FedUni International Student

Application Form

APPLICANT PERSONAL INFORMATION

Title Date of FedUni Student ID
Gender
(Mr, Miss Mrs, etc.) Birth (if applicable )

Family Name

Given Name(s)

Passport Number Country of Birth Citizenship

Home Address
Contact
information in City & State Country Postcode
home country
Home Telephone Mobile

Personal E-mail

Marital Status Date of marriage Is your spouse in Australia？

Are you currently in Australia? Your current visa Type: Expiry date:

When did you first arrive in Australia:

If yes, please provide your current Have you ever had a visa refused, cancelled or overstayed your visa?
residential address in Australia:

Have you ever been excluded from an Australian education institution before?

Do you intend to apply for an Australian Student Visa?

FEDERATION UNIVERSITY AUSTRALIA PROGRAM PREFERENCE

Program Name Study Location Intake

ACADEMIC QUALIFCATIONS (PLEASE LIST YOUR MOST RECENT QUALIFICATION FIRST)

Have you ever commenced or completed any Higher Education Study?
If yes, please list all your study history in Higher Education area (e.g. HE Diploma, Bachelor, Master) as below:

Study Duration Qualifications & Achievement (e.g Completed or

Name of the school/Institution: Country
(From MM/YYYY to MM/ YYYY) Bachelor of Business or Master of Arts and GPA) Not?

Have you ever commenced or completed any Secondary or Higher Secondary School Study?
If yes, please list all your study history in middle school and/or high school as below

Study Duration Completion certificate and Final exam Completed or

Name of the School/Institution: Country
(From MM/YYYY to MM/ YYYY) certificate Not?

CRICOS Provider No. 00103D International Student Application Form Page 1 of 4

Have you ever commenced or completed any other Vocational/Foundation/English study?
If yes, please list all your study history as below :

Study Duration Completed or

Name of the Institution: Program/ Qualifications Country
(From YYYY to YYYY) Not?

Has it been more than 6 months since you last studied?

If yes, please provide some information on what you have been doing as below

Do you have any relevant work experience that you would like to add for this application?
If yes, please provide more information as below:

Are you applying for credit?

If yes, please attach all required credit application documents as below:
1. Program structure
2. Course descriptions
3. Grading system for your academic transcripts

ENGLISH LANGUAGE PROFICIENCY

Have you completed an English Language Proficiency test?

English test type: Test result Test Date

Overall: Please provide a copy of test results for verification.

(Yes)
*If you provide PTE, you also need to provide FedUni the authority to verify your PTE
Reading: result:
Section 1
Test reference number: Speaking: 1. Log on to your PTE account at www.vue.com/pte and click on 'My Account'
Listening: 2. Click "Send Scores" and search for Federation University Australia
3. Tick the box next to FedUni when it appears on the list.
Writing: 4. Scroll down the page and then click 'Next' and then 'Next' again to confirm.

Do you need to study an English pathway program to meet program English entry requirements?

(No) I am eligible for English waiver under FedUni English exemption requirements.

Section 2 I will take an English test on:

I am waiting for my English test result, will provide the result to the University on:

ADDITIONAL QUESTIONS:
Are you happy to ask the University to purchase Overseas Student Health Cover (OSHC) for you?
If yes, please specific your chosen OSHC type:

Do you understand the costs associated with studying in Australia? Please Visit https://www.studyinaustralia.gov.au/english/live-in-
australia/living-costs for a guide to living costs and tuition fees.

Have you done research about Federation University Australia via http://federation.edu.au/international/study-at-feduni/why-choose-
feduni ?

Have you visited or studied in Australia previously? (If yes, Please provide information as below)

CRICOS Provider No. 00103D International Student Application Form Page 2 of 4

Have you breached any visa conditions? (If yes, Please provide information as below)

Have you or your family member ever been refused a visa for entry into Australia or any other country?
If yes, which country;

and for what reason? Please provide a copy of rejection letter and more information as below:

Do you have any medical or health conditions or issues which may affect your studies, or prevent you from obtaining a student visa?
(Please refer to homeaffairs.gov.au/Trav/Visa/Heal for a list of medical and health conditions of concern to the Australian Government. Also,
note that health insurance in Australia will not extend to a pre-existing medical condition.)

