TIIS Enrolment Form

Citizenship and Visa Details
Country of Birth
Country of Citizenship
Passport Number
Passport Expiry Date

MonthDayYear
Date
Do you currently hold a visa?

YesNo
Visa Type
Date

MonthDayYear
Date
Do you qualify as a ‘Genuine Student’ and meet “Genuine Temporary Entrant’ criteria as defined bythe Department of Home Affairs (DHA). These criteria may be checked at the DHA website:https://www.homeaffairs.gov.au/

YesNo

Do you have a current CoE issued by another registered provider?

YesNo
Provide Details
Would you like to authorise an education agent to represent you in relation to this application?

YesNo
Agents Name

First NameLast Name
Contact Person
Telephone
Email
example@example.com
Intake Preference

Trimester 1 / JanuaryTrimester 2 / MayTrimester 3 / September
Year
2019, 2020, 2021 etc

Section 2

Education
English Proficiency - Have you completed any of the following language tests in the last two years?

IELTSTOEFLiTOEFLPTE
Date of Test

DayMonthYear
Date
Level (s) of Achievement

Level of Study

	Name of Qualification	School or Institution	Country	Year Attended (Month/Year to and from)	Qualification completed (Yes/No/Intend to complete)
High School
Diploma/TAFE
Undergraduate
Postgraduate
Other

Section 3

Documentation
All relevant and verified documentation relating to the application MUST be attached. This includes but is not limited to: record of English Proficiency Test (s) and Academic Transcript (s).
Additional InformationIf you have any other information relevant to your educational qualifications which you would like considered, please note below.
Applicant’s Declaration
I declare that the information supplied in this application is true and correct. I authorise, if necessary, The Institute of International Studies to seek enrolment and academic status information from any institution cited in this application.

I declare that I have sufficient funds to meet all my financial commitments including: all tuition fees and associated academic costs; Overseas Student Health Cover; and all living costs including those of any accompanying dependents.

I understand that the Department of Home Affairs (DHA) will undertake their own determination of my suitability as part of their visa processes.

I am aware that any information supplied in this application may be provided to the DHA, the Tertiary Education Quality Standards Authority (TEQSA) and the Department of Education.
Name

First NameLast Name
Type a question

Clear
Date

DayMonthYear
Date
Math Challenge
Should be Empty:

Section 1