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Agent/Recruiter

Are you using an agent/recruiter to assist you with your application?

Yes No

Agent Code

If your agent/recruiter does not have a Agent Code please leave this field blank.

Agency Name

Country of Agency

City of Agency

Branch of Agency

Agent/Recruiter Given/First Name(s)

Agent/Recruiter Family/Surname

Agent/Recruiter Email Address

Agent/Recruiter Phone Number

Include +Country Code and Area Code

Agent/Recruiter Mobile Number

Include +Country Code and Area Code

Counsellor WhatsApp ID

Counsellor WeChat ID

Your Details

Title

Given/First Name

Family/Surname

Date of Birth

Tick box to confirm that the student has parent consent for the application?

I was born in (country)

I am:

MaleFemale Other

Mobile Phone Number

Email Address

I live in... (country)

At this address

Is this your mailing address?

Yes No

Mailing address

Mailing Country

Citizenship

Country of Citizenship:

Are you a...

Domestic Applicant

A holder of any Australian permanent resident visa (including humanitarian visas, Australian or New Zealand Citizenship)

International Applicant

Not a holder of any Australian permanent resident visa

Do you have a passport?

Yes No

Passport Number

Passport Expiry Date

Scan of Passport

e.g. Birth certificate, extract of citizenship, passport

Curtin University Degree

Which Bachelor Degree are you interested in?

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Architectural Science Construction Management Interior Architecture

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Mass Communication Urban & Regional Planning

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Anthropology & Sociology Creative Advertising & Graphic Design Creative Writing Digital Design Fashion Fine Art History International Relations Internet Communications Journalism Literary & Cultural Studies Performance Studies Photography & Illustration Design Professional Writing Screen Arts

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Business Administration

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Commerce Logistics and Supply Chain Management Business Law Major Business Information TechnologyEvent Management Marketing Tourism and HospitalityInternational Business Business Information Systems ManagementAdvertising Financial Planning EntrepreneurshipAccounting Economics Human Resource Management Finance Major Public Relations

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Chemical Engineering Chemical Engineering (Oil & Gas) Civil & Construction EngineeringComputer Systems Engineering Electrical Power Engineering Electronic & Communication Engineering Mechanical Engineering Mechatronic EngineeringMetallurgical Engineering Mining Engineering Petroleum Engineering

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Pharmacy

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Psychology

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Exercise, Sports & Rehabilitation Science Health Sciences Human Biology Preclinical Laboratory Medicine Molecular Genetics & Biotechnology Nursing Nutrition and Food Science Occupational Therapy Physiotherapy Computing

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Health Sciences Human Biology Preclinical Laboratory Medicine Molecular Genetics & Biotechnology Nursing Nutrition and Food Science Computing

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Computer Systems and Networking

Curtin College Course

Based on your selection above, we've matched you to the following Curtin College Course:

I want to start in:

Your Studies

Are you currently studying in Australia?

Yes No

Will you complete your current studies prior to the commencement of your selected program?

Yes No

Scan of Interim Results

High School

Name of Qualification

Country

Have you completed these studies?

Yes No

On this Year

Scan of High School Transcript/Results

Other Qualifications

Have you undertaken any other education?

Yes No

Name of Qualification

Country

Have you completed these studies?

Yes No

By this date

On this date

Scan of Post-secondary Education Transcript/Results

Exemptions

Are you seeking credit or advanced standing from previous studies?

YesNo

The information below is used to assist Curtin College in monitoring, supporting and improving services to students. Disclosing this information will not necessarily affect your admission to the College or University.

Is English your first language?

YesNo

Main language spoken at home

Have you taken an English Test?

Yes No e.g. WACE, IELTS, TOEFL, CUTE, 'O' Level, ELACS/EALD, Pearson, Navitas, University

English Test Name

English Test Score/Result

Scan of English Test Transcript/Result

Have you been previously issued another offer from Curtin College or Curtin University?

YesNo

Have you previously studied at Curtin College or Curtin University?

Yes No

Previous Student ID

Do you have medical/disability needs which may affect your study?

Yes No

Please describe your medical/disability which may affect your learning and needs you require

Would you like to receive information on what the College can provide to support you?

Yes No

Will your tuition fees be paid by an organisation?

Yes No

Name of Organisation

Scan of Sponsorship Letter

Upload Extra Information

If you have other documents that you would like us to consider in your online application (e.g. transcripts/qualifications/awards), please attach them below.

