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ENROLMENT FORM

PERSONAL DETAILS

Gender *
MaleFemaleOther

YOUR ADDRESS

TRAVEL DOCUMENT INFORMATION

Are You In Australia On A Visa? *
YesNo

ENGLISH PROFICIENCY

Do you have proof of English proficiency? (IELTS, PTE, university study, etc.) *
YesNo

EDUCATION HISTORY

Are you currently enrolled at another institution in Australia? *
YesNo

Is a letter of release required?
YesNo

OVERSEAS STUDENT HEALTH CARE(OSHC)

It is a requirement for all international students arriving in Australia on a student visa to have OSHC for the duration of their visa.

Do you need Liberty International College to arrange your OSHC for you? *
Yes, for me (single)Yes, for us (couple)Yes, for us (family)No, I am responsible for arranging my own insurance cover for the duration of my visa

ACCOMMODATION

Do you require assistance with accommodation? *
YesNo

REQUEST FOR DISABILITY SUPPORT

If you are requesting disability support, and have a disability that may affect your learning (e.g. hearing, or vision impairment, health, mobility, etc.) please provide official supporting documentation (in English) about the nature of your disability and the impact it will have for your education in Australia

Do you require disability support? *
YesNo

COURSE SELECTION

Please indicate what course(s) you are interested in. Please select all that apply. (* New Courses Scheduled for 2018)

PAYMENT OPTIONS & INFORMATION

EMERGENCY CONTACT

STUDENT DECLARATION

I have read Terms and Conditions as outlined on page 2*
YesNo

I have reviewed the Refund Policy*
YesNo