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PERSONAL DETAILS

* Required Fields

Family Name *

Given Name *

Date of Birth *

Nationality *

Visa Application in *

Type of Visa *

Title *

Gender*

Male Female

Country of Birth *

Passport No *

(Country) *

OVERSEAS Contact details:

Oversea Address

Telephone No

Facsimile No

Email

AUSTRALIA CONTACT DETAILS:

Street Address *

Suburb/Town *

State*

Postcode *

It is a Student Visa Condition to inform the College of your residential address in Australia within 7 days of arrival.

Telephone No *

Mobile Phone

Email *

EDUCATION

Highest level of education

English Langage Proficiency Level

IELTS Score
TOEFL Score
Other (please specify)

COURSE DETAILS

Course Name

No of Weeks

Start Date

Finish Date

Course fees:

Tuition English

Materials Fee

Enrolment Fee

Student Health Cover

Home-Stay Placement Fee

Home-Stay Fee

Airport Pick-up Fee

Total:

Full payment of AUD by (Cheque / Cash) is enclosed. I have read and understand the information in the Refund and Cancellation Policy and agree to be bound by it.

All price for studies & fees are in Australian Dollars(AUD$)

Date of Application * * *

This and other information may be proviede to DEEWR, DIAC and other State/Territory government agencies in relation to administering the ESOS Act 2000 and the Migration Act (as amended).

Please complete if you require us to organise accommodation (HOMESTAY) / Airport Pick-up for you.

Room Type

Single Room
Double Room

From the night of

To the morning of

Special assistant required

Yes No

Do you smoke?

Yes No

Do you have allergies?

Yes No

Do you require a special diet?
If YES, specify (allergy/diet)

Yes No

Do you like pets?

Yes No

If YES, specify

Airport pick-up required

Yes No

Date of Arrival

Airline

Time of Arrival

: (hh:mm)

Flight No

Enrol Procedures
	1. Complete the enrolment form on both sides and return it to your agent or the college.
	2. Fees can be forwarded to Windsor Institute of Languages Pty Ltd by cheque, bank-cheque, bank-draft or telegraphic transfer to the following accounts:
	WINDSOR INSTITUTE OF LANGUAGES PTY LTD “TRUST’ ACCOUNT Bank Name: Commonwealth Bank Branch No: 062 016 Account No: 1067 5268 Bank Address: Cnr. Liverpool & Castlereagh Street, Sydney NSW 2000 Australia COURSE COMMENCEMENT DATES English Programs - Student Orientation at 9:00am for all new students every Monday. Courses commence every Monday except public holidays and the two week Christmas break.

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