ONLINE FORMS - English Language Enrolment Form

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ENGLISH LANGUAGE ENROLMENT FORM

PLEASE COMPLETE THE FOLLOWING:
Title	(Mr, Mrs, Miss, Ms)
Surname/Family Name
Given Names
Gender	(male/female)
Date of Birth	(dd/mm/yyyy)
Country of Birth
Occupation in Home Country
Marital Status
Religion
Nationality
Passport Number
HOME ADDRESS (Overseas)
Address
Phone
Fax (if applicable)
Email
AUSTRALIAN ADDRESS (if any)
Address
Postcode
Phone
COURSE PREFERENCES
Name of Course
Start Date
	* 5 week only EAP
Course Duration	5 weeks 10 weeks 15 weeks 20 weeks 25 weeks 30 weeks 35 weeks 40 weeks 45 weeks
VISA INFORMATION
Are you applying for	A new student visa? ¹ Extension to a student visa? ² Working holiday visa? Tourist visa? Are you a permanent resident? ³ Other?
¹ Visa Extension: Please send copy of current OSHC. ² Permanent Resident: Please send copy of permanent resident visa. ³ New Student Visa: Required only if intending to study longer than 3 months.
FURTHER STUDIES IN AUSTRALIA
Where/How did you find out about this course?
Did you see an advertisement? Please name the publication
Do you intend to continue your studies at The University of Queensland after completion of your English Studies?	Yes No
HOMESTAY REQUEST
Do you require Homestay?	Yes * No
* Please fill in the online homestay placement form, click here to open in a new window.
AIRPORT PICKUP
Do you require an airport pickup on arrival?	Yes No
ADDITIONAL INFORMATON FOR ESP-TESOL APPLICANTS
All ESP-TESOL applicants have the option of sitting the Teaching Knowledge Test (TKT) after their course for $216. Please tick the box if you would like to add this now to your application.	Yes, I am an ESP-TESOL applicant and I would like to participate in the Teaching Knowledge Test after the course.
PAYMENT INFORMATION
Payment information will be sent to you with your letter of offer. Refund/Cancellation Policy A full refund of tuition fees and other charges will be made if an ICTE-UQ course is fully booked, is cancelled, or an application for a student visa is rejected (Proof of this is required within 2 weeks from the date of notice of default). Notification of cancellation of a course must be made in writing and addressed to the Deputy Director (Administration), ICTE-UQ. A written response will be provided within 7 working days. Any refund that may be granted will be paid within 4 weeks from the date of the notice of cancellation. Please note that your course is considered to be the total number of weeks in which you have enrolled. Cancellations received more than 4 weeks before the course commencement will normally receive a refund of tuition fees, OSHC and airport transfer fees less a cancellation administration charge equivalent to one week of the current published tuition fee. Cancellations received less than 4 weeks before the course commencement will normally receive a refund of tuition fees, OSHC, and airport transfer fees less a cancellation fee of up to five weeks of the current published tuition fee. Cancellations received after course commencement will not be eligible for a refund of tuition fees. The enrolment fee and homestay placement fee are not refundable and are paid only once. This agreement, and the availability of complaints and appeals procedures, does not remove the right of the student to take action under Australia’s consumer protection laws; neither does it remove a student’s right to pursue other legal remedies. More information about student rights and responsibilities under the Australian Governments Education Services for Overseas Students (ESOS) Act 2000 and National Code 2007 is available online.
I agree	I have read and understood the refund/cancellation policy. I agree to abide by the regulations of The University of Queensland. I understand the information provided by me may be made available to Commonwealth and State agencies pursuant to obligations under the ESOS Act 2000 and the National Code. I understand if I receive a student visa, that by ticking the 'I agree' box, I agree to enter into and be subject to the terms and conditions of the OSHC Worldcare policy. I can access this policy at www.oshcworldcare.com.au.

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