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

City State

Postcode Country

Postal Address *

Street Address

Street Address Line 2

City State

Postcode Country

Email *

Website *

State Education Registration Number *

Queensland Government Education Institute Identifier

Start Date

Closing Date

Affiliation *

State Registration Certificate *

Browse Files

Files supported: .doc, .docx, .rtf and .pdf; Maximum size: 1MB

School Type *

Co Ed Boys Only Girls Only

Boarding *

Y N

Distance Education *

Y N

Special School *

Y N

Special Assistance *

Y N

State Education Minister's Approval *

Browse Files

Files supported: .doc, .docx, .rtf and .pdf; Maximum size: 1MB

Year Level Accreditation *

School Contact *

Title First Name Last Name

Position *

Phone *

Area Code Phone Number

Email *

School Principal *

Title First Name Last Name

Enrolment Date *

Date

Statement Type of Enrolments *

Funded Students *

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

Indigenous Students *

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

Distance Education

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

NCCD Students with Disability

Supplementary *

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

Substantial *

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

Extensive *

Full Time

Part Time (FTE)

Prep

1

2

3

4

5

6

7

8

9

10

11

12

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 Name Last Name

Position (Institute) *

Phone *

Area Code Phone Number

Email *