Working Holiday Visa Enrolment Form - Cairns College of English and Business

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This field is for validation purposes and should be left unchanged.

Name*

Given names Family name

Email*

Phone

Date of birth*

Gender*

Female

Male

Other

Residential address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality*

Country

In which country were you born?:*

Country

Mother Tongue*

Passport number*

Copy of your passport

Max. file size: 10 MB.

Upload a copy of your current passpor

How well do you speak English?*

Not at all

Not well

Well

Very well

Are you of Aboriginal/ Torres Strait Islander origin?*

No

Yes, Aboriginal

Yes, Torres Strait Islander

Do you have a disability, impairment or long term condition?*

Yes

No

Which?

Hearing

Vision

Medial condition

Physical

Intellectual

Acquired brain Impairment

Learning

Mental Illness

Other

What is your highest completed school level?*

Year 12 or equivalent

Year 11 or equivalent

Year 10 or equivalent

Year 9 or equivalent

Year 8 or below

Never attended school

Which year did you complete that school level?

Are you still attending secondary school?*

Yes

No

Have you completed any of the following qualifications (Tick all that apply)*

Bachelor degree or higher

Advanced diploma or associate degree

Diploma or associate diploma

Certificate IV

Certificate III

Certificate II

Certificate I

Other

No qualification

Which best describes your current employment status?*

Full-time employee

Part-time employee

Self employed- not employing others

Employer

Employed- unpaid work in a family business

Unemployed- Seeking full-time work

Unemployed- Seeking part-time work

Unemployed- Not seeking employment

Which best describes your main reason for this study?*

Unique Student Identifier

You can apply for your USI online http://www.usi.gov.au/create-your-USI/

How did you hear about us?*

Internet search

Social media

Current/ex-student

Walk past

Agent

Other

Agent/ representative name (if applicable)

Type of visa you will be studying on/applying for?*

Visitor

Working holiday

Student visa

Other

Start date of visa

Copy of your visa

Max. file size: 10 MB.

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?

Would you like CCEB to arrange your OSHC for you?*

Yes

No

Course Start Date*

Working Holiday Visa Program

Total

Credit Card*

Signature*

Enrolment Form

Accommodation details

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