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Contact Form – Student
Title
Mr
Miss
Mrs
Dr
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Given Names
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Surname /Family Name
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Date of Birth
Address
Lane
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City
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Province
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Post Code
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Contact No.
Home
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Office
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Mobile
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Email
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Marital Status
Engaged
Married
In a Defacto Relationship
Seperated
Divorced
Widowed
Never Married
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Gender
Male
Female
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Destination Country you want to study?
country
Australia
Canada
Denmark
England
Finland
France
Georgia
Germany
India
Italy
Japan
Malaysia
Netherlands
New Zealand
Poland
Portugal
Scotland
Singapore
Spain
Sweden
Switzerland
Turkey
UAE
United Kingdom
United States
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Student Details
Your Nationality
Sri Lankan
Other – Specify
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School/Institute/University attended
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Your Highest Education Qualification
Post Graduate
Under Graduate
G.C.E A/L
G.C.E O/L
12th Grade / High School
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What is the course you want to follow ?
Course Level
Undergraduate
Postgraduate
Doctorate (PhD)
Vocational
IELTS
other
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Deciplines
Aeronautical Engineering
Engineering
Mathematics
Mechanics
Statistics
Agriculture
Environment
Architecture
Arts
Design
Fasion
Film, Television and Thearter Studies
Beauty Culture/Cosmetics
Sports
Business
Finance
Marketing
Computing
Culinary Arts
Hospitality
Retail
Education (Early Childhood)
Education (Primary)
Education (Secondary)
Education (Special)
General Education
Teaching
English Programs
Languages other than English Programs
Health
Medicine
Nursing
History
Science
Social Sciences
Journalism
Law
Linguistics
Literature
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Course Duration
1 Year
2 Years
3 years
4 Years
5 Years
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What is your first/main language?
How will you demonstrate you meet English language requirements?
I have completed study at Tertiary/University level in the english language
i will take an English language test
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Have you been accepted for full-time study in a registered course or part of a registered course?
Yes
No
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who will support you financially for your higher education ?
Parents
Siblings
Grand-Parents
Uncle/Aunt
Cousins
Others – Please specify
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Do you have relatives in overseas ?
Yes
No
If yes, Please specify Country
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Specify Country
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Please provide an explanation of why you would like to study in Australia and what you would like to study
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Course Preferences
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