Untitled Document
Personal Details
Title
Mr
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Family name
First name
Country of Birth
Date of Birth
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Telephone
Mobile
E-mail
*
Address
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
Day
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Australian Contact Details(If known)
Address
Telephone
Mobile
Intened Course(s) and Duration(s)
General English
English for Academic Purpose(EAP)
IELTS Preparation
English + Hotel/Resort Internship
English + Aviation(Flight Attendant/Aircraft Engineering)
Pathway
* SIEC's All Courses :Full time(20hours p/w), Aviation : Tourist Visa
Only, Hotel/Resort Internship : Working Holiday Visa Only.
Total Duration
weeks
-
AM
PM class
* Intended Course 1
- Duration
weeks
Start Date
Day
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Finish Date
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* Intended Course 2
- Duration
weeks
Start Date
Day
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Finish Date
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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
IF "Yes"
, Flight No.
, Arrival date
, Arrival time
Accommodation
Do you want SIEC to arrange your accommodation? Yes :
Homestay
Share Accommodation
How many weeks?
weeks
Start Date
Day
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Homestay : If "Yes"
Prefer a Family with children?
Yes
No
Doesn't matter
Prefer a Family with pet?
Yes
No
Doesn't matter
Any Foods you cannot eat?
Any Allegies, health problem,special requests?
No
Other
How did you find out 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
I understand and accept
SICE's enrolment, cancellation and refund policies.*
