Personal Information. |
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| *indicates Required
Fields |
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| *Family
Name |
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| *Given
Name/s |
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| *Citizenship |
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| *Date of
Birth (dd/mm/yy) |
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| *Gender
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Male
Female |
Address in Home Country
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| *Address |
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| *City |
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| *Postcode/Zip |
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| *Country |
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| Tel |
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| Mobile |
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| Fax |
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| *Email |
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| Address in Australia (if known) |
| Address |
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| City / Suburb |
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| Postcode |
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| Tel |
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| Mobile |
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| Fax |
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| Visa Type |
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| Passport Number |
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Campus Details
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Which ACL campus would you like to study at?
***Please note that not all courses are available at ALL campuses. |
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Course Details
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*What
course do you want to study at ACL?
You can tick more than one box.
** Please provide your IELTS or TOEFL
test results with your application, if available. Test result
validity maximum 2 years prior to ACLstart date.
|
General English (Full-Time)
General English (Part-Time)
Introduction to Academic Skills
Certificate III in EAP**
Certificate IV in EAP**
Diploma in EAP**
Intensive Writing for Further Study**
FCE (Cambridge First Certificate in English)
CAE (Cambridge Certificate in Advanced English)
Executive Business English
Intensive Academic English
One-to-One Tuition
Internship Program
English Plus:
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| Start Date course 1 (dd/mm/yy) |
No of weeks |
| Start Date course 2 (dd/mm/yy) |
No of weeks |
How did you hear about ACL?
|
Internet
Word Of Mouth
ACL Student
University
Exhibition
Publication
Agent
Other
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Further
studies in Australia
Are you planning further academic studies in Australia after you
have finished your course at ACL?
|
Yes (if "yes", please complete details below)
Institution Name
Course
Start Date
No (If
“no” please go to Accommodation Service)
|
Airlink (Enrolments of 20+ weeks)
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| On completion of your first course, do you want to transfer to another campus? |
Yes
No |
| If yes, which campus? |
ACL Sydney City
ACL Darwin
ACE Bondi
ACE Manly
ACE Sydney City
ACE Brisbane
ACE Cairns
ACE Perth
Start Date
Number Of Weeks
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Accommodation Service
|
|
| Do you want ACL to arrange accommodation for
you? |
Yes
No (If “no” please go to Carer Details) |
| Please select the service you require: |
Homestay
Student Residence
Guesthouse/Lodge
Hotel |
| Type of room: |
Dormitory
Single Room
Shared Room |
| Number of weeks? |
|
| Start Date (dd/mm/yy) |
|
If you require
Homestay, please complete
|
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| Do you smoke? |
Yes
No |
| Do you like animals? |
Yes
No |
| Do you enjoy being around young
children? |
Yes
No |
Do you have any medical conditions?
(eg asthma, diabetes etc?) |
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Do you have any dietary requirements
(eg vegetarian diet etc?) |
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| Do you have any special requests? |
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| Do you require Airport Transfer
on arrival?
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Yes
No |
Arrival
Details (if known)
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Arrival date in Darwin (dd/mm/yy)
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Arrival time in Darwin
(24 hours)
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Flight Number |
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Please note:
You should supply your confirmed flight arrival details at least
2 weeks before arrival. Homestay accommodation is generally booked
and invoiced for 4 weeks, unless you specifically request a shorter
or longer period.
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| Carer Details |
|
| Required only
if you are younger than 18 years old and applying for a student
visa. If you are over 18 years old please go to Student Declaration. |
| *Do you require the ACL Carer Service?
|
Yes
No (if "no" and you are providing your own carer, please complete details below ) |
| Carer Contact Details in Australia |
| Name |
|
| Address |
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| City / Suburb |
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| Postcode |
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| Tel |
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| Mobile |
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| Fax |
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| Contact Details of your Parents: |
| Father's name |
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| Mother's name |
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| Address |
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| City |
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| Postcode |
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| Country |
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| Tel |
|
| Mobile |
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| Fax |
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| Email |
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| Student Declaration |
|
I acknowledge that my enrolment
is subject to the Terms and Conditions set out on the pages of
this Enrolment Application Form, which I have read and understood.
I confirm that this Enrolment Application Form shall constitute
a written authority for the purposes of the Education Services
for Overseas Students (Registration of Providers and Financial
Regulation) Act, 2000 and ESOS Regulations2001. I also agree to be bound by the rules and
regulations of acl, as applicable and as determined from time
to time.
I have read and understood the terms and conditions of enrolment
at ACL. This box must be checked before submitting the form.
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