Student Forms

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)

Address in Home Country

Address(Required)

Suburb / Town(Required)

Postcode:(Required)

Country(Required)

Inside or Outside of Australia ?

Onshore (Inside Australia)

Offshore (Outside Australia)

Address in Australia (if known)

Address

Suburb / Town

Postcode:

Country

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)

3. PREVIOUS ACADEMICS

3.1 Are you currently enrolled with any education provider?(Required)

Yes

No

(if yes please read the information carefully by visiting https://nortwest.edu.au and go to question 3.2, if No please go to question 3.3).

3.2 Please Indicate your intention of Intended Course

Parallel Study

Primary Course

3.3 Have you studied with Nortwest College previously?

Yes

No

ID Number

English Language Proficiency(Required)

Please provide certified copies of your latest 2-year academic results & IELTS, TOEFL or PEARSON score if applicable. Please note that only results achieved within two years of the test date will be considered. If you have not yet sat an IELTS/ TOEFL/ PEARSON exam, please indicate below when you will be seating for the test.(Required)

Max. file size: 200 MB.

IELTS Score (Overall)

TOEFL Score

PTE Score

Other (please specify)

OR I will sit / have sat an English language proficiency test on Date:

4. COURSES INFORMATION

ELICOS - Select from list(Required)

How many weeks ?

Select Main Course 1

Select Main Course 2

Select Main Course 3

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. COURSE CREDIT

Do you intend to apply for Course Credit?(Required)

Yes (If yes, download and complete Nortwest course credit form from www.nortwest.edu.au)

No

6. 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/

7. EDUCATION AGENT DETAILS (If applicable)

Who is your Education Agent?

Agent Name

Agency name

Agent Phone

Agent Email

Address

I authorise the agent selected to act on my behalf:(Required)

Authorise education agent

Agent declaration

I am satisfied that the applicant is a genuine student and genuine temporary entrant as defined by DIBP and I recommend them for admission to Nortwest College. I am satisfied that the applicant has access to sufficient funds to cover tuition, travel, living and OSHC costs for themselves and any dependants. I confirm that the supporting documentation provided with this application are the true copy of the originals which are/were sighted by me and can confirm their authenticity and genuineness.

Agent Signature:(Required)

Date

8. STUDENT DECLARATION

Declarations(Required)

I agree to all below declarations.

1. I declare that the information contained in this application and the supporting documentation is
true and correct. I understand giving false or misleading information is a serious offence under state
and/or federal law in Australia.
2. I declare that I am a Genuine Temporary Entrant (GTE) and a Genuine Student and that I have read
and understood the conditions in relation to these requirements as defined on the following
website: https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-listing/student-500/genuine-
temporary-entrant.
3. I understand that if Nortwest College forms the opinion that I am not a Genuine Temporary Entrant,
they may refuse to assess my application, withdraw an offer or cancel my confirmation of
enrolment.
4. I declare that I have read and understand the information related to Nortwest College’s
admissions requirement, tuition fees, course information and refund policy on
www.nortwest.edu.au.
5. I agree to advise Nortwest College immediately if there are any changes to the information I have
provided in this application.
6. I understand that Nortwest College have the right to vary or reverse any assessment made on the
basis of incorrect, incomplete, false or misleading information which I have provided.
7. I understand that by completing this application, I am giving written consent to Nortwest College
verify the information supplied by me in this application.
8. I declare that I have access to the funds required to study at Nortwest College for the length of my
course including course/tuition fees and living expenses for myself and my dependents.
9. I agree to allow Nortwest College to check my visa entitlements via DHA Visa Entitlements
Verification Online (VEVO) System.
10. I have read and understood the above conditions and accept them in full.

Applicant Name

Applicant Signature(Required)

Date(Required)

Comments (Kindly mention any special request like Gap between the courses, Fee Installment or Initial Deposit .)