ENROLMENT FORM

ENGLISH LANGUAGE INTENSIVE COURSE FOR OVERSEAS STUDENTS

PERSONAL DETAILS

Family Name:____________________________ Given Name:__________________________

Citizenship:_________________ Birth Date (DD/MM/YY)______________ Sex:Male__Female___

Address in Home Country:_________________________________________________________

What is your Visa Type? Student _________________ Other_____________________________

Highest level of education completed?_______________________________________________

Have you taken IELTS?______ TOEFL?______ What was your result?_____________________

What is your next course of study? Post graduate?____ Undergraduate?____ Other?__________

COURSE DETAILS

*General English___________________ *Course length__________________________

*English for Academic Purpose ________ *Commencement Date__________________________

ACCOMMODATIONOVERSEAS STUDENTS PAYMENT DETAILS

HEALTH COVER Course fee $____________

Accommodation Bookings____ (Health Insurance is Enrolment fee AU$150

Homestay_____ compulsory for student Visas) OSHC fee $_____________

Shared Apartment_____ Refer to attached MEDICARE Airport pick up fee $100

Motel/Hotel______ leaflet for prices. Materials fee $250

Total Payment $__________

From _______ To_________

METHOD OF PAYMENT

Telegraphic Transfer____Cheque_____ Bankcard______ Cash Deposit_____

Visa_____ Master card______

Credit card details:

Name on Card: ______________________________ Card Type: _______________________

Card No.: __________________________________ Expiry Date: ______________________

Applied Scholastics Training Centre Account Details

National Australia Bank 68-74 Norton Street Leichhardt NSW 2131

Account Name: APS Training Centre Overseas Student Trust Account

Account No. : 082338-693022113

AIRPORT PICK UP

Arrival Date: _______________________ Arrival Time: ____________

Airline/Flight No. : ___________________ Airport pick up fee AU$100.00

I understand and accept the entry and refund conditions of enrolment

Signature: _________________________________ Date: ____________

Guardian/Parent Signature: ____________________ Date: ____________

ENROLMENT CONDITIONS

1. Student must show evidence from academic records of sufficient English and literacy in their own language for their proposed course of study.
   
   
2. For students from level 3 and 4 countries, before enrolling in an ELICOS course the student must have had a minimum of three years high school in their own country, or its equivalent, which is accepted as evidence of literacy in their native language.
   
   
3. For students from level 3 and 4 countries who are over 18 at the time of visa application, an IELTS score of 5.0 is required by the Australian Government before a visa can be approved. If the students are under 18, the parents/guardian must have certified in a declaration on the Confirmation of Enrolment that they have assessed, and are satisfied with the welfare and support services and arrangements offered by Applied Scholastics Training Centre.
   
   
4. Applied Scholastics Training Centre must have received documentation regarding the above before the student arrives.
   
   
5. Any school-aged dependents accompanying students to Australia will be required to pay full fees if they are enrolled in either a government or non-government school.

Suite 1, 89-97 Jones Street Ultimo NSW 2007 Australia
Phone: + 61 2 9280-1023 Fax: + 61 2 9280-1072
e-mail: info@appliedscholastics.com.au

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