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Michael
2022-12-21T11:22:28+00:00
ENROLMENT FORM
Enrolment Form
International Student Enrolment Form
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Provider Id
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Provider Name
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Provider Country
Provider Email
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Select the type of enrollment
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ELICOS
VET
Personal Details
Tell us something about yourself. Please make sure all the information you input is clear an correct. False or incomplete information might cause future issues with your visa.
Title
Mr
Ms
Mrs
Miss
GN
First Name
*
Last Name
*
Date of Birth
*
Gender
Choose One
Male
Female
Contact Details
Phone/Mobile Number
Email Address
Student Number
USI Number (if applicable)
Other
Passport Number
*
Passport Expiry Date
Country of passport
Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
CĂ´te d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Are you applying:
Within Australia
Outside Australia
Have you overstayed your visa in the past?
No
Yes
You will be required to provide further information on next page
Do you hold a current Australian visa?
*
No
Yes
Are you applying through an agency?
No
Yes
Have you got an Australian address?
No
Yes
Which DOHA Office would you like to apply?
In Australia
Overseas
Which DOHA Office would you like to apply?
Choose One
Amman
Ankara
Apia
Auckland
Bangkok
Beijing
Beirut
Belgrade
Berlin
Brasilia
Buenos Aires
Cairo
Colombo
Dhaka
Dili
Dubai
Guangzhou
Hanoi
Ho Chi Minh City
Hong Kong
Islamabad
Jakarta
Kuala Lumpur
London
Madrid
Manila
Mexico City
Moscow
Nairobi
New Delhi
Noumea
Nuku'alofa
Ottawa
Phnom Penh
Port Louis
Port Moresby
Pretoria
Santiago de Chile
Seoul
Singapore
Suva
Tehran
Tel Aviv
Tokyo
Vienna
Vientiane
Washington
Yangon
Your current Australian visa
Please tell us what visa you currently hold.
What Australian visa you currently hold?
Student
Working holiday
Tourist
Visa Subclass
Visa expiry date
Overseas Address
Address of usual residence (overseas). You must provide overseas address of usual residence. In case the student is currently in Australia, an Australian address must be provided as well.
Street Address
City
State
Post Code
Country
Choose One
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
CĂ´te d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Address in Australia
If you live in Australia, your address while studying has to be provided as well.
Street Address
City
State/Territory
Choose One
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western australia
Post Code
Country
Language & Culture
Tell us where are you from and what languages you speak.
Is English your first language?
No
Yes
What language/s do you speak?
English Proficiency
How good is your English?
Beginner
Elementary
Pre-intermediate
Intermediate
Upper-Intermediate
Advanced
Have you got any formal English testing?
No
Yes
Name of the test
Score of the test
Date of the test
Culture
Are you of Aboriginal origin or Torres Strait Islander?
None
Aboriginal
Torres Strait Islander
Agent's Details
Please provide following information about your agent.
Select your agent
Select
2be study
360degree
Aftab Syed
AIC
Alas Abroad
Ali
Armando Parra
Arrive Australia
Aruna Kingsley Munaweera
Asif Imran Khan
Australia Online
Australia Study Educational Services
Australian Centre
Australiante
Badri P Jaishi
Bajwa
Bapu Gohil
Beibei DING
Bridge Blue
BridgeMarks
Bright International Education Centre
CareersHub Bangladesh
CESE Australia
Christie Migration Agents
CI Australia
Connection Australia
Dalip Chopra
Direct Enrolment
Direction Australia
E-Goal International Education
Easy Ozzy
Edforeign
Education Down Under Visa services
Egali
Elixir Educational Consultancy
EMSA
Estudien Australia
Fernanda Xavier Leal
Future Care Consultant
Go Study
Hana Uhak Pty Ltd - Australia
Hello Australia
Hub Edu
Information Planet
Karan Sehgal
Let's go study
Link House
Link2 world
Louis su
Md. Ahtesumul Haque
Mr.Pardeep Balyan
Muhammad Yousaf
My career Australia
Nawab Singh
NICE
Niyata Vattanavongsiri
Open Conexus
Other
Overseas Settlement
Oxford Migration Group
Pacific Center
Puravida Study
R & D Consulting (QLD) Pty Ltd
Right now study
S&K International Education
Sabika Abbas
Saga Studies
Sagar Aryal
Sahithi Reddy Gaddam
Sanjay Laul
SC Migration
Setareki Niubasaga
Shyamala
Skillspoint Consulting
Stay Global
Student World
Study Choice
Study Directions
Study Gate Australia
Study In Pty Ltd
Sukhdev Singh
Sumith
Target Education
TD Central International Services
Test Agency
Thinlay Dorjee
Upper International
Upright Migration Consultants
Veta
Victory Education Consultancy
Vijay Bharti
Visa Aid Immigration and Education Services
Visa Office Pty Ltd
Visasmile International PTY Ltd
West 1 - World Education Student Travel - Sydney
World Study
Yameng Meng
Yi Song
Yooz
Agent Email
Agency
Contact person
Contact Information
Phone number
Email
Previous Education
Where did you study before? What is your highest level completed?
