Student No.: Invoice No.:Student Application Form & Agreement • March 8th, 2016
Contract Type FiledMarch 8th, 2016NSW English College Student Application Form & Agreement Personal Details Intended Course(s) and Duration Family Name: General English EAP (Minimum Entry requirements*) 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) Mr. Ms. Mrs. Date of Birth (dd/mm/yyyy): / / Nationality: Country of Birth: Address in Home Country: Total Duration ( ) weeksCourse 1-( ) : ( ) week (s) ( AM / PM )Start Date: / / Finish Date:: / / Course 2 -( ) : ( ) week (s) ( AM / PM )Start Date: / / Finish Date:: / / Course 3 -( ) : ( ) week (s) ( AM / PM )Start Date: / / 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.Do