If you are human, leave this field blank.STEP 1PERSONAL DETAILSUSI:Title:Mr.Ms.Mrs.OtherGender:MaleFemaleStudent First Name:Student Last Name:Date of birth:Nationality:United States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabwePassport No:Expires on:CONTACT DETAILSAustralian Address:Suburb:State:ACTNSWNTQLDSATASVICWAPostcode:Phone:Email (Mandatory):Emergency Contact Name:Relationship:Phone:Email: STEP 2ENGLISH LANGUAGE PROFICIENCYMain Language spoken at home:How well do you speak English:Very wellWellNot wellNot at allHave you ever completed a degree or other tertiary qualification in English?YesNoPlease provide proof of competence in English Language. You must attach evidence to show that your English ability meets our requirements, eg. IELTS, TOEFL, PTE.YesNoTest name:IELTSTOEFLTOEICCambridgePTEDate of Test:Overall ScoreListening:Writing:Reading:Speaking: EMPLOYMENT BACKGROUNDAre you currently or have been employed ?YesNoIf "yes", for how long have you been employed ? EDUCATION QUALIFICATIONSName of QualificationsInstituteYear EnrolledYear CompletedName of QualificationsInstituteYear EnrolledYear CompletedName of QualificationsInstituteYear EnrolledYear CompletedWould you like to be packaged with one of IIBT partner universities program?YesNoIf yes, please specify the university namePlease specify your preferred intake for university entry: Semester 1Semester 2 STEP 3PROPOSED COURSE English Course (ELICOS)General English II - 10 weeksGeneral English III - 10 weeksAcademic English III - 12 weeksAcademic English IV - 12 weeksVocational Course (VET)BSB40215 Certificate IV in Business - 20 weeksICT40115 Certificate IV in Information Technology - 28 weeksBSB50215 Diploma of Business - 52 weeksICT50115 Diploma of Information Technology - 52 weeksBSB60215 Advanced Diploma of Business - 78 weeksICT60315 Advanced Diploma of Information Technology Business Analysis - 78 weeksHigher Education Course (HE) Diploma of Business Administration - 52 weeksDiploma of Information Technology - 52 weeks* Fast Track: Student needs to demonstrate academic capabilityCommencement YearCommencement Month OVERSEAS STUDENT HEALTH COVERAll overseas students studying in Australia on a Student Visa are required by the Australian Government to obtain Overseas Student Heath Cover. If you require Overseas Student Health Cover arranged by IIBT, please indicate your preference:SingleDual Family MultifamilyI will arrange my own OSHC myself/through my agent If you already have OSHC, please provide insurer details: ProviderMembership number:Expire date (DD/MM/YYYY): ADDITIONAL INFORMATIONDo you have a disability, impairment or long-term medical condition which may affect your studies?YesNoIf yes, please specify below:Hearing (Deaf)PhysicalAcquired brain impairmentIntellectualLearningMental illnessMedical ConditionVisionOtherWhere did you hear about us ?AgentAdvertisingWord of mouthOther STEP 4DOCUMENTS UPLOAD1. Certified copy of your passport page *2. Certified copy of your official final high school certificate and transcript3. Certified copy of your IELTS or any relevant English certificate(Including the explanation of levels and grades.)4. Certified copy of your official college or university certificate and transcript5. Copy of your current visa (if applicable)6. Certified translations of any documents that are not in English Applicant's DeclarationI declare that I have read the instructions on this application form and that the information I have provided is complete and correct. read more STUDENT DECLARATIONI have read and accept the conditions of enrolment including the cancellation and refund policy of the Institute as stated above.I declare that the information provided by me on this form is true and correct.I consent to the collection,use and disclosure of my personal information in accordance with the National VET Data policy.Submit