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Student Details (Same as your Passport)

Given Name*

Family Name*

Date of Birth*

Gender*

Male
Female

Citizenship

Nationality*

Country of Birth*

Language Spoken*

Passport No*

Contact Details

Address*

Telephone*

Mobile*

Email

Visa Information

Visa Type*

Student Visa
Visitor
Working Holiday

If you are applying for a Student Visa, where will you lodge your application?

Country*

Are you currently studying in Australia?*

Yes
No

If yes, when is your course completion date?*

English Course

Entry into courses other than General English will depend upon the results of a placement test held on your commencement day.

Have you completed a Nova Institute pre-entry test?*

Yes
No

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

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

BSB40215 Certificate IV in Business
BSB51915 Diploma of Leadership and Management
BSB61015 Advanced Diploma of Leadership and Management
ICP31415 Certificate III in Print Communications
CUA51015 Diploma of Screen and Media
FDF30710 Certificate III in Retail Baking (Combined)
FDF40811 Certificate IV in Advanced Baking

Have you completed an IELTS or similar test?

Have you completed an IELTS or similar test?*

IELTS
TOEFL

Score*

Date*

Disability

Do you consider yourself to have a disability, impairment or long-term condition that may impact your studies?*

Yes
No

If Yes*

Pathway to further study

Are you planning to undertake further study?*

Yes
No

Institution name:*

Intended course:*

Intended commencement date:*

Insurance Details

Student Visa applicants are required to have visa length Overseas Student Health Cover (for at least 1 month longer than your course).

OSHC required:*

Single
Couple
Family
Not Applicable

Accommodation & Airport Transfer

Do you wish to apply for:

Homestay (with meals):*

Yes
No

Homestay (room only):*

Yes
No

Student Lodge (min 4 week booking):*

Yes
No

Airport transfer:*

Yes
No

N/B: Bookings will not be made until payment and flight details are received. Please ensure you complete the homestay request form.

How did you hear about Nova Institute?

How did you hear about Nova Institute?*

Agent Details

Nova Institute Holidays

Nova Institute is closed for one week over the Christmas/New Year period. The college is also closed on all National and State Public Holidays including: Australia Day, Labour Day, Good Friday, Easter Monday, ANZAC Day, Queen’s Birthday, Melbourne Cup.*

*A full week’s tuition is payable in weeks comprising public holidays, no refunds will be offered due to shortened weeks. All enrolments over the Christmas period will gain a week’s holiday for the period the College is closed.