Student No.: Invoice No.:March 8th, 2016
FiledMarch 8th, 2016NSW English College Student Application Form & Agreement Personal Details Intended Course(s) and Duration Family Name: π General Englishπ EAP (Minimum Entry requirements*)π IELTS Preparation (Minimum Entry requirements*)Minimum Entry requirements EAP1 : IELTS 5.0 or Intermediate General English EAP 2: IELTS 5.5 OR Upper Intermediate General English IELTS Preparation: Intermediate General English Given Name: Title (Please Tick) π Mr. π Ms. π Mrs. Date of Birth (dd/mm/yyyy): / / Nationality: Country of Birth: Address in Home Country: Course 1-(Start Date: / Course 2 -(Start Date: / Course 3 -(Start Date: / Total Duration ( ) weeks) : ( ) week (s) ( AM / PM )/ Finish Date:: / ) : ( ) week (s) ( AM / PM )/ Finish Date:: / ) : ( ) week (s) ( AM / PM )/ Finish Date:: / / / / Passport No: Telephone: Mobile: E-mail: Overseas Student Health Cover (OSHC) & Visa Type The Australian Government requires all students entering Australia on a Student Visa to take Overseas Student Health Cover.