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Thank you for choosing to study at UEC.

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Name*
Title First name Last name
Gender
- Male
- Female
Date of Birth:*
Date Format: DD slash MM slash YYYY
Country of Birth:*
Nationality*
Passport Number
Are you currently in Australia?*
- Yes
- No
If you are currently in Australia which visa do you have*
Type of visa you will be applying to study at UEC*
Address in home country
Street Address Street Address (continued) City State/Region Postal Code Country
Telephone
Mobile
Email*
Email address Confirm email

General English - Day
GE - Day start date
New sessions begin every 5 weeks. These dates are marked with an *
Number of Weeks
General English (GE) - Evening
GE - Evening start date
Number of Weeks
B2 First Preparation - Evening (5, 10, 15 weeks)
B2 First Preparation - Evening start date
Number of Weeks
Academic English Preparation 1 (10wks)
AEP1 start date
Academic English Preparation 2 (10 weeks)
AEP2 start date
Academic English Preparation 3 (10 weeks)
AEP3 start date
Will you undertake further study in Australia?
- Yes
- No
Level of study
Name of institution
Package visa
Accepted file types: jpg, pdf, png.
Upload your conditional offer if you have one: For students wanting a Student visa for the full coverage of their studies in Australia (English+University/College) please submit a conditional letter of offer from your chosen institution with this application.
Do you require Overseas Student Health Cover (OSHC)*
- Yes
- No
Please select the type of coverage*

Do you require UEC to arrange airport transfers for you?*
- Yes
- No
If yes,*
- One way
- Return
Please provide your flight details at least 2 weeks before arrival.
Do you require homestay?*
- Yes
- No
For how many weeks?*
Do you require Student Residence*
- Yes
- No
Only available for students over 18 years of age.
Please select the type of room*
For how many weeks?*

Are you over 18 years
- Yes
- No
Have you read and understood the Terms and Conditions of Enrolment?*
- Yes
- No
If you do not read or understand English well, we strongly suggest you have an interpreter/translator explain this form prior to signing.
Student Declaration*
I declare all the information provided in this application form is correct and that I have read, understood and accept the Conditions of Enrolment, which includes the Refund Policy and Indemnity Declaration.
I agree
Name
This field is for validation purposes and should be left unchanged.