International Student Enrolment Application Form
STUDENT DETAILS
Title
Mr. Mrs. Ms. Other
Student ID Number
FamilyName
Given Name/s
Preferred Name
Date of birth
Are you 18 years of age or older?
Yes No
First Language
Gender
Male Female
CONTACT DETAILS
ONSHORE (YOU ARE IN AUSTRALIA)
OFFSHORE (YOUARE NOT INAUSTRALIA)
Permanent address in home country
Address in Australia
Address
Suburb
Postcode
Postcode
Telephone
Mobile
Mobile
Email
Emergency contact details
Name
Relationship
Contact phone
Email
NATIONALITY/ CITIZENSHIP
Passport number
Passport expiry date
What is your Nationality on your passport?
Do you hold an Australia Visa?
Yes No
If yes, Country of Issue
Visa type
Expiry Date
Education AgentName
Education AgentStamp
*Forward a copy of your passport and visa with this application (if you have a visa already)
HIGHEST LEVEL OF EDUCATION ACHIEVED
Name of Highest Qualification (e.g. schooling Year 12, Qualifications: eg Cert III, IV /, Diploma or Bachelor)
Name of Institution (Australia Year 11 or 12 equivalent)
Completed Year
Country/State
Language of instruction
Name of Institution (Tertiary studies)
Completed Year
Country/State
Language of instruction
Are you transferring from another Australian education provider? Yes No (if yes supply letter of release from your provider if you have not
completed 6 months of your principal course of study)
ENGLISH LANGUAGE PROFICIENCY
English is my first language.
Yes No
English was the language of instruction during my secondary school and I passed English subject in my final year.
Yes
No
I have satisfactorily completed an ELICOS course at (Name of the Institution)
I have applied for ESL/ELICOS course at (Name of Institution)
I have undertaken IELTS / TOEFL / Other English Test
IELTS Score
TOEFL Score
Name of Other English Test
Test Score
COURSE SELECTION
BSB30115 Certificate IIIin Business (089568B) 52 Weeks
General English (
Pre-Intermediate,Intermediate, Upper-Intermediate(089573E)
12-36weeks
BSB40215 Certificate IV in Business ( 089569A) 52 Weeks
General English Starter (099630G) 12 weeks
BSB50215 Diploma ofBusiness (089570G) 52 Weeks
General English Elementary (099631F) 12 weeks
BSB60215 Advanced Diploma of Business (096298E) 52 Weeks
General English Advanced (0100955) 12 weeks
IELTS Foundation (089574D) 12 Weeks 12 weeks
Commencing:
Month Campus:
Flinders International College is the Registered Business Name of
Masters in Training Pty Ltd ABN 23 145 198 929
CRICOS Code: 03453B RTO No. 70250
Head Office: Level 6, 271 William Street,
Melbourne, Victoria Australia 3000
Phone: +61 3 9005 1951
info@flinderscollege.edu.au
www.flinderscollege.edu.au
OTHER INFORMATION
USI
Do you have a Unique Student Identifier
Yes
- Provide number:
No
, do you authorise the College to secure a USI on your behalf if required?
Yes No
Overseas Health Cover
Do you have Overseas Health Cover (OSHC )
Yes
, OSHC provider:
No
If No, indicate the level of cover you require:
Single
Cover
Family Cover (must complete Family OSHC Application Form and provide passport copy of
family members)
Do you consider yourself to have a disability/ medical condition/ learning difficulty that may impact your study?
Yes
No
Course Credits
Do you wish toapply for CreditTransfers?
Yes
No (if yes forward copies of transcripts)
Do you wish to apply for Recognition of prior learning?
Yes
No
Airport Pickup and accommodation Services
Do you want FIC to arrange airport pick up and / or accommodation for you? Airport pick up Accommodation
CHECKLIST
Enrolment fee
Certified copies of Academic Transcripts
Certified copies of Graduation Certificates
Evidence of English Language Proficiency
Certified translated documents if not in English
Letter of release from current Australian education provider
Relevant documents for RPL/Credit Transfer
Completed all relevant sections of the enrolment form
Read and understood the terms and conditions of enrolment
Certified copy of the personal details page of your Passport
Certified copy of Australian Visa (if held)
A non-refundable enrolment fee of $350 only must be paid on lodgement of this application for enrolment.
PRIVACY
Flinders International College (FIC) respects client's privacy rights and operates in compliance with the Privacy Act 1988 and National Privacy
Principles 2001. FIC treats all client personal information confidentially and will not disclose any details to a third party without the client's prior written consent.
**Except where required through its commitment to comply with the National Vocational Education and Training Regulator Act 2011 and ESOS Act
2000 and supply student data to the National VET Regulator (ASQA), National Centre for Vocational Education Research (NCVER), Department of
Education, Department of Home Affairs (DHA), Tuition Protection Service and other regulatory bodies or to a court of Law. Personal information may
also be disclosed to relevant bodies for the verification of your previous qualifications.
STUDENT DECLARATION
Studentsignature
How did you first learn about FIC? You may tick more than one box.
Date
Agent recommendation
Newspaper/magazine
Recommended by a friend/relative
Internet
Other
OFFICIAL USE ONLY
Application assessed by:
Date
Outcome of application
Place offered Application declined Further information requested
Reason for declining application or details of further
information requested
Flinders
International College is the Registered Business Name of
Masters in Training Pty Ltd
CRICOS Code: 03453B RTO No. 70250
Head Office: Level 6, 271 William Street,
Melbourne, Victoria Australia 3000
Phone: +61 3 9005 1951
info@flinderscollege.edu.au
www.flinderscollege.edu.au V5 19
I acknowledge that my Education agent has provided me with full information on FIC, the courses applied for, student visa information and information
on living and studying in Melbourne. (If enrolled through an Education agent)
I acknowledge that I have read and understood the information in FIC’s Student handbook, website, marketing material before making the
decision to submit this enrolment application.
I understand that by signing this enrolment form, I may be sent a Formal Letter/s of Offer/Written Agreement Contract from Flinders
International College (FIC), if all of the admission requirements are met.
I authorise FIC to contact me SMS, Email or Phone number.
I authorise FIC to verify any information provided in this form.
I give FIC permission to obtain official records/ confirm detail from a previous educational institution attended by me listed on this form.
I am aware off and agree to abide by visa conditions throughout my enrolment period in Australia.
I understand my enrolment fee ($350) payable with the lodgement of this form is not refundable in all circumstance.
I grant FIC permission to source a Unique Student Identifier from NCVER, on my behalf (students who do not currently possess a USI only.)
I acknowledge that I have been provided the opportunity to clarify any item relating to my enrolment at FIC prior to submitting this enrolment form.
I declare that the information provided by me in this application true, correct and complete at this time.
I acknowledge that providing false. Misleading or inaccurate information may affect the acceptance of this application and/or the continued provision
of training and assessment service.