| Details of Applicant |
| Please read the Terms and Conditions on the Enrolment Page |
| Family Name |
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| Given Name |
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| Additional Names |
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| Date of Birth |
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| Age |
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| Sex |
Male
Female |
| Nationality |
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| Language Spoken |
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| Address |
| Email Address |
(Unfortunately optus accounts do not work from this form) |
| Postal Address |
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| Address (continued) |
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| Address (continued) |
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| City |
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| State |
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| Postcode |
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Country
(if other than Australia) |
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| Daytime Phone |
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| Fax |
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| Address in Australia (if known) |
| Postal Address |
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| Address (continued) |
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| Address (continued) |
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| City |
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| State |
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| Postcode |
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| Daytime Phone |
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| Fax |
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| Course |
Melbourne College of English Programs
Click here to link to the list of MCE Courses |
| Course Applied for |
General English
Part-time General English
Superlink Program
Cambridge Preparation Program
English for Further Study
Business English
Intensive IELTS preparation |
| Number of weeks |
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| How did you hear about the college and its courses? |
Agent
Friends / Relatives
Advertisement
Exhibition / Seminars
IDP
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| Other |
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| Educational Background |
| Name of Highest Qualification |
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| Name of Institution |
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| Year Completed |
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English Language Proficiency score
(i.e. TOEFL, IELTS, others) |
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| Self-Score |
Elementary
Pre-Intermediate
Intermediate
Upper Intermediate
Advanced |
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| Further Study in Australia |
| What will you do when you finish this course? |
High School
University Course
Business or other Vocational Course
Travel
Return Home
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| Other |
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| If you are going on to further study: |
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| Course Applied for |
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| Name of Institution |
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| Course Commencement Date |
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| Course Start Dates |
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| Public Holidays 2008 |
| 1st January - New Years Day |
| 28th January - Australia Day |
| 10th March - Labour Day |
| 21st March - Good Friday |
| 24th March - Easter Monday |
| 25th April - ANZAC Day |
| 9th June - Queen's Birthday |
| 4th November - Melbourne Cup Day |
| 25th December - Christmas Day |
26th Decemeber - Boxing Day Holiday
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| Select your Course Start Date |
Please write your preferred start date
(any Monday except Public Holidays)
Cambridge, EFS, Business and Intensive IELTS courses have specific start dates |
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| Airport Pickup and Accommodation |
| Do you wish to be met at the Airport? |
Yes
No
Please provide details by fax as soon as possible |
| Do you require accommodation service? |
Yes
No
If yes, further information will be sent to you
to establish the right family for you. |
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| Visa Type |
Health Cover Fee (OSHC)
If you are travelling on a Student Visa the Australian Government requires you to pay Overseas Student Health Cover (OSHC) in advance to the College:
0 to 3 months — up to $95
 3 to 6 months — up to $190
6 to 9 months — up to $285
9 to 12 months — up to $380 |
| Select the Visa you will travel to Australia on, or are currently holding: |
Student
Visitor (tourist)
Working Holiday |
| Other |
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| Any other comments or enquiries |
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I have read and agree to the Terms & Conditions
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