student registration form

Student Registration Form RecentPhotoHere

Family Name:

Given Names:

Date of Birth: Day Month Year

Male: Female:

Passport Number:

Languages Spoken:

Nationality:

Address in Home Country:

Telephone: Fax:

Email:

Address in Australia (if applicable):

Telephone in Australia (if applicable):

1. PERSONAL DETAILS

Name of School, College or University:

2. EDUCATION

What is your highest level of Education?

Degree: Diploma: Sec. School:

Date Completed: Day Month Year

IETLS:

Date Test Taken: Day Month Year

Results: R: W: L: S:

3. ENGLISH LANGUAGE

OET:

Other? Describe:

Other Results

4. INTENDED LEVEL OF STUDY

If these details change, you should notify Vostek by sending an email to info@vostek.net.au or contacting your Vostek consultant.

English:

PhD:

Master:

Batchelor:

Diploma:

Vocational Training:

Senior or Junior High School:

Primary School:

Preferred Subject Area:

Proposed Start Date: Day Month Year

5. ADDITIONAL INFORMATION

Do you have any significant disabilities or health problems?

If you have previously been to Australia for study or work, please describe:

If you have any direct relatives in Australia, please describe:

What Australian state or city are you most interested in studying, if any?

What is your overall goal in studying in Australia?

Study & work: Skilled Migration: Better career prospects at home:

Any other comments or questions:

How did you hear about Vostek?