1. Personal Details
Surname:
Given Name/s:
Date of Birth:
Country and City of Birth:
Marital Status:
Work/Home Phone:
* Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet
have a USI and want VIE to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the
identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.
Email Address:
Mobile Phone:
Address in Home Country
Number And Street
City/Town
Province/State
Post Code
Country
Emergency Contact Name:
Address in Australia
(If known):
Number And Street
City/Town
Province/State
Post Code
Suburb
Emergency Contact Number:
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2. Course Options – Please Select The Course You Wish To Enrol Into
**Prerequisites Required:
Which intake do you wish to commence your course (month and year)?
Month:
Year:
If YES, certified copies of transcripts from previous qualifications must be provided with this form, along with a Credit Application Form.
*If you indicate YES, you will be contacted to discuss this further. Please note that there is a cost associated with RPL application and assessment.
3. English Proficiency
If yes, please provide details: Test Name
Test Name:
Test Score:
Year:
If yes, provide details:
Provider:
Course:
Duration:
Year:
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4. Overseas Student health Cover (OSHC)
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5. Visa and Passport Details
If yes, what type of visa?
If No, Which DHF office will you apply?
City:
Country:
Passport Details:
Passport Number:
Nationality:
Expiry Date:
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6. Education History
Name of Qualifications
Year Completed
College/School Name
Country
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7. Students under 18
Parents/Guardian Full Name:
Mobile:
Email:
Address:
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8. Agent Details (If Applicable)
Organisation Legal Name:
Mobile:
Email:
Agent Representative:
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9. Unique Student Identifier (USI)
From 1 January 2015, we, Victorian Institute of Education can be prevented from issuing you with a nationally recognized VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your- USI/ on computer or mobile device.
Please enter your unique student identifier: (If you already have one)
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10. Application Check List
Attatch valid passport copy:
Proof of English Language Proficiency:
High School Certificate or other relevant certificates:
Valid visa (If you have one):
Genuine Temporary Entrant (GTE) Assessment form:
Any other relevant documents to support you application e.g., resume:
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11. Students under 18 to complete:
Signature of Parent/ Guardian 1:
Date:
Printed Name:
Signature of Parent/ Guardian 2:
Date:
Printed Name:
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12. Privacy Notice
Under the Data Provision Requirements 2012, Victorian Institute of Education is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Victorian Institute of Education for statistical, regulatory and research purposes. Victorian Institute of Education may disclose your personal information for these purposes to third parties, including: Commonwealth and State or Territory government departments and authorized agencies.
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13. Student Declaration
Student Signature:
Date:
Printed Name:
Submit
