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ContractStudent Application Form & Agreement • August 20th, 2019
Australian International College Student Application Form & Agreement PART A - PERSONAL INFORMATION & EDUCATION Personal Details Visa & 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: Home Country Address: • DHA for COE (If applicable): State: 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 Postcode: Home phone: Mobile: Email: Country of Birth: Accommodation & Arrival Services(International students) Nationality: Please tick ( ) if you require: Homestay Airport pickup Passport Number: Disability Emergency Contact Details: Do you consider y
