Fillable Enrolment Form (Australian Correspondence Schools)

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Enrolment Form (Australian Correspondence Schools)

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Enrolment Form
497-507 High Street, PENRITH NSW 2750
+61 2 4732 5088 Telephone
Enrolment Form – CRICOS Provider Code: 02975 Page 1 of 4 Version 2.6 - October 2020
Personal Details
(Please complete this form in English)
(Given Name)
(FAMILY NAME)
| First: | Middle:
| Surname:
Date of Birth:
_____/_____/______
Sex/Gender: Female Male Email for Correspondence: ______________________________________________________
Visa Type: ________________ Expiry Date: ____/____/_____
Passport No.: __________________ Expiry Date: ____/____/_____
Contact details in Australia
Contact person in case of emergency
No. & Street: ______________________________________________________________
Suburb: ________________________________ State: _________ Postcode: _________
Home Phone: __________________________ Mobile Phone: _______________________
Name: _____________________________
Relationship: _______________________
Phone Number: _____________________
Have you undertaken an English Language
test within the last 2 years? (attach a copy)
Permanent address in home country
IELTS PTE OTHER ______
Score of English test: _________________
Date of English test: _____/_____/______
Home Country: _______________________ Telephone: _
_________________________
Address: ________________________________________________________________
Suburb: _____________________ State/City: ________________ Postcode: ________
Course Preference
(please ALL required courses)
CRICOS code
Duration / Tuition Fee
Certificate III in Individual Support
-
CHC33015
Commence: _____/_____/_____ Complete: _____/_____/_____
091837A
49 Weeks
AUD $6000
Certificate IV in Ageing Support - CHC43015
Commence: _____/_____/_____ Complete: _____/_____/_____
091838M
61 Weeks
AUD $8500
Certificate IV in Disability
-
CHC43115
Commence: _____/_____/_____ Complete: _____/_____/_____
091839K
49 Weeks
AUD $7500
Certificate IV in Community Services - CHC42015
Commence: _____/_____/_____ Complete: _____/_____/_____
091840F
52 Weeks
AUD $7500
Diploma of Community Services - CHC52015
Commence: _____/_____/_____ Complete: _____/_____/_____
091841E
52 Weeks
AUD $8500
Certificate III in Business Administration - BSB30415
Commence: _____/_____/_____ Complete: _____/_____/_____
086862J
26 Weeks
AUD $3900
Certificate IV in Business - BSB40215
Commence: _____/_____/_____ Complete: _____/_____/_____
086951G
26 Weeks
AUD $3900
Diploma of Business - BSB50215
Commence: _____/_____/_____ Complete: _____/_____/_____
087220B
26 Weeks
AUD $4200
Office Use Only
Payment Details
Visa Grant Number:
Enrolment Fee (non-tuition payment)
AUD $
Student ID
AST 000
Tuition Fee – Course 1:
AUD $
CoE No. Course 1:
Tuition Fee – Course 2:
AUD $
CoE No. Course 2:
Tuition Fee – Course 3:
AUD $
CoE No. Course 3:
Course Material Fee (non-tuition payment)
AUD $
Invoice Number:
OSHC (non-tuition payment)
AUD $
Total Amount: AUD $
OSHC: ____/____/20____ Initial: ______
Payment Date:
EFT (Bank Transfer)
POS
CASH
AUD $
Medibank Schedule No.: _____________
Balance Outstanding Course #1:
AUD $
Balance Outstanding Course #2:
AUD $
Balance Outstanding Course #3:
AUD $
Notes:
Enrolment Form
497-507 High Street, PENRITH NSW 2750
+61 2 4732 5088 Telephone
Enrolment Form – CRICOS Provider Code: 02975 Page 2 of 4 Version 2.6 - October 2020
Induction Information
Intakes are commenced monthly except December and January.
Please select your commencement month below.
February
July
March
August
April
September
May
October
June
November
Do you have any existing medical conditions or
disabilities which may affect your learning?
NO YES
If yes, please provide more information (e.g.
dyslexia, epilepsy)
Do you wish to apply for Recognition of prior learning (RPL)?
Do you require any specific support assistance with your studies?
