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Student enrolment form 2

Home/Student enrolment form 2
  • 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.
  • Contact Details

  • Other

  • You will be required to provide further information on next page
  • Your current Australian visa

    Please tell us what visa you currently hold.
  • 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.
  • Address in Australia

    If you live in Australia, your address while studying has to be provided as well.
  • Language & Culture

    Tell us where are you from and what languages you speak.
  • English Proficiency

  • Culture

  • Agent's Details

    Please provide following information about your agent.
  • Contact Information

  • Previous Education

    Where did you study before? What is your highest level completed?
  • Tertiary Education

  • Academic History

  • OrganisationLevel achievedDate finished 
  • OrganisationLevel achievedDate finished 
  • Employment

  • RPL & Credit Transfer

    If you wish to apply for RPL or Credit Transfer, please visit our website for more information.
  • Disabilities

  • Course Selection

  • Select Your Courses

  • Please select any one of the course or combination of courses.
  • Other Courses

  • InstitutionCommencement dateCourse 
    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.
  • How did you hear about us?

  • Statement of Purpose

    Please answer the questions down below. Make sure your answers are complete and honest.
  • RelationDate of birth 
  • RelationImmigration StatusHow long in Australia 
  • Visa typeGranted / RefusedMonth and year of grant 
  • Way of contactContact number, username... 
    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.nortwest.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
    • Account Name: City Institute
    • Bank: Commonwealth Bank
    • BSB Number: 062 005
    • Account Number: 1131 0445
  • 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 City Institute 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 DIBP.
    • 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 DIBP 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.
  • Please put write your signature into this field using mouse or touchpad.
  • Declaration & Submit

  • Please put write your signature into this field using mouse or touchpad.
  • Application Checklist

  • File Uploads

  • Drop files here or
      Maximum file upload size is 5MB