Apply Online Application Thank you for choosing to study at UEC. Step 1 of 4 25% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First name Last name GenderMaleFemaleDate of Birth:* Date Format: DD slash MM slash YYYY Country of Birth:*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweNationality*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePassport NumberAre you currently in Australia?*YesNoIf you are currently in Australia which visa do you have*Student visaWorking Holiday visaVisitor visaDependent visaotherType of visa you will be applying to study at UEC*Student visaWorking Holiday visaVisitor visaOtherAddress in home country Street Address Street Address (continued) City State/Region Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe TelephoneMobileEmail* Email address Confirm email What is your current English level?* Advanced Uppper Intermediate Intermediate Lower Intermediate Elementary Biginner (never studied English) Do you have a score from the following English proficiency tests?*IELTSTOEFL iBTPTE AcademicCambridgeNo, I do not have oneWhat is your score?General English - DayGE - Day start dateChoose your dateMonday, 19 Augusut 2019*Monday, 26 August 2019Monday, 2 September 2019Monday, 9 September 2019Monday, 16 September 2019Monday, 23 September 2019*Monday, 30 September 2019Tuesday, 8 October 2019Monday, 14 October 2019Monday, 21 October 2019Monday, 28 October 2019*Monday, 4 November 2019Monday, 11 November 2019Monday, 18 November 2019Monday, 25 November 2019Monday, 2 December 2019*Monday, 9 December 2019Monday, 16 December 2019New sessions begin every 5 weeks. These dates are marked with an * Number of WeeksPlease enter a number from 1 to 52.General English (GE) - EveningGE - Evening start dateChoose your dateMonday, 6 May 2019*Monday, 13 May 2019Monday, 20 May 2019Monday, 27 May 2019Monday, 3 June 2019Tuesday, 11 June 2019*Monday, 17 June 2019Monday, 24 June 2019Monday, 1 July 2019Monday, 8 July 2019Monday, 15 July 2019*Monday, 22 July 2019Monday, 29 July 2019Monday, 5 August 2019Monday, 12 August 2019Monday, 19 August 2019*Monday, 26 August 2019Monday, 2 September 2019Monday, 9 September 2019Monday, 16 September 2019Monday, 23 September 2019*Monday, 30 September 2019Tuesday, 8 October 2019Monday 14 October 2019Monday, 21 October 2019Monday, 28 October 2019*Monday, 4 November 2019Monday, 11 November 2019Monday, 18 November 2019Monday, 25 November 2019Monday, 2 December 2019*Monday, 9 December 2019Monday, 16 December 2019Number of WeeksPlease enter a number from 1 to 52.B2 First Preparation - Evening (5, 10, 15 weeks)B2 First Preparation - Evening start dateChoose your dateMonday, 23 September 2019Monday, 28 October 2019Monday, 2 December 2019Number of WeeksPlease enter a number from 10 to 15.Academic English Preparation 1 (10wks) AEP1 start dateChoose your start dateMonday, 23 September 2019Monday, 28 October 2019Monday, 2 December 2019Monday, 23 September 2019Monday, 28 October 2019Monday, 2 December 2019Academic English Preparation 2 (10 weeks) AEP2 start dateChoose your start dateMonday, 23 September 2019Monday, 28 October 2019Monday, 2 December 2019Academic English Preparation 3 (10 weeks) AEP3 start dateChoose your start dateMonday, 23 September 2019Monday, 28 October 2019Monday, 2 December 2019Will you undertake further study in Australia?YesNoLevel of study*Certificate or DiplomaUndergraduatePostgraduateName of institution*Package visaAccepted 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)*YesNoPlease select the type of coverage*OSHC SingleOSHC Dual FamilyOSHC Multi Family Do you require UEC to arrange airport transfers for you?*YesNoIf yes,*One wayReturnPlease provide your flight details at least 2 weeks before arrival.Do you require homestay?*YesNoFor how many weeks?*Do you require Student Residence*YesNoOnly available for students over 18 years of age.Please select the type of room*Falcon Lodge - single roomFalcon Lodge - twin roomFalcon Lodge - Double roomLINK2 - Single roomLINK2 - Twin roomFor how many weeks?* Are you over 18 yearsYesNoHave you read and understood the Terms and Conditions of Enrolment?*YesNoTerms and Conditions of EnrolmentAre you applying through an education agency?*YesNoName of Agency as authorised by UEC*Name of Counsellor* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email address of Counsellor* Student Declaration*I declare all the information provided in this application form is correct and that I have read, understood and accept Terms and Conditions of Enrolment which includes the Refund Policy and Indemnity Declaration. I agreeEmailThis field is for validation purposes and should be left unchanged.
