STUDENT VISA APPLICATION COVER SHEET

APPLICANT DETAILS
NAME:
Passport Number

Names of spouse and children of student

Proposed Subclass
Assessment Level

IELTS
IELTS Score
Date test was done
If no IELTS undertaken, state reasons

ACADEMIC
Qualification (start from Year obtained Marks
highest)

PROPOSED COURSE/S IN AUSTRALIA

Course 1 - Name
Type of course ELICOS/Schools/VET/ HE/Post-graduate Research/ Non-
award

Provider
Commencement Date
Course Fee AUD BDT
Duration
OSHC costs AUD 612 BDT

Course 2 - Name
Type of course ELICOS/Schools/VET/ HE/Post-graduate Research/ Non-
award

Provider
Commencement Date
Course Fee AUD BDT
Duration
OSHC costs AUD BDT

TOTAL COSTS (A) AUD BDT

AUSTRALIAN HIGH COMMISSION 01 July 2012,

DHAKA
LIVING AND TRAVEL COSTS
Amount Total AUD Total BDT
per year in
AUD
Living Cost for applicant 21,041 21,041
Living Cost for spouse 7,362
Living Cost for Child 1 3152
School cost (if 5-18 yrs 8000
old)
Living Cost for Child 2 3152
School cost (if 5-18 yrs 8000
old)
Travel costs for all 2000/person 2,000
applicants
TOTAL COSTS (B) AUD 23,041 BDT

TOTAL FUNDS REQUIRED (A+B) AUD BDT

Paid funds for eCOE

First Initial Payment to University/ AUD BDT

Institute

Paid OHSC Cost

Total paid
After deduction the paid amount
from Required fund

FUNDS DEMONSTRATED

Sponsor 1
Full Name
Relationship to applicant
Type of funds Money deposit/loan/other
Relevant amount AUD BDT
Source of funds or collateral
Amount and source of regular
income

AUSTRALIAN HIGH COMMISSION 01 July 2012,

DHAKA
Sponsor 2
Full Name
Relationship to applicant
Type of funds Money deposit/loan/other
Relevant amount AUD BDT
Source of funds or collateral
Amount and source of regular
income
TOTAL FUNDS PROVIDED AUD BDT

Sponsor 3
Full Name
Relationship to applicant
Type of funds Money deposit/loan/other
Relevant amount AUD BDT
Source of funds or collateral
Amount and source of regular
income
TOTAL FUNDS PROVIDED AUD BDT

COMMENTS – OTHER RELEVANT INFORMATION

AUSTRALIAN HIGH COMMISSION 01 July 2012,

DHAKA