Title *

First Name *

Middle Name (If Applicable)

Last Name *

Date Of Birth *

Gender

Male

Female

Are You Married?

Yes

Do You Have Any Children?

Yes

Will Your Spouse Leave His/Her Job and Join You as a Dependent?

Yes

USI Number (If Applicable)

Are You Lodging This Application From Overseas Or Within Australia

I Am Overseas

I Am In Australia

Mobile/Phone *

Email *

2. Address in Australia

Street Address *

State / Territory

Suburb *

Zip/Postal Code *

Are You Currently Living At This Address?

Yes

I Will Not Be Living Here

3. Address In Home Country

Street Address *

State/Region/Territory/Province *

Zip/Post Code *

Country *

4. Emergency Contact

Contact Person Name *

Relationship

Contact Person Phone *

Email Address *

Address *

Is Emergency Contact In Australia?

Yes

5. Passport And Visa Details

Do You Currently Hold A Valid Australian Visa?

Yes

Please Indicate Type Of Visa (If Applicable)

Other Visa (Please Specify)

Your Nationality *

Country Of Birth *

Passport Number *

Passport Expiry Date *

Are You Of Aboriginal or Torres Strait Islander Origin?

Yes, Aboriginal

Yes, Torres Strait Islander

Submit Copy Of Passport and Visa Details

6. Disability

Do You Consider Yourself To Have A Disability, Impairment Or Long Term Condition?

Yes

7. Student's English Ability

What Is Your First Language? *

How Well Do You Speak English?

Very Well

Well

Not At ALL

Have You Taken Any English Language Courses In Australia?

Yes

Have You Sat An IELTS, TOEFL OR PTE? *

IELTS

TOEFL

PTE

Overall Band *

Upload English Result*

8. Schooling Information

What Is Your Highest Completed School Level? *

In Which Year Did You Complete That School Level? *

Are You Still Attending Secondary School?

Yes

Upload School Academic Result*

9. Previous Qualification Achieved

Have You Successfully Completed any other Qualification?

Yes

Last Qualification Achieved

Name Of Institute? *

Name Of Qualification?

Country Of The Qualification Achieved *

Year Achieved *

Other Qualification

Name Of Institute? *

Name Of Qualification?

Country Of The Qualification Achieved *

Year Achieved *

Course Credit or Recognition Of Prior Learning (RPL)? *

Do You Wish To Apply For Course Credit Or Recognition Of Prior Learning (RPL)?

Yes

Of The Following Categories, Which Best Describes Your Main Reason For Undertaking This Course/s?

Of The Following Categories, Which Best Describes Your Current Employment Status?

12. Course Information

Which Course/s Would You Like To Study?

Select Course*

Select Start Month*

Special Consideration and Arrangements (This Will Require ACMi Approval)

ACMi CAN'T GUARANTEE THE AVAILABILITY OF YOUR SELECTED SCHEDULE.

Where did you hear about ACMi? *

Internet

Magazines

Education Agent

ACMi Student

Other

I Would Like to receive Newsletter From ACMi?

Yes

Are You Using Education Agent?

Yes

14. Medical Coverage

Do You Want ACMi to Arrange Overseas Student Health Cover (OSHC)? *

I have my own OSHC

Yes, For Myself Only

Yes, For Me and My Partner

Yes, For Me and My Family Including Children

PLEASE PROVIDE DETAILS OWN OSHC DETAILS BELOW:

Name Of Insurer *

Membership Number *

Expiry Date *

Upload Copy Of OSHC Card*

15. Accommodation

Contact ACMi (admin@acmi.wa.edu.au) to seek current information about the nearby accommodation for international students

16. Privacy Notice

Under the Data Provision Requirements 2012, Australian College of Management and Innovation Pty Ltd. (ACMi) is to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including the personal information contained on this Enrolment Form and your training activity data) may be used or disclosed by ACMi for statistical, regulatory and research purposes. ACMi may disclose your personal information for these purposes to third parties, including:

School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
Employer – if you are enrolled in training paid by your employer;
Commonwealth and State or Territory government departments and authorised agencies;
NCVER;
Organisations conducting student surveys; and
Researchers.

Personal information disclosed to NCVER may be used or disclosed for the following purposes:

Issuing Statements of Attainment or qualification and populating authenticated VET transcripts;
Facilitating statistics and research relating to education, including surveys;
Understanding how the VET market operates, for policy, workforce planning and consumer information; and
Administering VET, including programme administration, regulation, monitoring and evaluation.

You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. You may opt out of the survey at the time of being contacted. NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cath), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

17. Student Declaration

I declare that the information I have provided to the best of my knowledge is true and correct. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.

I give my consent to ACMi to release my name, date of birth, contact details and statistical information to the relevant State Government bodies for the purpose of auditing, regulation of training, obtaining feedback and as statistical information. I declare that the information I have provided is true and accurate in every detail. I have read the course information and fully understand the requirements of the course for which I am seeking enrolment. I agree to ACMi identifying and publishing my name and any of my images captured for promotional materials I understand that this agreement does not remove the right to take further action under Australia’s consumer protection laws. I confirm that I have read, understood and agree to the payment of Fees and Charges as specified on ACMi website. I confirm that I have read, understood and agree to the Refund of Fees as specified in on ACMi website. I understand that failure to pay my tuition fees may result in my enrolment being cancelled and this may affect my student visa. I will immediately notify to ACMi of any changes to the information I have given in this application form.

I cannot change my education provider during the first six months of my course without a written confirmation of release from ACMi.

PRIVACY: All enrolments are confirmed in writing before the course starts, giving details of the course start times and venue. In the unlikely event you do not receive confirmation of a course prior to the commencement date, please contact us immediately.

REFUND POLICY: Clients who withdraw from a course prior to the commencement of the course maybe entitled to a part refund. Refunds are provided on a sliding scale determined by the amount of notice you provide. For a full copy of the Refund Policy visit our website or contact us.

COLLECTION FEES: By signing this enrolment form you acknowledge that you will be liable for all collection fees and charges should non-payment of our invoice/s result in the matter being handed to our Debt Collection Agency

Enrolment Checklist

Please check to make sure that your application is complete before sending to us:

Certified copy passport

Certified copies of all academic documents (12 year / +2 etc)

English Evidence- IELTS, PTE other evidence copies

Certified copy of visa (if available/relevant)

Student provider release evidence after 6 months in Australia (if )

Application form non-refundable fee $250

Student Signature [or electronic acknowledgment]*

Date *

Parent/Guardian Signature [or electronic acknowledgment]*

Date*

ABN 84 623 794 178

RTO Code: 45535

CRICOS Code: 03800K

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Enrolment Application Form

1. Personal Details