購買職業安全保障

1至12年級申請人所需的信息

Tuesday 8 April 2025

Information Needed For Year 1 to 12 Applicants

- 請用英文輸入信息

如果您的年齡低於 18 歲，則此表格必須由您的父母填寫。

Form #204

Personal Information as per Passport

Title

Given Names

Middle Name (if Applicable)

Family Name

Telephone

Date of Birth

Gender

Country of Birth

Marital Status

Passport details

Passport Number

Place of Issue / Issuing authority

Date of Issue

Date of Expiry

Country of Passport

Nationality of Passport Holder

It is strongly recommended that the passport be valid for at least six months

Drag and drop files here or click to upload

Optional

Maximum Allowed Upload Size Is: 50MB

Australian Address (if applicable)

Full Address

Postcode

City

Telephone

Home Country Address

Full Address

Postcode

City

Country

Application Objective

Application ObjectiveIntended Degree/Course:

Field of Research/Study Focus:

Statement of Objectives (briefly state your goals):

Choose Preferred Schools

Choose Your School Type

Government (Public) Schools

Private and Independent Schools

Choose Preferred State and City

Select the State and City

New South Wales – Sydney

Victoria – Melbourne

Queensland – Brisbane

Western Australia – Perth

South Australia – Adelaide

Tasmania – Hobart

Australian Capital Territory (ACT) – Canberra

Northern Territory – Darwin

Enter the Name of the Education Provider you like to apply for

Enter the Name of the Education Provider you like to apply for1:

Choose Preferred subjects

Subject preference 1:*

Subject preference 2:*

Subject preference 3:*

Subject preference 4:

Subject preference 5:

Subject preference 6:

Subject preference 7:

Subject preference 8:

Education Background

Start with the last Qualification Earned

Select your Education Level

Select the country where you studied

Enter the Name of the Education Provider

Date From

Date To

Type your GPA achieved

Technical Skills

List relevant technical skills:

Awards & Grants (if applicable)

List awards/grants received:

Professional Memberships (if applicable)

List memberships:

References

ReferencePosition:

Institution:

Phone:

Email:

Personal & Family Information

Personal & Family InformationFather’s Name:

Occupation:

Highest level of education of parent/guardian 1:

Mother’s Name:

Occupation:

Highest level of education of parent/guardian 2:

Disability

Do you consider yourself to have a disability, impairment or a long-term health condition?

Yes

Travel History

Country Visited

Date Entered

Date Departed

Reason for travel

Visa & Compliance History Australia

Have you ever been granted an Australian visa?

Yes

If you currently have one of the types of Australian visas, complete this section.

Do you currently hold a valid Australian visa?

Yes

Visa Type

Visa

Visa Grant Number

Visa Expiry Date

Please confirm the date you arrived in australia for the first time. (if applicable)

Have you ever been refused an Australian visa?

Yes

+ Attach Visa Scan (optional)

Visa & Compliance History Other Countries

Previous Visa Refusals (if any to any country)

Compliance Issues (if any in any country)

Emergency Contact

Title

Given Names

Family Name

Please Describe Relationship to the Student

Telephone

Full Address

1至12年級申請人所需的信息

Information Needed For Year 1 to 12 Applicants

- 請用英文輸入信息

如果您的年齡低於 18 歲，則此表格必須由您的父母填寫。

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