Application for Enrolment

Personal Information

Family Name:

Given Names:

Date of Birth:

Street address in Australia:

Sex:

E-Mail:

Telephone:

Work No:

Mobile No:

Fax No:

Additional Information Required (for International Students only)

Nationality:

Street address in your home country:

Passport Number:

Passport Expiry:

Visa Number:

Visa Expiry:

Visa Type:

Tourist  Student  Other

Location/City of Australian Embassy in your home country:

Dependants (accompanying you to Australia?):
- Yes No (Yes/No) If yes, how many?

Education History

Details of past education and training, including highest levels reached (forward certified copies of all records).

Do you have any previous flying experience?      - Yes No   (Yes/No)
If Yes, number of hours/years flying experience  / - Hours Years (Hours/Years)

Employment

Please list details of your employment and attach relevant references/proof. This is important if you are applying as a mature aged student through special entry.

Course Enrolment

Please indicate which course/s you would like to apply for:

Commencement Date:
Select Month you wish to commence your studies: Select Month January February March April May June July August September October November December
Select Year you wish to commence your studies: Select Year 2002 2003 2004 2005 2006

Accommodation and Airport Reception:

DECLARATION