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1 International Offshore Student Application Before you complete this application/agreement form, please read all College and Course Pre-enrolment Information. If you have any queries, please contact the College or from the Contact Us tab on our website Personal Details Surname Given Name Unique Student Identifier (USI) : Home Address Suburb **must be provided, before enrolment is processed** Country (if the learner doesn't have a USI, the USI Student Declaration form must be completed OR the learner must visit to create a USI) Home Address (in Australia) Suburb Telephone (home) Mobile Postcode Telephone (work) of Birth / / Gender Male Female Emergency Contact Person Address Citizenship Country of Birth Passport Number Telephone Citizenship Do you hold a current Australian Visa? If - Type of Visa: Visa Expiry date: / / Language & Health What is your level of English? (Please tick) Beginner Intermediate Advanced Have you completed TOEFL / IELTS / other English test? If - Score: (Please attach certified copy of English Proficiency Reports) The Australian Government requires all persons entering Australia on a Student Visa to have Overseas Student Health Cover (OSHC). Do you have a current OSHC policy? If - Name of OSHC Provider: Expiry date: / / If - Please arrange prior to commencement of study and provide a copy of the OSHC policy to the college Education Have you studied in Australia before? If - Name of the Australian College/Institution Address Course enrolled commenced / / Completion : / / (Please attach certificates, attendance, and release letters if applicable) Previous Education Highest level completed Do you wish to apply for Recognition of Prior Learning (RPL)? If, an RPL Application form and kit must be completed Initials.. RTO ID: CRICOS ID: 03187D Page 1 of 6 V

2 Proposed Course of Study Proposed commencement date: / / Course: (Please tick) Please note: all fees and charges are shown in Australian dollars. CRICOS Code Course Name and Code Total Tuition Fee (inclusive of Enrolment and Materials Fees) Duration A Certificate IV in Business Administration BSB40515 $ weeks F Diploma of Business Administration BSB50415 $ weeks M Diploma of Human Resources Management BSB50615 $ weeks C Advanced Diploma of Management (Human Resources) BSB60915 $ weeks A Certificate IV in Leadership and Management BSB42015 $ weeks G Diploma of Leadership and Management BSB51915 $ weeks E Advanced Diploma of Leadership and Management BSB61015 $ weeks D Diploma of Franchising BSB50515 $ weeks B Certificate III in Financial Services FNS30115 $ weeks F Certificate III in Patisserie SIT31016 $14, weeks E Certificate IV in Patisserie SIT40716 $15, weeks D Diploma of Hospitality Management SIT50416 $18, weeks C Advanced Diploma of Hospitality Management SIT60316 $24, weeks J Certificate III in Spoken and Written English 10364NAT $7, weeks G Certificate IV in Spoken and Written English (Further Studies) 10365NAT $7, weeks G Certificate IV in Spoken and Written English (Employment) 10366NAT $7, weeks J Certificate III in Commercial Cookery SIT30816 $14, weeks G Certificate IV in Commercial Cookery SIT40516 $20, weeks G Certificate III in Light Vehicle Mechanical Technology AUR30616 $14, weeks F Certificate IV in Automotive Mechanical Diagnosis AUR40216 $7, weeks B Diploma of Automotive Technology AUR50216 $9, weeks Fee Calculation Enrolment Fee (Part of Total Tuition Fee) $500 Materials Fee (Part of Total Tuition Fee) $500 Tuition Fee $ Total Tuition Fee Amount $ Please choose any one (1) option mentioned below and answer accordingly: Student or the person responsible for paying the tuition fees is interested to pay more than 50% of the total fees including material fees as per the applied courses: / (Please mention in the space provided)... Student or the person responsible for paying the tuition fees is interested to pay is interested to pay only 50% of the total fees including material fees as per the applied courses: / (Please mention in the space provided)... Student or the person responsible for paying the tuition fees is interested to pay only the fees as agreed between the student and ACTE through the Agent as per the detailed Student Payment Schedule: / (Please mention in the space provided)... * obligation is created on Adelaide College of Technical Education until an official receipt is issued. Applicant s Name Applicant s Signature RTO ID: CRICOS ID: 03187D Page 2 of 6 V

