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:
f
2. Course Options – Please Select The Course You Wish To Enrol Into
**Prerequisites Required: Prerequisite for CHC50121 is CHC30121 | Prerequisite for ICT60220 is ICT50220 | Prerequisite for FNS50222 is
FNS40222 | Prerequisites for FNS60222 are FNS40222 & FNS50222 | Prerequisite for CHC43121 is CHC33021 | Prerequisite for BSB50620 is BSB40820
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:
f
4. Overseas Student health Cover (OSHC)
f
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:
f
6. Education History
Name of Qualifications
Year Completed
College/School Name
Country
f
7. Students under 18
Parents/Guardian Full Name:
Mobile:
Email:
Address:
f
8. Agent Details (If Applicable)
Organisation Legal Name:
Mobile:
Email:
Agent Representative:
f
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)
f
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:
f
11. Students under 18 to complete:
Signature of Parent/ Guardian 1:
Date:
Printed Name:
Signature of Parent/ Guardian 2:
Date:
Printed Name:
f
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.
• NCVER;
• Organizations conducting student surveys;
• and Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
-Issuing statements of attainment or qualification, and populating authenticated VET transcripts;
-facilitating statistics and research relating to education, including surveys;
-understanding how the VET market operates, for policy, workforce planning and consumer information; and
-administering VET, including programmed administration, regulation, monitoring and evaluation.
NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au.
You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third-party contractor. You may opt out of the survey at the time of being contacted.
f
13. Student Declaration
Student Signature:
Date:
Printed Name:
Submit