(If yes, please provide more information about your condition and whether you require additional support or advice from FedUni after your
arrival in Australia. )

Are you sponsored by the government in your home country or another country?
If yes, who is your sponsor?

Do you have anything you would like to address to the University about this application?

PRIVACY STATEMENT
The information being sought in this form is collected for the purposes of processing your application to the Federation University Australia.
The information will be held by the University in accordance with its Information Privacy Policy and may be accessed and used by people
employed or engaged by the University.
The provision of this information is voluntary, but if this information is not provided the University may be unable to process your application or
provide services to you.
The information may be made available to government departments and agencies pursuant to the University’s obligations under law including
the Education Services for Overseas Students (ESOS) Act 2000. In addition, the information may be used or is closed to other organisations
outside the University where permitted by relevant privacy legislation and in accordance with the University’s Information Privacy Policy.
You have a right to access and correct your personal information in accordance with Privacy legislation and the University’s Information
Privacy Policy. Further information on the University’s Information Privacy policy and procedures can be found on the University’s Privacy web
page. Please direct any enquiries you may have in relation to privacy to the University’s Privacy Officer at privacyofficer@federation.edu.au or
telephone +61 3 5327 9504.

APPLICANT DECLARATION
1. I declare that the information submitted with this Application Form is true and complete. I further declare that any tertiary academic results
submitted are a complete record of all results that I have obtained from every tertiary institution I have attended.
2. I acknowledge that failure to disclose my academic record may result in the University revoking an offer or terminating my studies at any
stage.
3. I authorise the University to seek verification of my academic and professional qualifications and work experience. I understand that the
University reserves the right to inform other tertiary institutions and regulatory agencies if any of the material presented to support my
application is found to be false.
4. I understand that at the time of enrolment I will be required to supply originals of all documents used to support this application.
5. I acknowledge that the University reserves the right to alter any program, course, admission requirement or fee without prior notice.
6. I understand that the personal information I have provided may be released to government agencies as required by law. I further
understand that it may be disclosed to third parties for the purpose of progressing my application.
7. I acknowledge that I have read and understand the description of program/s that I am applying for on the Federation University Australia
website.
8. I authorise the University to access the Australian Immigration Visa Entitlements Verification Online (VEVO) system at any time to obtain
information on my visa status.
9. I declare that I am a genuine temporary entrant and genuine student and that I have read and understood conditions relating to these
requirements. www.homeaffairs.gov.au
10. I am aware of the tuition and living costs of my stay in Australia and have the financial capacity to meet such costs for the duration of my
program. I will make timely payments of any fees or associated costs.
11. I declare that my signature is true and correct and matches the signature in my passport.

Applicant Name Signature and Date

CRICOS Provider No. 00103D International Student Application Form Page 3 of 4

 AGENT INFORMATION （IF APPLICABLE）

Agent Name Branch/Country

Email Address Phone number

Agent Declaration:
• I have a good understanding of the university’s admissions requirements and procedures，I have assessed the applicant accordingly.

• I have made every effort to verify the authenticity and validity of the documents I am submitting on behalf of the applicant that support
this application.
• I have taken care to verify and provide accurate personal information pertaining to the applicant.
• I confirm the applicant has agreed to submit this application via our office. The applicant has signed the application form.
• I declared I will forward all correspondence as applicable to this application to the applicant. I understand, at times, the university will
contact the applicant directly.
• I understand if the applicant submits an application via another agent, I will not be notified by the university. It will be the
responsibility of the student to notify me of their change of agent. The University has the right to accept the students change of agent
request without my knowledge and can withdraw this application.

Name of the Counselor Signature and Date

The University only accepts paper-based application forms under certain circumstances. Please complete your personal information and
submit your application via the University’s online application system.

Please contact the International Admissions Office at Federation University Australia via internationaladmissions@federation.edu.au .

CRICOS Provider No. 00103D International Student Application Form Page 4 of 4