ELICOS Enrolment Form

1 Personal details

2 Visa details

3 Accommodation

4 Courses

5 Payment method

6 Declaration

Type of visa*
- Visitor
- Working holiday
- Student visa
- Other
Start date of visa
Date Format: MM slash DD slash YYYY
Copy of your visa
Please upload a copy of your visa (if you hold one)
Do you have OSHC at the moment?
- Yes
- No
Student visas only - The Australian Government requires anyone on a student visa to have Overseas Student Health Cover (OSHC) for the length of their visa.
If yes, when does it expire?
Date Format: DD slash MM slash YYYY
Would you like CCEB to arrange your OSHC for you?*
- Yes
- No

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Full Time Courses
- General English Full-Time (CRICOS: 072892G)
- IELTS Preparation (CRICOS: 073937B)
- Cambridge First (CRICOS: 073934E)
- Cambridge Advanced (CRICOS: 073935D)
Part Time Courses
- General English Part-Time
- Job Ready Program (VET Enrolment form must be completed)
Not suitable for students on a student visa
Start date
Entry to all courses is conditional on meeting entry requirements. All courses start on a Monday unless that Monday is a public holiday. For Cambridge courses, please see course calendar for start dates.
1st course start date*
Date Format: DD slash MM slash YYYY
Number of weeks (1st course)*
2nd course start date
Date Format: DD slash MM slash YYYY
Number of weeks (2nd course)
3rd course start date
Date Format: DD slash MM slash YYYY
Number of weeks (3rd course)
4th course start date
Date Format: DD slash MM slash YYYY
Number of weeks (4th course)

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Payment
- I wish to pay 100% of fees upfront
- I wish to pay in term payments (if available)

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Declaration*
I agree
I confirm that the information provided on this form is complete and correct. I acknowledge this is an application only (i.e. there is no guarantee of a place). If an offer is made to me my acceptance is subject to the terms and
conditions set out in the letter of offer.
Signature*
Agent/ representative name (if applicable)
Email
This field is for validation purposes and should be left unchanged.

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Accommodation details