study in Australia, Kingston International College, English courses, vocational courses, higher education

Title (Mr/Mrs/Miss/Ms)
Family Name
Given Names
Date of Birth (dd/mm/yyyy)
Sex	Male Female
Do you have a disability?	Yes No
If yes, please specify

2. Citizenship

Country of Birth
Nationality (On Passport)
Passport Number
Do you hold an Australian Visa?	Yes No
If yes, what type of visa?	Student Visa Working Holiday/Tourist Other - Please specify
Visa Expiry Date
If no, what type of visa will you apply for?	Student Visa Working Holiday/Tourist Other - Please specify
Do you have current Overseas Student Health Cover?	Yes No
Medibank Membership No. (if available)
Medibank Expiry Date

3. Contact Details

4. English Language Course Enrolment

English Course
Number of Weeks
Start Date
Do you want to enrol in any other English Course?	Yes No
If so, please enter details here

5. Vocational Course Enrolment

Vocational Course
Start Date
Do you want to enrol in any other VET Course?	Yes No
If so, please enter details here

6. High School Course Enrolment

7. Language

What language do you speak at home?
Please tick any English Tests taken	TOEFL IELTS
Test Results
Date of Result

8. Education History

Please list the details of your overseas education, including the highest level of education reached.

Name of School
Year
Country
Name of Course
Period of Study
Have you studied at another college/university in Australia?	Yes No
If yes: Name of School
Name of Course
Year
Period of Study

9. How did you hear about Kingston?

10. Declaration

I agree to be bound by the College General Terms and Conditions and Refund Policy, and further agree to abide by the College rules and regulations.

For details of refund policy please refer to the General Terms & Conditions in the enrolment form.

Telephone
Fax
Email Address
Postal Address

ENROLMENT FORM

1. Personal Details