Overseas Student Admission Application

Page 1

Full name

Nombre

Apellido

Date of birth

Age

Gender

Female Male Non-binary Prefer not to say

Country of birth

Nationality

Languages spoken at home

Permanent home address abroad

Dirección

Ciudad

Estado / Provincia

Código postal

Mailing address

Same as the permanent address A different address (given below)

Residential mailing address

Dirección

Ciudad

Estado / Provincia

Código postal

Landline phone

Mobile phone

Email

Do you have a medical condition or disability that affects your studies?

Yes No

If yes, please indicate which

Other condition, please specify

How did you hear about us?

Online search Education agent Social media Friends or family Education fair A current student Another source

Name of the education recruiter

Page 2

Country that issued the passport

Do you currently hold a valid visa for the destination country?

Yes No Application submitted

Visa type

Parent or guardian name

Nombre

Apellido

Relationship

Guardian landline phone

Guardian mobile phone

Guardian email

Page 3

Qualification 1

Institution

Year completed

Country

Would you like to add more qualifications?

Yes No

Qualification 2

Institution

Year completed

Country

Qualification 3

Institution

Year completed

Country

Overseas Student Admission Application

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