Student Form STUDENT APPLICATION FORM SECTION A: STUDENT DETAILS Title (required) —Please choose an option—MrMissMrsMsOther First Name (required) Last Name (required) Date of Birth (required) Nationality (required) Passport Number (required) Place of Issue (required) Do you hold an Australian Visa? YesNo Visa Expiry Date Email (required) Gender MaleFemaleOther Country of Birth (required) City of Birth (required) Country of Passport (required) Date of Expiry (required) Visa Subclass (If Yes) Visa Grant Number Phone (required) SECTION B: CONTACT DETAILS Address in Overseas (required) Street Suburb/City State/Province Postcode Country Address in Australia Street Suburb State Postcode Any Disability or Impairment YesNo If Yes, please specify Emergency Contact Name (required) Emergency Contact Number (required) Relationship (required) Address (required) Email (required) SECTION C: EDUCATION HISTORY Course Name Institution Name Country Date of Completion SECTION D: EVIDENCE OF ENGLISH Test Type and Score IELTSPTEOthers Score Date of Test SECTION E: RPL/ CREDIT TRANSFER Are you seeking Recognition of Prior Learning or Credit Transfer? YesNo SECTION F: STUDENT SUPPORT INFORMATION Do you need accommodation and/or airport pickup services? YesNo Do you have your Overseas Student Health Cover (OSHC)? YesNo Would you like Onepath College to arrange your OSHC? YesNo If Yes, Cover Type SingleCoupleFamily Do you have your USI (Unique Student Identification Number)? YesNo If Yes, please provide your USI Number For details information about the USI, please go to www.usi.gov.au SECTION G: COURSES AND INTAKES National code and Course name CHC30121 Certificate III in Early Childhood Education and CareCHC50121 DIPLOMA OF EARLY CHILDHOOD EDUCATION AND CARECHC30121 CERTIFICATE III IN INDIVIDUAL SUPPORTCHC50121 DIPLOMA OF COMMUNITY SERVICESSIT40521 CERTIFICATE IV IN KITCHEN MANAGEMENTSIT50422 DIPLOMA OF HOSPITALITYICT50220 DIPLOMA OF INFORMATION TECHNOLOGYICT50220 ADVANCED DIPLOMA OF INFORMATION TECHNOLOGY Intakes: 2025 06 Jan10 Feb07 Apr12 May07 Jul11 Aug06 Oct10 Nov Intakes: 2026 05 Jan09 Feb06 Apr11 May06 Jul10 Aug05 Oct09 Nov SECTION H: TUITION FEES Note: For courses more than 24 weeks you are not required to pay more than 50% of the Tuition Fee up front BUT YOU MAY DO SO VOLUNTARILY I wish to pay more than 50% tuition fee up front SECTION I: MARKETING Are you applying through an agent YesNo If yes, name of the agent SECTION J: CHECKLIST Completed all section of this form Enclosed copy academic transcript and completion certificate Enclosed a copy of your passport bio data page Enclosed copy of English Proficiency Test Provided other supporting documents (if applicable) SECTION K: PRIVACY NOTICE Why we collect your personal information? As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. How we use your personal information? We use your personal information to enable us to deliver VET courses to you. How we disclose your personal information? We are required by law to disclose the personal information we collect about you to the National VET Data Collection. SECTION L: STUDENT DECLARATION I declare that the information provided is true and correct I agree to the collection, use and disclosure of my personal information as per the Privacy Notice Name of applicant (required) Signature Date (required)