What is your highest completed school level?
*
Choose One
Never attended
Year 10 or below
Year 11 or equivalent
Year 12 or equivalent
Date completed
*
Tertiary Education
Did you complete any tertiary education (colleges & universities)?
No
Yes
Level of qualification/s achieved
*
Bachelor Degree or Higher
Advanced Diploma or Associate Degree
Diploma
Certificate I - IV
Proposed future studies:
Vocational
TAFE
University-Undergraduate
University-Post Graduate
Name of Institution:
Course commencement date:
Academic History
Overseas academic history
Organisation
Level achieved
Date finished
Australian academic history
Organisation
Level achieved
Date finished
Employment
Which categories best describe your current employment status?
Full time working employee
Part time working employee
Self employed – not employing others
Employer
Employed – unpaid worker in a family business
Unemployed – seeking full time work
Unemployed – seeking part time work
Not employed – not seeking employment
Occupation
Manager
Professionals
Technicians and Trades Workers
Community and personal Service Workers
Clerical and Administrative Workers
Sales Workers
Machinery operators and Drivers
Labourers
Industry of Employment
Select
Agriculture, Forestry and Fishing
Mining
Manufacturing
Electricity, Gas, Water and Waste Services
Construction
Wholesale Trade
Retail Trade
Accommodation and Feed Services
Transport, Postal and Warehousing
Information Media and telecommunications
Financial and Insurance Services
Rental, Hiring and Real estate Services
Professional, Scientific and Technical Services
Administrative and Support Services
Public Administration and Safety
Education and Training
Health Care and Social Assistance
Arts and Recreation Services
Other Services
Which categories best describe your main reason for undertaking this course?
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
I want extra skills for my job
To get into another course of study
For personal interest or self development
Other reasons
Other Reasons
RPL & Credit Transfer
If you wish to apply for RPL or Credit Transfer, please visit our website for more information.
Do you wish to apply for RPL?
No
Yes
Do you wish to apply for credit transfer?
No
Yes
Disabilities
Do you consider yourself to have a disability, impairment or long-term condition?
No
Yes
Please specify
Hearing / Deaf
Learning
Vision
Physical
Mental illness
Medical condition
Intellectual
Acquired brain impairment
Other
Other, please specify:
Do you have any special learning needs?
No
Yes
Please specify:
Course Selection
Do you want to apply for a ELICOS course in Melbourne Metropolitan College?
No
Yes
Preferred course session
AM (Morning)
PM (Evening)
Preferred campus
Melbourne Campus
Alice Springs Campus
Adelaide Campus
Gold Coast Campus
Select your ELICOS course
*
Select
Please select any one of the course or combination of courses.
Preferred course session
Morning Option A: Mon-Wed 8:30am-4:15pm
Morning Option B: Thu-Sat 8:30am-4:15pm
Evening Option C: Mon-Fri 5:15pm-9:30pm
Preferred course session
Morning Option A: Mon-Wed 8:30am-4:15pm
Evening Option B: Mon-Fri 5:15pm-9:30pm
Preferred course session
Morning Option C: Wed-Fri 8:30am-4:15pm
Enter promo code
Course Duration ( in weeks )
Please enter a number from
4
to
52
.
Select intake date
Select
Select intake date
DD slash MM slash YYYY
Weeks of holidays
*
Please enter a number from
0
to
12
.