NO YES you will be required to complete an
RPL form during your induction
NO YES you will be required to discuss your needs
with student support at your induction
Overseas Student Health Cover (OSHC)
Do you require Astute Training Pty Ltd to organise your Overseas Student Health Cover (OSHC)?
YES NO Please provide copy if you are organizing your own Overseas Health Cover
What level of OSHC do you require? Single Couple Family
Please complete the following details for each dependent (Couple or Family cover only)
Dependent 1
Dependent 2
Given Names
Given Names
Family Name
Family Name
Date of Birth: ______ / ______ / ______ (DD/MM/YY)
Date of Birth: ______ / ______ / ______ (DD/MM/YY)
Male Female
Male Female
Partner Child
Partner Child
Dependent 3
Dependent 4
Given Names
Given Names
Family Name
Family Name
Date of Birth: ______ / ______ / ______ (DD/MM/YY)
Date of Birth: ______ / ______ / ______ (DD/MM/YY)
Male Female
Male Female
Partner Child
Partner Child
Where will you lodge your visa application? In Australia Outside of Australia
Financial Information
(you may be asked to provide evidence of funds at time of enrolment to support the box ticked for source of funding below)
Do you have access to sufficient funds to support you and your dependents (if applicable) for the total period of your
stay in Australia? This includes tuition fees, travel costs and living costs as outlined on the Department of Home Affairs
website: https://www.homeaffairs.gov.au/
YES NO
Indicate your source of funding: Self-funded Parent or relative Bank loan
Expense
Per Person
Amount required in AUD
TRAVEL
Applicant
Return airfare to Australia
Yes No
Dependents
One return airfare to Australia per person
Yes No Not applicable
TUITION
Applicant
Course fees for one academic year
Yes No
School age children 5-18yrs
$8000 per year
LIVING
Primary Applicant
$21,041 per year
Yes No
Spouse or De Facto Partner
$7,362 per year
Yes No Not applicable
Dependent Child
$3,152 per year + annual school costs $8296
Yes No Not applicable
Enrolment Form
497-507 High Street, PENRITH NSW 2750
+61 2 4732 5088 Telephone
Enrolment Form – CRICOS Provider Code: 02975 Page 3 of 4 Version 2.6 - October 2020
Unique Student Identifier (USI)
All
students studying nationally recognised training in Australia from
1 January 2015 will be required to have a Unique Student Identifier
(USI). A USI is a reference number made up of numbers and letters.
The USI will allow students online access to their tr
aining records and
results through their online USI account. You can apply yourself for
your USI or Astute Training Pty Ltd can apply on your behalf or assist
with your application at induction.
USI’s can be applied for at:
www.usi.gov.au
Induction/Orientation
In order to complete your enrolment successfully you must attend
induction/orientation before you commence your course.
Induction/orientation is held the 3
rd
Monday of each month.
Overseas Student Health
Cover (OSHC)
All international students are required to pay OSHC for themselves
and all dependents staying with them in Australia for the duration of
their student visa. Astute Training Pty Ltd use Medibank as the OSHC
provider but students can choose thei
r own provider.
Refund
Policy
Students requesting a refund must complete the Refund Application
Form and include a
copy of the Visa refusal letter with the
application to the email address on the form. The completed form
must be
received by Astute Training Pty Ltd within 90 days of the
decision
from DHA. Where a refund is approved, Astute Training Pty
Ltd will make pa
yment to the nominated bank account within 28
working days of receipt of the completed Refund Application Form
including the supporting documents. No refunds will be paid to a
third party unless it is indicated on Refund Application Form.
Visa Refusal
Tuition Fees (the fee for the delivery
of training) are refunded in full if a
visa application is rejected; however,
the Enrolment Fee is non-refundable
and there is an administration charge
of $250 which is charged for the
processing of all refunds. The visa
refusal letter must be attached to the
refund application. *
Enrolment Fee
Non-refundable **
Visa Renewal Refusal
Refund of unused tuition fee
Overseas Health Cover
Refer to the OSHC Provider Policy
Withdrawal after the
commencement date
Non-refundable
Withdrawal less than
30 days prior to the
commencement date
Non-refundable
Withdrawal 30 days
prior to the
commencement date
80% refund of the tuition fees
Withdrawal by existing
student after visa
granted and course
commencement
No refund available on fees paid
Please Note:
After course commencement a
student must give 1 months’ notice
of intention to withdraw from a
course or 1 month’s fees will be
charged.