3 Agreement I understand the terms of this Contract and the refund conditions. I confirm that I have been fully advised of the fees (visit for more information), refund conditions (visit for more information) and conditions of enrolment and agree to be a student with this education provider. Personal information is collected solely for the purpose of operating as a Registered Training Organisation under the Australian Skills Quality Authority administered by the Australian Government who is the registering authority. The requirements of the registering authority may require the release of your personal information for the purposes of audit or for collection of data by Commonwealth and State Government departments and agencies. It is a requirement of the Australian Qualifications Framework that students can access personal information held by the college and may request corrections to information that is incorrect or out of date. Please apply to the Administration Officer if you wish to view your own records. Initials... In accordance with student visa condition 8533, you must notify your education provider of your residential address in Australia within 7 days of arriving in Australia. You must notify your education provider of any change in your residential address within 7 days of the change. 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. Applicant Signature Applicant Name Agent details (Name of Agency) Licence Number of Agency Agency Address Phone Number Fax Number Address Name of Agency Representative QEAC Number of the Representative (if applicable) Agent Declaration Signature of Agency Representative Signature of CEO/Director of the Agency As an SSVP authorised ACTE agent, I/we take full responsibility for verifying any of the information provided in this SVP application on behalf of ACTE and that ACTE may take action under that agreement, including the cancellation of the agreement for any false or misleading information or breach of the Code of Conduct. I declare the original supporting documents have been sighted and copies have been certified by an authority as accepted by ACTE. Agency Stamp RTO ID: CRICOS ID: 03187D Page 3 of 6 V

4 Documents to be attached Complete Application Form Certified Copy of Passport Certified Copy of Year 10 and Year 12 Certificate Certified Copy of IELTS/PTE result or equivalent Copy of visa (if applicable) Copy of any Letter of Release (if required) Certified copies of Previous studies and employment Certified copies of Translation of the above mentioned documents (if required) 1 Recent Passport size Photograph WHO CAN VERIFY / CERTIFY THE DOCUMENTS ACTE Registered Education or Migration Agents tary Public Academic Registrar of an Institution Justice of the Peace Commissioner of Oaths/Declarations An Official of an Australian Overseas Diplomatic Mission AGENTS: BEFORE SUBMITTING THE APPLICATION TO THE COLLEGE, THE STUDENT MUST DO THE FOLLOWING: Read and understand the following: (It is suggested that if any doubts about any of the information seek clarification from the agent if applicable or college directly) - List not limited to mentioned below Application Form ACTE Policies and Procedures Student Handbook English Language Requirements ESOS Code Department of Immigration and Border Protection (DIBP) requirements for overseas students and on Genuine Temporary Entrant ( RTO ID: CRICOS ID: 03187D Page 4 of 6 V

5 AVETMISS Student Enrolment Questionnaire The following information is provided to Australian Vocational Education and Training Information Statistical Standards (AVETMISS) for the collection and analysis of Vocational Education and Training information throughout Australia. All information is treated in the strictest confidence and in accordance with our Privacy Policy, as found on 1. Of the following categories, which best describes your current employment status? (Tick ONE box only) Full-time employee Part-time employee Self Employed t employing others Employer Employed (unpaid worker in a family business) Unemployed seeking full-time work Unemployed seeking part-time work t employed not seeking employment 2. Are you still attending secondary school? 3. What is your highest COMPLETED school level? Completed Year 12 Completed Year 11 Completed Year 10 Completed Year 9 or equivalent Year 8 or below Did not go to school In which year did you complete that school level? 4. Were you born in Australia? If NO, in which country were you born? 5. Have you SUCCESSFULLY completed any of the following qualifications? If YES, then tick any applicable boxes: Bachelor Degree or High Degree Advanced Diploma or Associate Degree Diploma (or Associate Diploma) Certificate IV (Advance Certificate/Technician) Certificate III (or Trade Certificate) Certificate II Certificate I Certificates other than the above Other 6. Do you usually speak a language other than English at home? If YES, please specify? 7. How well do you speak English? Very Well Well t Well t at All 8. Do you consider yourself to have a disability, impairment or long-term condition? If YES, please indicate (you may indicate more than one area) Hearing/Deaf Physical Intellectual Learning Mental Illness Acquired Brain Impairment Vision Medical Condition Other 9. Will you be requesting help with literacy in your studies? 10. Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal AND Torres Strait Island origin, mark both 'YES' boxes), Aboriginal, Torres Strait Islander 11. Your major reason for study? (Tick ONE box only) Applicant Name To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job To get into another course of study For personal interest For self development Other Reasons RTO ID: CRICOS ID: 03187D Page 5 of 6 V

6 Recruitment Questionnaire The following questions are included to advise ACTE about your journey from initial information about us to your arrival at the College and the advice and assistance offered by your Education Agent. All information is treated in the strictest confidence and in accordance with our Privacy Policy, as found on Do you think your Education Agent treated you fairly? Did you receive all of the information you needed to make your decision? Did anyone ask you for fees with your application that you needed to pay directly to them? If your answer is move onto the next question, if your answer is, Please explain: Did you pay any fees to anyone other than the College? Were you offered any incentives (gifts) to enrol at this College? If your answer is move onto the next question, if your answer is, Please explain: Did you experience any difficulties with your enrolment process? If your answer is you have completed the questionnaire, if your answer is, Please explain: Applicant Name & Signature Agency Representative Name & Signature RTO ID: CRICOS ID: 03187D Page 6 of 6 V

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