1. Personal Details
Surname
Given Name/s
Date of Birth
Country and City of Birth
Maritial 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
Number & Street
City/Town
Province/State
Post Code
Country
Emergency Contact Number
Address in Australia (If Known)
Number & Street
City/Town
Province/State
Post Code
Country
Emergency Contact Number
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
Provider
Course
Duration
Year
4. Overseas Student health Cover (OSHC)
5. Visa and Passport Details
If yes, what type of visa?
If No, Which DHF office will you apply?
City
Country
Passport Number
Nationality
Expiry Date
6. Education History
Recent Academic Qualification
Completion Year
School/College Name
Country
7. Students under 18
Parents/Guardian Full Name
Mobile
Email
Address
8. Agent Details (If Applicable)
Organisation Legal Name
Mobile
Email
Agent Representative
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)
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
11. Students under 18 to complete
Signature of Parent/ Guardian 1
Date
Printed Name
Signature of Parent/ Guardian 2
Date
Printed Name
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.
13. Student Declaration
Student Signature
Date
Printed Name
Submit