Tuition Protection Service (TPS)
The Tuition
Protection Service (TPS) is an initiative of the
Australian Government that was introduced to assist
International Students whose education providers are unable to
deliver their course of study.
The TPS ensures that International Students are able to
either:
-
complete their studies in another course or with another
education provider or receive a refund of their unused tuition
fees.
Tuition fee refund in full in the case of provider default:
The course has not started on the agreed start date
The refund will be paid within 7 days from the day you are
advised of the course cancellation
Provider has had a sanction imposed
Section 46A of the ESOS Act 2000
In the case of provider default, in accordance with section
46A of the ESOS ACT 2000, the course fee refund will be
processed as per the TPS procedure.
https://tps.gov.au/StaticContent/Get/ProviderInformation
Tuition Fees will not be refunded under the following
circumstances:
When a student fails to comply with the conditions of
enrolment at Astute Training Pty Ltd
When a student enrolment is terminated for failure to comply
with the requirements of
their student visa by Department of
Home Affairs.
A student does not commence their course (i.e. does not
arrive or has not arranged with Astute Training Pty Ltd for a
later start date)
A student terminates a course during the term.
This
agreement, and the availability of complaints and appeals
processes, does not remove the right of the student to take
action under Australia’s consumer protection laws.
Privacy Policy
A student’s right to privacy of information is protected at
Astute Trai
ning Pty Ltd under the NSW Privacy and Personal
Information Act 1998.
In terms of the ESOS Act 2000, your information may be made
available to Commonwealth and State Agencies, appropriate
fund managers and Department of Home Affairs.
School age dependants
If you are intending to come to Australia with school age
dependants, you will be required to pay the full fees for their
compulsory schooling.
Recognition of Prior Learning (RPL)
Recognition of prior learning (RPL) is a process for
giving students
credit for skills, knowledge and experience gained through
working and learning. It can be gained at any stage of their lives,
through formal and informal learning, through work or other
activities such as volunteering
Enrolment Form
497-507 High Street, PENRITH NSW 2750
+61 2 4732 5088 Telephone
Enrolment Form – CRICOS Provider Code: 02975 Page 4 of 4 Version 2.6 - October 2020
Student Declaration
I declare that:
• I understand that if I provide incorrect or incomplete information, this may result in the cancellation of my enrolment
• I am aware of the tuition fees and living costs associated with studying in the course I have selected and I am prepared to
meet these costs. I agree to pay tuition fees on time.
• I have read, understood and accept the terms and conditions of Astute Training Pty Ltd.
• I have read and understood the refund policy
• I understand in line with Department of Home Affairs requirements Astute Training Pty Ltd requires students to maintain a
minimum of 80% attendance for their course each term and I must also maintain satisfactory academic progress each term. I
understand that if my attendance falls below 80% and is deemed not satisfactory and does not improve after being counselled,
Astute Training Pty Ltd is required to inform the appropriate government departments of this and my visa may be cancelled.
• I understand that I am obliged to notify Astute Training Pty Ltd within 7 days of any change of address while I am enrolled in
the course
• I understand that the signed acceptance form (letter of offer) sent by Astute Training Pty Ltd will constitute a written
agreement between the student and Astute Training Pty Ltd for the purpose of the ESOS Act 2000, Education Services for
Overseas Students Regulations 2019 and the National Code 2018.
• I understand that as an international student, I am only allowed to defer commencement or suspend studies for medical
reasons (in which case a medical certificate is required) or in the case of exceptional compassionate circumstances.
• I authorise Astute Training Pty Ltd to create and/or search for a Unique Student Identifier (USI) for myself
• I give Astute Training Pty Ltd permission to use any photographic image on which I may appear for advertising materials, the
website and social media, brochures or media releases.
Yes No
Student’s Signature
Date
Course Preference
Please Forward Completed Form to:
Astute Training Pty Ltd
497-507 High Street, Penrith, NSW 2750 AUSTRALIA
Tel: +61 2 4732 5088
reception@astutetraining.edu.au
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Completed 8 January 2022

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