Biuc Student Admission Form - Nortwest College

COURSES INFORMATION

ELICOS - Select from list

How many weeks ?

Select Course(Required)

Select the Britts Imperial University College (BIUC) Course in which you are currently enrolled in.(Required)

Select Campus

1. PERSONAL DETAILS

Title(Required)

Family name (as in passport)(Required)

Given name(s) (as in passport)(Required)

Date of birth(Required)

Gender(Required)

Male

Female

Other or Non-disclosed

Nationality (as per your passport)(Required)

Phone/Mobile (with country code)(Required)

Email Address(Required)

Student ID of BIUC (Britts Imperial University College)(Required)

Address in Home Country

Address(Required)

Address

CountryState

Suburb / Town(Required)

Postcode:(Required)

Address in Australia (if known)

Building Name

Unit Details

Street Number/Name

State

Suburb / Town

Postcode:

Emergency Contact Details

Contact Name

Phone Number(Required)

Mobile Number

Relationship

Medical Conditions

Do you have a known disability or medical conditions? (e.g. intellectual, hearing, vision, etc.)(Required)

Yes

No

If YES (give details and contact our admin team)

2. PASSPORT AND VISA DETAILS

Country of Birth(Required)

Citizenship(Required)

Passport Number(Required)

Do you hold a valid Australian visa?(Required)

Yes

No

If yes, please specify

Have you organised Overseas Student Health Cover?(Required)

Yes

No

If YES, please give details:

As an International student you are required to apply for Overseas Student Health cover to study in Australia. Nortwest College can arrange this for you. Please tick which cover you require:(Required)

Yes, Single Cover (Single cover is only for the overseas student)

Yes, Couple cover (Couple cover is for overseas student and one adult)

Yes, Family Cover (Family cover is for overseas student and more than one dependant)

Note: Carpentry, Wall & Floor Tiling, Painting & Decorating, Building & Construction are available currently in NSW Campus only.

Flexible Intake Dates – Write your preference

Month

Year

5. UNIQUE STUDENT IDENTIFIER (USI)

Do you have a Unique Student Identifier (USI) number?(Required)

Yes

No

Please provide your USI no.

Nortwest College can create an USI account on your behalf. Please acknowledge if you would like us to create one for you.(Required)

Agree

Disagree

Please note that it is mandatory that all International Students must have an USI number. This form is available on the USI website. Please use the following link: https://www.usi.gov.au/

6. TRANSFERRING STUDENT INFORMATION (If applicable)

Are you transferring from another education provider in Australia?

Yes

No

Have you completed the first 6 months of your principal course?

Yes

No

Name of Institute:

If you currently enrolled in another institute in Australia please provide release letter.

Drop files here or

Max. file size: 64 MB.

6(a). EDUCATION AGENT DETAILS (If applicable)

Do you have an Agent ?

Yes

No

Agent Name

Agency name

Privacy Notice

Under the Data Provision Requirements 2012, Workplace Health and Safety Services Pty Ltd is required 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 Nortwest College for statistical, regulatory and research purposes.
Nortwest College may disclose your personal information for these purposes to third parties. This practice is also required by the ESOS Act and the ESOS National Code 2018. 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 authorized agencies
- NCVER
- Researchers
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
- Issuing a VET Statement of Attainment or VET 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 program 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 (Cth), the VET data policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).