Number of fee instalments
1
2
3
4
Select Your Courses
Do you want to apply for a vocational course in Melbourne Metropolitan College?
No
Yes
Preferred campus
Melbourne Campus
Alice Springs Campus
Adelaide Campus
Gold Coast Campus
Select your vocational course
*
Select
Advanced Diploma Of Information Technology (Cyber Security)
Certificate III in Light Vehicle Mechanical Technology
Certificate IV in Automotive Mechanical Diagnosis
Certificate IV in Business
Diploma of Automotive Technology
Diploma of Business
Diploma of Leadership and Management
Graduate Diploma of Management (Learning)
Certificate IV In Leadership And Management
Diploma Of Information Technology (Cyber Security)
Advanced Diploma of Leadership and Management
Diploma of Automotive Technology+Graduate Diploma of Management (Learning)
Certificate IV in Automotive Mechanical Diagnosis+Diploma of Automotive Technology+Graduate Diploma of Management (Learning)
Certificate IV in Automotive Mechanical Diagnosis+Diploma of Automotive Technology+Graduate Diploma of Management (Learning)
Certificate IV In Leadership And Management+Diploma of Leadership and Management
Certificate IV In Leadership And Management+Diploma of Leadership and Management+Advanced Diploma of Leadership and Management+Graduate Diploma of Management (Learning)
Diploma of Leadership and Management+Advanced Diploma of Leadership and Management+Graduate Diploma of Management (Learning)
Advanced Diploma of Leadership and Management+Graduate Diploma of Management (Learning)
Diploma of Business+Advanced Diploma of Leadership and Management+Graduate Diploma of Management (Learning)
Diploma Of Information Technology (Cyber Security)+Advanced Diploma Of Information Technology (Cyber Security)
Diploma Of Information Technology (Cyber Security)+Advanced Diploma Of Information Technology (Cyber Security)+Graduate Diploma of Management (Learning)
Certificate IV in Business+Diploma of Business
Certificate IV in Business+Diploma of Business+Advanced Diploma of Leadership and Management
Certificate IV in Business+Diploma of Business+Graduate Diploma of Management (Learning)
Certificate III in Light Vehicle Mechanical Technology+Certificate IV in Automotive Mechanical Diagnosis+Diploma of Automotive Technology
Please select any one of the course or combination of courses.
Preferred course session
AM (Morning)
PM (Evening)
Preferred start date
*
Select
06/02/2023
06/03/2023
13/03/2023
27/03/2023
24/04/2023
22/05/2023
29/05/2023
05/06/2023
17/07/2023
21/08/2023
28/08/2023
04/09/2023
11/09/2023
09/10/2023
13/11/2023
20/11/2023
27/11/2023
29/01/2024
04/03/2024
11/03/2024
25/03/2024
22/04/2024
20/05/2024
27/05/2024
02/06/2024
03/06/2024
15/07/2024
19/08/2024
26/08/2024
02/09/2024
09/09/2024
07/10/2024
11/11/2024
18/11/2024
25/11/2024
27/01/2025
03/03/2025
10/03/2025
24/03/2025
21/04/2025
19/05/2025
26/05/2025
02/06/2025
14/07/2025
18/08/2025
25/08/2025
01/09/2025
08/09/2025
06/10/2025
10/11/2025
17/11/2025
Other Courses
Do you plan to continue studying in Australia after completing your studies with Melbourne Metropolitan College?
No
Yes
Hidden
Are you applying for ELICOS courses prior to studies at Melbourne Metropolitan College?
No
Yes
Hidden
Which ELICOS courses are you applying to?
Institution
Commencement date
Course
You will be required to provide us with letter/s of offer from these institutions.
OSHC
OSHC (Overseas Student Health Cover) is one of your's visa requirements. Please specify what cover you require and for how long.
Do you require OSHC?
Yes
No
Type of your cover
Single
Family
Duration of your cover (in months)
Insurance Number
How did you hear about us?
How did you hear about Melbourne Metropolitan College?
Agent
Friend
Internet
Relative
Seminar
Other & Comments
Statement of Purpose
Please answer the questions down below. Make sure your answers are complete and honest.
Why do you want to study in Australia compared to studying in your home country?
*
Why did you choose Melbourne Metropolitan College compared to other Australian educational providers?
