Approved Authority Application Form

Approved Authority Application Form
Action*
AGEID*
Federal Government Education Institute Identifier
Diocese*
CRICOS
The Commonwealth Register of Institutions and Courses for Overseas Students
Campus / School Name*
Site Address*

Street Address

Street Address Line 2

CityState

Postcode
Postal Address*

Street Address

Street Address Line 2

CityState

Postcode
Email*
Website*
State Education Registration Number*
Queensland Government Education Institute Identifier
Start Date

DayMonthYear
Closing Date

DayMonthYear
Affiliation*
State Registration Certificate*

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School Type*

Co EdBoys OnlyGirls Only
Boarding*

YN
Distance Education*

YN
Special School*

YN
Special Assistance*

YN
State Education Minister's Approval*

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Year Level Accreditation*

Prep718293104115126
School Contact*

TitleFirst NameLast Name
Position*
Phone*

Area CodePhone Number
Email*
School Principal*

TitleFirst NameLast Name
Enrolment Date*

DayMonthYear
Date
Statement Type of Enrolments*

Funded Students*

Indigenous Students*

Distance Education

Supplementary*

Substantial*

Extensive*

By filling in the section below, you confirm that the information contained in this application is complete and correct, and understand that giving false or misleading information to the Commonwealth is a serious offence which may lead to prosecution.
Data Entered / Modified By*

First NameLast Name
Position (Institute)*
Phone*

Area CodePhone Number
Email*
Should be Empty: