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Australian Hair & Beauty College Enrolment Application
PH: +61 2 9389 0771 FAX: +61 2 9389 0538 Email: info@hairbeautyaustralia.com.au CRICOS No: 02606J Provider No: 91006

PERSONAL DETAILS
Firstname
Lastname
Mobile
Home phone
Address
Date of birth (dd/mm/yyyy)
Country of birth
Nationality
Are you currently in Australia?Yes  No
If you are an international student which visa type do you hold?
Email Address

SELECT COURSE YOU WILL STUDY
    WRH30109 Certificate III in Hairdressing
    WRH40109 Certificate IV in Hairdressing
    WRH50109 Diploma Of Hairdressing Salon Management
Your preferred commencement date   [dd/mm/yyyy]

INTERNATIONAL STUDENT VISA APPLICANTS
You must provide the college with evidence of English language and education qualifications. Please be aware the minimum English language requirement is 5.5 IELTS or equivalent.
Passport No.
Have you previously held a visa in Australia? No Yes
If you have held another visa which visa type was it?
Highest level of education achieved

Is ther any extra support you will need to complete your course and if so, what?
(eg., disabilities, ongoing medical conditions)
Did you read the prospective student information and student survival handbook?
 No Yes

Do you have an Education Consultant Agent?
 No Yes - complete the following details:

Name of Representative
Phone
Fax
Email


INTERNATIONAL STUDENT HEALTH COVER

Australian Government Regulations require that all Overseas Students pay a health cover premium (OSHC).
Do you require Health Cover? No   Yes   (Please contact College for current OSHC fee.)

STUDENT DECLARATION
 I understand that my information may be made available to relevant authorities (Australian Government, Tuition Assurance Scheme and the ESOS Assurance Fund Manager upon request. The information includes: personal, course enrolment details and changes, and the circumstance of any suspected breach by the student of a visa student condition. I have read the Terms and Conditions of Enrolment, International Student Handbook, or Local Student Handbook (for local students), Student Survival Kit and AHBC Prospective Student Pack.

I declare that all the information given by me on this form is correct. I have read and understand the terms and conditions of enrolment, including the Cancellation and Refund Policy, and agree to be bound by them.
Do you agree? No   Yes   - if you checked "Yes", please enter the following acknowledgement code in the texbox below:

CXFGFH$645

Check String:
Enter Check String
- no space please:
Field Legend:: ¤ Required¤ Conditionally required¤ Optional¤ Read only
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