*
How will the program, you are applying to study with Melbourne Metropolitan College, benefit your current or future career path?
*
Please describe what you intent to do upon completion of studies at Melbourne Metropolitan College?
*
Explain your current personal circumstances in your home country.
*
Do you wish to bring family dependants (e.g. your spouse, children)?
*
Yes
No
If yes, Enter the details below:
Relation
Date of birth
Do you have any close family in Australia (parent, wife/husband, child, brother/sister)? If YES, please provide further information such as their immigration status? How long have they been in Australia?
*
No
Yes
Please provide further information such as their immigration status? How long have they been in Australia?
Relation
Immigration Status
How long in Australia
Husband
Wife
Child
Mother
Father
Brother
Sister
Do you have any close family in Australia (parent, wife/husband, child, brother/sister)? If YES, please provide further information such as their immigration status? How long have they been in Australia?
How do you intend to finance your study and living expenses for the entire duration of your stay in Australia?
*
Private funding
Sponsor
Bank loan
Family
Other
Other, specify:
Are you relying on working in Australia to cover your tuition and living fees?
*
No
Yes
Please indicate the type of accommodation you intend to live in while studying at Melbourne Metropolitan College?
*
Private
Hotel
Hostel
Home stay
Please indicate the type of accommodation you intend to live in while studying at Melbourne Metropolitan College?
Have you, or any dependants, been refused visa to Australia or any other country?
*
Yes
No
Please list any current or previous immigration history. Have you, or any dependants, been refused visa to Australia or any other country?
Visa type
Granted / Refused
Month and year of grant
Have you been reported to DOHA for non-compliance? (This includes being reported for attendance and/or academic progress and/or nonpayment of fees, or being expelled?)
*
No
Yes
Comments
Provide the best way for us to contact you to conduct an interview:
*
Way of contact
Contact number, username...
E-Mail
Skype
Mobile Phone
Whatsapp
Viber
Ex: Way of Contact may be Skype, Mobile phone, Viber, WhatsApp
Policies & Declaration
For information about our Fees and Refund policy, Enrolment policy, Complaints and Appeals policy, Attendance policy, Academic progress policy and any other policies please refer to www.cityinstitute.edu.au.
Payments
Payments can be made by:
Direct deposit
Electronic transfer
Cash
Cheque
Credit Card (Visa, Master attracts 2%, AMEX attracts 4% surcharge)
Account details
Bank: ANZ
Branch: 55 Collins St, Melbourne-VIC 3000
Account Name: MELBOURNE METROPOLITAN COLLEGE
BSB : 013030
Account Number: 420 993 088
SWIFT Code: ANZBAU3M
Who is filling out the application?
*
Agent
Student
Applicant's Declaration
I declare that the information supplied by me on this form is true and correct.
I declare that my application is genuine and by making this application I have every intention of completing all courses listed in the application.
I declare that all evidence provided with my application is authentic and valid.
I consent to Melbourne Metropolitan College obtaining information from educational institutions and relevant authorities concerning my entire study history including enrolment, academic results, attendance and finances.
I understand that information relating to my application may be provided to DOHA.
I have read and understood and accept admission requirements and above listed conditions.
I have read and understood the Transfer between registered providers policy.
Agent's Declaration
I undertake to provide support to the student in an honest, ethical and responsible manner, in accordance with the ESOS Act, the National Code and the Migration Act requirements
I have interviewed the student and believe that s/he is meeting the requirements of Genuine Temporary Entrant and is a Genuine Student as defined by DOHA and the student intends to comply with visa conditions and complete all the courses enrolled into to the best of their ability.
I have read and understood and accept admission requirements and above listed conditions.
I have read and understood the Transfer between registered providers’ policy.
Agent's name
Agent's signature
Please put write your signature into this field using mouse or touchpad.
Declaration & Submit
I understand and agree that:
*
I declare that the information contained in this application and the supporting documentation is complete and true
I understand that giving of false or incomplete information may lead to refusal of my application or cancellation of enrolment
I am aware of the conditions that relate to my admission and agree to pay all fees for which I am liable
I understand that all fees are quoted in Australian dollars and payments must be made in Australian dollars and paid into the Melbourne Metropolitan College nominated account
I understand that I am fully responsible for all education and living expenses, both for myself and f