommodation
Do you want SIEC to arrange your accommodation?
Yes :
Homestay
Share Accommodation
No
How many weeks?
weeks
Start Date
/
/
_Other
How did you know about SIEC?
Friends
Through Agents
Website
Newspapers / Magazines
Others
(Please Specify)
_Mandatory Documents
Please attach to this application form:
1. Copy of Passport
2. Copy of English Test result (TOEFL / IELTS) - If required
