ContractStudent Application Form & Agreement • September 23rd, 2019
Contract Type FiledSeptember 23rd, 2019Australian International CollegeStudent Application Form & Agreement PART A - PERSONAL INFORMATION & EDUCATION Personal Details Overseas Student Health Cover (OSHC) (International students) Family Name: I will be studying at Australian International College: Do you have a current Australian visa?Yes No If yes, what visa type? Visa type (Please tick): Student Working Holiday Tourist Other (Please specify) Expiry date: Given name: Date of Birth: Gender: Male Female Australia Address (Mandatory): State:Postcode: Home phone: DHA for COE (If applicable): Home Country Address(Mandatory):City/State:Country: Do you require AIC to arrange Student Health Cover (OSHC) for you? Yes (If required, please tick the type of cover you require):How many months? months (From To ) Single Couple Family No Mobile: Email: Country of Birth: Accommodation &Arrival Services (Internationalstudents) Nationality: Please tick ( ) if you require: pickup Homestay Airport Passport Number: Disability Emergency Co
ContractStudent Application Form & Agreement • September 23rd, 2019
Contract Type FiledSeptember 23rd, 2019Australian International CollegeStudent Application Form & Agreement PART A - PERSONAL INFORMATION & EDUCATION Personal Details Overseas Student Health Cover (OSHC) (International students) Family Name: I will be studying at Australian International College: Do you have a current Australian visa?Yes No If yes, what visa type? Visa type (Please tick): Student Working Holiday Tourist Other (Please specify) Expiry date: Given name: Date of Birth: Gender: Male Female Australia Address: State:Postcode: Home phone: DHA for COE (If applicable): Home Country Address: Do you require AIC to arrange Student Health Cover (OSHC) for you? Yes (If required, please tick the type of cover you require):How many months? months (From To ) Single Couple Family No Mobile: Email: Country of Birth: Accommodation &Arrival Services (Internationalstudents) Nationality: Please tick ( ) if you require: pickup Homestay Airport Passport Number: Disability Emergency Contact Details: Do you consider yourself as