STUDENT DETAILS

Family Name*
Given Name(s)*

Gender* MaleFemale
Date of Birth*
Nationality*
Country of Birth*

Language Spoken*
Current Address*

Suburb/Town/City*
State*
Postcode/Zipcode*
Country*

Telephone/Mobile number*
Email*

VISA

Passport Number*
Which visa type do you plan to study under at SELC Australia?* StudentWorking HolidayTouristOther

Please specify
Which country will you lodge your visa application in?
SELC ENGLISH COURSE OPTIONS
COURSEBONDISTART DATE#WEEKS
General Intensive English (Full-time)
| CRICOS 030264E
DaytimeEvening
General Intensive English (Part-time)
| CRICOS 030264E
Daytime
IELTS Preparation Daytime: Academic
| CRICOS 068858K Evening: General
DaytimeEvening
Cambridge Test Preparation FCE
| CRICOS 030269M
DaytimeEvening
Cambridge Test Preparation CAE
| CRICOS 030264E
Daytime
Cambridge Test Preparation CPE
| CRICOS 030264E
Daytime
English for Customer Service Communication (+ Barista)
| CRICOS 053857A
DaytimeEvening
Academic English Program (AEP)
| CRICOS 082833B
Daytime
FURTHER EDUCATION

Do you wish to study in Australia after completing your English Course? NoYes

Institution Name
Start Date

Course Name

OVERSEAS STUDENT HEALTH COVER (OHSC)

Do you want SELC to arrange your OSHC? (student visa only) NoYes

OSHC Cover Type SingleCoupleFamily (Couple & Family Cover: Please attach passport copies of all partners and family members)
ACCOMMODATION

Do you want SELC to arrange your Accommodation? NoYes

Number of weeks
Check in date
Check out date

Homestay check-in must be on the Saturday or Sunday immediately before the course begins.
Type of Accommodation:
1. Homestay (2 weeks minimum stay) Half Board (Breakfast & Dinner)Room & Facilities (No meals) SingleTwin (with travelling companion) Do you smoke? NoYes, I will only smoke outside Do you have any allergies? NoYes Can you describe?
2. SELC Bondi Lodge (4 weeks minimum stay) Single (with bath)Single (share bath)Twin/Double (with bath)Twin/Double (shared bath)

ARRIVAL DETAILS

Do you want SELC to arrange your Airport Transfer? NoYes

One wayReturn
Flight Number
Arrival date
Arrival Time

NB. Changes in arrival details must be advised to SEC 72 hours in advance. If delayed in transit please contact our emergency representative as stated on your accommodation booking confirmation letter.

COURSE BREAKS (ENGLISH COURSES)

Do you require break during the course? (must be pre-arranged at the time of enrolment) NoYes

Number of weeks
From
To

Do you require a second break during the course? NoYes

Number of weeks
From
To

What is your English Level at the moment?* BeginnerElementaryPre-intermediateIntermediateUpper IntermediateAdvanced

SELECT YOUR CAMPUS AND COURSE
CODECOURSE NAMEAPPROX.
DURATION
TERMSSYDNEY
CBD
BONDI
JUNCTION
BSB30415Certificate III in Business Administration CRICOS: 089939B9 months3Day/EveningEvening
BSB50215Diploma in Business CRICOS: 095548M12 months4Day/EveningEvening
BSB41515Certificate IV in Project Management Practice CRICOS: 095546B9 months3Day/EveningEvening
BSB51415Diploma of Project Management CRICOS: 089940J12 months4Day/EveningEvening
BSB61215Advanced Diploma of Program Management CRICOS: 095549K12 months4Day/EveningEvening
BSB42015Certificate IV in Leadership and Management CRICOS: 095547A9 months3Day/EveningEvening/Fri&Sat
BSB51915Diploma of Leadership and Management CRICOS: 095550F12 months4Day/EveningEvening/Fri&Sat
BSB61015Adv. Diploma of Leadership and Management CRICOS:089941G12 months4Day/EveningEvening
SIS30315Certificate III in Fitness CRICOS code: 091882G9 months3---Day/Evening/Fri&Sat
SIS40215Certificate IV in Fitness CRICOS code: 091883F12 months4---Day/Evening
CHC30113Cert. III in Early Childhood Education & Care CRICOS: 081686E9 months3Day/Evening---
CHC50113Diploma of Early Childhood Education & Care CRICOS: 081687D18 months6Day/Evening---
Both AboveCertificate III + Diploma of Early Childhood Education and Care21 months7Day/Evening---
INTAKE DATES

If you are enrolling for more than one course, select only the intake date for the first course.

2018 08 October


2019 29 January23 April15 July08 October


2020 28 January20 April13 July06 October


Which campus would you prefer to study? CityBondi
Your timetable choice: DaytimeEveningFri&Sat

CREDIT TRANSFER/RECOGNITION OF PRIOR LEARNING

Are you applying for Credit Transfer or Recognition of Prior Learning? NoYes (if yes, please provide certified copies of transcripts and details of the course)

UNIQUE STUDENT IDENTIFIER NUMBER (USI)

USI
All students applying for a VET course must supply their Unique Student Number (USI). More information about USI, including how to apply for your USI online at www.usi.gov.au

ENTRY REQUIREMENTS CHECKLIST

All Applicants (Evidence of the following must be provided)
Year 12 or equivalent and above (translated to English) IELTS 5.5 or equivalent and above Passport

REFERRAL

How did you hear about SELC?

DECLARATION
I confirm that the information I have provided is correct and that I have read, understood and agreed to abide by the SELC Australia Conditions of Enrolment. I authorise the SELC Australia Pty Ltd to verify any facts and hereby consent to the information being provided to a third party for further verification. I understand that if any information is found to be false or misleading my enrolment may be cancelled. I accept, will comply with policies and rules of SELC Australia Pty Ltd. It is my responsibly to familiarise myself with the latest version of the Student Handbook and policies and procedures, which can be found on www.selceducation.com. *

SUPPORTING DOCUMENTS
Please upload a copy of your supporting documents (Passport, English Certificate, Transcript, etc). If you don't have it now you can do this later.