Common Application Form

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COMMON APPLICATION FORM (Australia)

Students:
Please provide correct and accurate details, write your personal details as per your passport copy.

Counsellors:
Use this form only for Applied eligible institutions. Please do not e-mail this form to institutions directly.

Student Full Name

Counsellor Name IDP Office

COURSE PREFERENCES

Intake Feb Jul Sep-Nov Year:

INSTITUTION APPLICATION - I
Institution Name

Course Preference 1 CRICOS

Course Preference 2 CRICOS

Campus Location

INSTITUTION APPLICATION - II
Institution Name

Course Preference 1 CRICOS

Course Preference 2 CRICOS

Campus Location

INSTITUTION APPLICATION - III


Institution Name

Course Preference 1 CRICOS

Course Preference 2 CRICOS

Campus Location

Note for Counselors: If the student wants to apply for more options, please mention in the Task Notes

PERSONAL INFORMATION

Salutation: Mr. Miss Mrs. Dr Gender: Male Female

Name:
(As per the passport)
First Name Middle Name Last Name

Date of Birth: Marital Status:

Martial Status (Single, Married, Divorced, Separated, Engaged, Widow)


Permanent Address in Home Country:

Street Name:

City State Post Code

Country

Email Address

Mobile No
Phone No

Correspondence Address in Home Country:

Street Name:

City State Post Code

Country

Passport & Visa Information:


Passport No Valid from Expiry Date

Country of Passport

Country of Citizenship

Country of Birth

Visa Rejection (from any country)

Do you Currently hold a valid visa?


(Australia or any other Country)
(Self/Spouse)

Primary Language

Emergency Contact Details:

Name and Relationship

Contact Number and Email Address

ACADEMIC HISTORY

Please provide details of last two highest qualifications including any current studies:

Name of the Institution Major/Degree Mode Study Study Status Country Medium of Start Date & Percentage
(Campus, Online (Completed, Instruction End date
Distance) Ongoing,
Discontinued)

ENGLISH LANGUAGE PROFICIENCY


Please tick ONE of the following:

Taken Test Type: IELTS TOEFL iBT TOEFL Paper Cambridge CAE Cambridge CPE PTE

(Academic or General)

Test Date:

Test Reference Number:

Overall Score: Listening Reading Writing Speaking

FINANCIAL & SPONSORSHIP DETAILS

Primary Financial Source Self Family Funded Sponsored/on a scholarship Bank Loan
Applying for External Scholarship Yes No (Government Funded)

Scholarship Name
EMPLOYMENT HISTORY
Please provide details of your employment history starting with most recent work experience, for additional work experience attach CV

Start Date End Date Organization Name Designation Location

ADDITIONAL APPLICATION DETAILS

Credit Transfer? Yes No

OSHC Required? Single Dual Multi-Family


Arrange Own Cover

Have your previously studied in AU? Yes No

AU Institution Name

Student ID

Excluded from AU Institution? Yes No

Reason Excluded

Unlawful Stay Ever? Yes No

Unlawful Stay Reason

Has Close Relatives in Australia? Yes No

Relatives Details

DEPENDENTS

Do you intend to bring your spouse with you to Australia? Yes No

Do you intend to bring your children with you to Australia? Yes No

How many? Yes No

STUDENT DECLARATION

Signature:
(APPLICANT ONLY, not agent, not sponsor)

Applicants under 18 years:


(Parent/legal guardian signature)

Parent/legal guardian name:

Date:

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