International Student Application Form - Kirana Colleges

International Student Application Form Please complete this application form in English using BLOCK LETTERS and tick  where appropriate Dates: please tick 

2017

2018

Study in: please tick 



  10 July 2017   16 January 2018  10 July 2018   Brisbane

Are you currently in Australia?

Yes

Agent information (including branch)

17 April 2017 2 October 2017 17 April 2018 2 October 2018 Sydney No

 A.

Personal Details (as per your passport details)

Title

Family Name (as it appears on your passport)

Date of Birth (dd/mm/yy)

Gender (M/F)

Citizenship

Country of Birth

B.

Given Name/s

Passport Number

Contact Details

Address in home country

Address if already in Australia

Unit /Street Number

Unit /Street Number

Street

Street

Suburb/Town

Suburb/Town

State, Zip/Postcode & Country

State, Zip/Postcode & Country

Email

Email

Phone (include country code)

Phone (include country code)

Emergency Contact Details Full Name

Relationship

Phone (home)

C.

Phone (work)

Phone (mobile)

English Proficiency (please provide score and evidence with this application)

IELTS

TOEFL

PTE

Other

This document applies to Learning Lab Pty Ltd, RTO Code 91341 CRICOS Provider Code 03576B, trading as Kirana Colleges (Australia) ©KIRANA COLLEGES | V1

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International Student Application Form D.

Study Reason (Genuine Temporary Entrant - Statement of Purpose)

In line with the Australian Government’s student visa application process – please complete a short summary reflecting your individual circumstances that demonstrate that you genuinely intend to stay in Australia temporarily. Please refer to: https://www.border.gov.au/Trav/Stud/More/Genuine-Temporary-Entrant

Course Selection (please tick selection)

E.

CHC30113 Certificate III in Early Childhood Education and Care

CHC50113 Diploma of Early Childhood Education and Care

CRICOS Course Code: 094465M

CRICOS Course Code: 094464A

CHC33015 Certificate III in Individual Support

CHC43015 Certificate IV in Ageing Support

CRICOS Course Code: 094462C

CRICOS Course Code: 094463B

BSB50215 Diploma of Business

BSB51915 Diploma of Leadership and Management

CRICOS Course Code: 094466K

CRICOS Course Code: 094467J

BSB61015 Advanced Diploma of Leadership and Management CRICOS Course Code: 094468G

F.

Education Agent /Representative

Are you applying through an education agent?

Yes

No

Organisation Name Contact Name Address Telephone

Country

Email address


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International Student Application Form G.

How did you hear about us? Agent

H.

Friend

Website

Facebook

Youtube

Relative

Financial Declaration I confirm I have access to sufficient funds for the duration of my studies and may be required to demonstrate funds to cover expenses for the first year in Australia. Refer to www.immi.gov.au for more information.

I.

Overseas Student Health Cover (OSHC) (Evidence of OSHC to be provided at acceptance of offer)

What type of OSHC will you be requiring? Please tick 



Single

Couple

Family

OSHC arrangements is a requirement for student’s Visa application. Single cover is for student only, Couple cover is for the student and spouse/partner and Family cover is for the student and dependants (incl. spouse, partner and dependent children)

If you are providing your own health cover please provide details:

J.

Other Details

Do you consider yourself to have a disability, impairment or long-term condition?

Yes*

No

Intellectual

Learning

*If yes, please indicate the area of disability, impairment or long-term condition below: Hearing/deaf

Physical

Vision

Medical condition

Mental illness

Acquired brain impairment

Other (please specify)

K.

Student Declaration – Terms and Conditions

The personal information you provide on this form is protected by the Commonwealth Privacy Act 1998 and thee health information is protected by the Health Records and Information Privacy Act 2001. I also understand that:  

Kirana Colleges (Australia) will communicate with me via electronic means. My personal information may be made available to Commonwealth and State Government Agencies such as the Australian Skills and Quality Authority (ASQA), the Tuition Protection Service (TPS), Overseas Student Health Cover Provider (OSHC), the Department of Immigration and Border Protection (DIBP) and other relevant agencies for reporting and/or statistical data collection purposes, pursuant to obligations under the Education Services for Overseas Students (ESOS) Act 2000 and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas students.

 



Providing information to us is not required by law, however, if you choose not to, we cannot process your application for admission. I declare I am a genuine temporary entrant and genuine student and intend to come to Australia with the primary purpose of academic study and have the language, educational ability and financial capacity to undertake and successfully complete my academic plan. Kirana Colleges (Australia) is unable to provide me with financial assistance if I experience financial difficulties during the course of my studies.

I have read and understand the description of the ESOS framework Student Fact Sheet available at: https://docs.education.gov.au/node/39586 I declare that the information provided in this application and the documentation supporting it is true and complete and that the submission of incorrect or incomplete information may delay or lead to my application being refused. If nominated, I authorise the Education Agent on this form to act on my behalf in matters relating to my enrolment. I have read and understand the entry6 requirements for the course that I have enrolled in, as well as the Terms and Conditions of Enrolment and the policies and procedures relating to my enrolment as outlined on the website www.kirana.edu.au and referred to in the Kirana International Student Handbook, including the Privacy Policy, Cancellation and Refund Policy and I agree with these conditions. Applicant’s signature: Date (dd/mm/yy) / /


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International Student Application Form L.

Document Checklist

Completion of the application form in its entirety A copy of your IELTS (minimum 5.5) or TOEFL score (at least 520) or computer-based TOFEL score (at least 190) or PTE score (at least 43) (validated or certified copies required) Academic transcripts (if required – validated or certified copies required) Copy of valid passport/visa (validated or certified copies required)

Contact Us Kirana Colleges (Australia) International Admissions Centre Telephone: Email: Web:

+61 1300 885 791 [email protected] www.kiranacolleges.edu.au

BRISBANE Westfield Chermside Ground Floor 90 Kittyhawk Drive Chermside QLD 4032

SYDNEY 8 Figtree Drive Sydney Olympic Park NSW 2127

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