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1 of 4 - Your first simple step to complete application

1 Personal Details

2 Course Details

3 Education

4 Accommodation.

Personal details
First Name*
Last Name*
English Name
Date of Birth*
Nationality*
Male or Female*
- Male
- Female
First / Other languages*
Are you of Aboriginal or Torres Strait Islander origin?*
- Yes
- No
Do you have IETLS 5.5 or equivalent?*
- Yes
- No
Are you planning to study an English course prior your VET course?*
- Yes
- No
Are you a current student at International House Sydney City, Bondi, Darwin or Melbourne?*
- Yes
- No
Home Address*
City*
Post Code*
Country*
Telephone (Daytime)*
Telephone (Home)
Telephone (Mobile)
Fax
Email*
Visa details
Visa Type*
Visa Expiry
Address in Sydney
Telephone or mobile in Sydney
Do you consider yourself to have disability, impairment or long-term condition?*
- Yes
- No
if YES, please specify:

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Location
Course 1
Course Name*
Start Date
- 4 Nov - 13 Dec 2019
- 28 Jan - 6 Mar 2020
- 23 Mar - 1 May 2020
- 18 May - 26 Jun 2020
- 13 Jul - 21 Aug 2020
- 7 Sep - 16 Oct 2020
- 2 Nov - 11 Dec 2020
Course 2
Course Name
Start Date
- 4 Nov - 13 Dec 2019
- 28 Jan - 6 Mar 2020
- 23 Mar - 1 May 2020
- 18 May - 26 Jun 2020
- 13 Jul - 21 Aug 2020
- 7 Sep - 16 Oct 2020
- 2 Nov - 11 Dec 2020
Course 3
Course Name
Start Date
- 4 Nov - 13 Dec 2019
- 28 Jan - 6 Mar 2020
- 23 Mar - 1 May 2020
- 18 May - 26 Jun 2020
- 13 Jul - 21 Aug 2020
- 7 Sep - 16 Oct 2020
- 2 Nov - 11 Dec 2020

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Referral
How did you find out about us?*
If other, please specify
Education agency details (if applicable)
Counsellor’s name
Company
Agent’s telephone
What is your current employment status?*
- I agree to authorise this agent to act on my behalf
What is your main reason for undertaking this course?*
Education
Which languages do you speak/write? Please comment on your fluency*
Highest level of education*
Other?
Majored in
Other Qualifications

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Homestay Accommodation
Check-in date
Check-out date
Do you smoke?
- Yes
- No
Allergies / Illnesses
Special Requests
If airport transfer is required,please provide flight number, date and time of arrival
*
- I accept the terms and conditions *
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Call us on (+61 2) 9279 0733

Call us on (+61 2) 9279 0733

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