Extra Attachment

Add another file

Conditions, Permission and Declaration

Conditions of Enrolment, including Fee and Refund Policy

I declare the information I have supplied on this form and in the attached documents is correct and complete.
I understand that the provision of false or incomplete information may result in cancellation of any offer of enrolment or actual enrolment.
The execution of this application form authorises Curtin College and Curtin University, as part of their assessment processes, to seek further information from Australian Government agencies as necessary; this to include but not be limited to Visa Entitlement Online.
I have read and understand the need to make timely payments of any fees or associated costs for which I am liable.
I am aware of the likely costs of my stay in Australia and have the necessary financial capacity to meet such costs for the duration of my course.
I also understand that any information I provide to Curtin College may be made available to Commonwealth and State Government agencies and the Fund Manager of the ESOS Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code; and that Curtin College is required under S19 of the ESOS Act 2000 to notify DIAC about certain changes to a student’s enrolment and any breach of student visa conditions relating to attendance or satisfactory academic performance (ESOS Act 2000).
Execution of this application form constitutes my acceptance of all the terms and rules regarding my admission and enrolment at Curtin College.
I authorize Curtin College to retain my tuition fees in accordance with the refund policy if I elect to cancel my enrolment at any time.
The execution of this application form authorises for the information contained in the form to be provided to either Curtin University or Curtin English Language Centre (CELC) should Curtin College deem this necessary.

Applicant declaration

I declare the information I have supplied on this form and in the attached documents is correct and complete.
I understand that the provision of false or incomplete information may result in cancellation of any offer of enrolment or actual enrolment.
The execution of this application form authorises Curtin College and Curtin University, as part of their assessment processes, to seek further information from Australian Government agencies as necessary; this to include but not be limited to Visa Entitlement Online.
I have read and understand the need to make timely payments of any fees or associated costs for which I am liable.
I am aware of the likely costs of my stay in Australia and have the necessary financial capacity to meet such costs for the duration of my course.
I also understand that any information I provide to Curtin College may be made available to Commonwealth and State Government agencies and the Fund Manager of the ESOS Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code; and that Curtin College is required under S19 of the ESOS Act 2000 to notify DIAC about certain changes to a student’s enrolment and any breach of student visa conditions relating to attendance or satisfactory academic performance (ESOS Act 2000).
Execution of this application form constitutes my acceptance of all the terms and rules regarding my admission and enrolment at Curtin College.
I authorize Curtin College to retain my tuition fees in accordance with the refund policy if I elect to cancel my enrolment at any time.
The execution of this application form authorises for the information contained in the form to be provided to either Curtin University or Curtin English Language Centre (CELC) should Curtin College deem this necessary.

I have:

Read and understood the Conditions of Enrolment, including the Fee and Refund Policy, within the brochure or on the website. Read, understood and agreed to the applicant declaration.

Submit / Give extra info

That's everything we need, you're good to submit your application.

If you have a little extra time, you can give us some details (such as emergency contact info) in advance to speed up your enrolment, and there's some extra bits of information and feedback that'd really help us. If you don't have time, no worries, hit submit and we'll process your application as normal!

Please send email about my application to:

Speedup my Enrolment

Note: Your application has not been submitted yet, all of these fields are optional but may speed up your application/enrolment process and would help us. You can submit your application at the bottom of this page.

Parent's/Guardian's Details

Family/Surname

Given/First Name(s)

Relationship to you

Email Address

Mobile/Cell Phone Number

Include +Country Code

Home Phone Number

Include +Country Code and Area Code

Business Phone Number

Include +Country Code and Area Code

Is your parent's/guardian's address the same as your current address?

Yes No

At this address:

Country

Parent's Educational Background

Father's Highest Completed Academic Qualification

Mother's Highest Completed Academic Qualification

Emergency Contact

Is your emergency contact's details the same as your parent's/guardian's details?

Yes No

Family/Surname

Given/First Name

Relationship to you

Email Address

Mobile/Cell Phone Number

Include +Country Code

Home Phone Number

Include +Country Code and Area Code

Business Phone Number

Include +Country Code and Area Code

Is your emergency contact's address the same as your current address?

Yes No

At this address:

Country

Visa Application History

Have you applied for Australian Permanent Residency Status?

Yes No

Date of Application

Other Information

How did you first hear about us?

Other Source

Which country are you submitting this online application from?

What city are you submitting this online application from?

Thanks!

We appreciate you having taken the time to give any extra details above, hit submit and we'll get processing your application!

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Conditions, Permission and Declaration

Conditions of Enrolment, including Fee and Refund Policy

Applicant declaration

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