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?*

AGENCY DETAILS

Are you applying through an agency?* NoYes

Agency
Counsellor's Name
Counsellor's Email
Counsellor's Phone Number
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.

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

SELECT YOUR CAMPUS AND COURSE
CODE COURSE NAME APPROX.
DURATION
TERMS SYDNEY
CBD
BONDI
JUNCTION
BSB30415 Certificate III in Business Administration CRICOS: 089939B 9 months 3 Day / Evening Evening
BSB50215 Diploma of Business CRICOS: 095548M 12 months 4 Day / Evening Evening
BSB41515 Certificate IV in Project Management Practice CRICOS: 095546B 9 months 3 Day / Evening Evening
BSB51415 Diploma of Project Management CRICOS: 089940J 12 months 4 Day / Evening Evening
BSB61215 Advanced Diploma of Program Management CRICOS: 095549K 12 months 4 Day / Evening Evening
BSB42015 Certificate IV in Leadership and Management CRICOS: 095547A 9 months 3 Day / Evening Evening / Fri&Sat
BSB51915 Diploma of Leadership and Management CRICOS: 095550F 12 months 4 Day / Evening Evening / Fri&Sat
BSB61015 Adv. Diploma of Leadership and Management CRICOS:089941G 12 months 4 Day / Evening Evening
SIS30315 Certificate III in Fitness CRICOS code: 091882G 9 months 3 --- Day / Evening / Fri&Sat
SIS40215 Certificate IV in Fitness CRICOS code: 091883F 12 months 4 --- Day / Evening
CHC30113 Cert. III in Early Childhood Education & Care CRICOS: 081686E 9 months 3 Day ---
CHC50113 Diploma of Early Childhood Education & Care CRICOS: 081687D 18 months 6 Day ---
Both Above Certificate III + Diploma of Early Childhood Education and Care 21 months 7 Day ---
INTAKE DATES

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

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.

REFERRAL

How did you hear about SELC?*

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 Other Files

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. *