International Student Assessment Form

Streamlined Visa Processing (SVP1)

 
Charles Darwin University is an eligible institution for the purposes of Australia’s Streamlined Visa Processing (SVP)
program. To be eligible for SVP you must be a Genuine Student (GS) and meet the Genuine Temporary Entrant (GTE) and
financial requirements. The information you provide on this application form will assist CDU to verify that you meet these
requirements.

Instructions:
 Documents submitted in support of this application must be certified copies. A certified copy is a photocopy of the original
document with the signature and official stamp of either:

 Australian Overseas Diplomatic Mission  The Administration of the NOTE: If the documents are in a language other than English you
 CDU Authorised Agent Institution that issued the must also provide certified translated copies. CDU
 Public Notary Office documents reserves the right to refuse admission on the basis of
 An Australian University incorrect certification and/or translation.

1. PERSONAL DETAILS

Full Name in English:

Full Name in own language or script:

If applicable

Have you ever been known by any other name? No Yes > Please attach evidence
(Including name at birth, previous married name or aliases)

Have you ever used a different date of birth? No Yes >

Please provide date of birth

Do you have a valid Passport? No Yes > Please attach a copy

Passport must be valid for at least 6 months
If you have travelled abroad, please submit copies of all pages

Do you have a National Identity Card or Number? No Yes > Please attach a copy

Do you have citizenship in more than one country? No Yes > Please attach evidence
APPLICANT DETAILS

What is your relationship status? > Please attach evidence

(Married, Seperated, Divorced, Widowed, Engaged, De Facto, Never Married or De Facto

2. HOME ADDRESS – Where is the country and street address of your usual residence?

Address: Suburb / Town:

State / Region: Postcode / Zip: Country:

3. FINANCIAL CAPACITY

How will you fund your study in Australia?

A. Self funded or family-funded. Please attach the following documents

 Bank statements The source of any recent large lump sum deposit needs to be explained and documented
 Employment certificate with salary information

 Bank loan (if applicable) Loan letter must state the source and owner of the collateral used to secure the loan plus the length of
loan and monthly repayments

 Business certificate (if applicable)

 Copies of recent payslips
 Financial sponsorship declaration or financial sponsorship letter (if family funded)
must be formally notarised or attested with sponsor’s personal details, address and telephone number

 Proof of relationship with the sponsor formally notarised or attested

B. Scholarship awardees. Please attach the following document

 Scholarship letter

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW)
 

4. PREVIOUS VISA APPLICATIONS

PREVIOUS VISA HISTORY
Have you or your spouse previously applied for
>
Please provide a copy of the visa rejection letter,
any type of Australian visa? No Yes visa grant letter, visa label or the visa grant number

Have you or your spouse previously applied for

any type of visa to any country other than
>
Please provide a copy of the visa rejection letter,
Australia? No Yes visa grant letter, visa label or the visa grant number

Have you or your spouse ever had a visa for any

country cancelled or not complied with your visa
>
Please provide details of the cancellation or non-
conditions? No Yes compliance

What date to you intend to arrive in Australia to commence your studies? / /

Day Month Year

What date to you intend to leave Australia after completing your studies? / /
Day Month Year

5. EMPLOYMENT DETAILS
Please attach a detailed Curriculum Vitae (CV) detailing your employment history since leaving
school/college/university. For each position held you must include the period of employment, name and
address of the employer, type of business, position held and salary level.
What is your current employment status? Employed
Please attach evidence of your current or last held
>
employment (Including the company name, address and
Self Employed telephone number, position held, period of employment and
salary).
Unemployed

>
Please attach evidence of your current study (Including
Student
EMPLOYMENT DETAILS

course, institution and study length).

Retired >
What date did you retire?

Other > Please attach more information

Is there an employment gap in your work history? No Yes > Please attach an explanation or documentary  
evidence to explain the gap (e.g. evidence of short-term
trainings, research programs, birth of a child, medical
treatment, etc.)

Have you been offered employment in your home country after you complete your studies in Australia?

Yes > Please complete the details below:

Company Name:

Address:

Position offered:

What sort of employment will you be seeking once you return to your home country after
No > you complete your studies in Australia?

6. CHARACTER DECLARATION
CHARACTER DECLARATION

Have you or any of your family members listed above:

been convicted of a crime or offence in any country? No Yes > Please attach more information

been charged with any crime that is awaiting legal action? No Yes > Please attach more information

been removed or deported from any country? No Yes > Please attach more information

committed or been involved in the commission of war

crimes or crimes against humanity or human rights? No Yes > Please attach more information

had any outstanding debts to the Australian Government

or any public authority in Australia? No Yes > Please attach more information

been involved in any activity or committed of any offence

relating to the illegal movement of people to any country? No Yes > Please attach more information

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW) v2 DS110213
 
7. APPLICANT DECLARATION
I declare that:
 all of the information I have provided in this application is accurate and compete and is not false or
misleading I understand giving false or misleading information is a serious offence under state and/or
APPLICANT DECLARATION

federal law in Australia;

 the signature on this form is my signature and has not been signed on my behalf by another person,
including my agent or sponsor;
 I agree to advise Charles Darwin University immediately if there is any change to the information I have
provided in this application;
 I understand that Charles Darwin University has the right to vary or reverse any assessment made on the
basis of incorrect, incomplete, false or misleading information which I have provided;
 I understand that by completing this application I am giving written consent to Charles Darwin University to
independently verify the information supplied by me in this application;
 I have access to the funds required to study at Charles Darwin University for the length of my course
including tuition fees and living expenses for myself and my dependants; and
 I am a Genuine Temporary Entrant (GTE) and a Genuine Student (GS) and that if I enter Australia on a
student visa I am required to return to my home country at the completion of my studies at Charles Darwin
University or upon completion of any applicable Post Study Work period.

Student signature: Date:

7. AGENT DECLARATION – If applicable

I declare that:
 I have assessed the applicant as a Genuine Temporary Entrant (GTE) and a Genuine Student (GS) as
defined by the Australian Department of Immigration and Citizenship at www.immi.gov.au;
AGENT DECLARATION

 to the best of my knowledge the applicant is genuine in making this application and has every intention of
completing all courses that have been offered in the study package;
 I have made every effort to verify the authenticity and validity of the documents which form part of this
application;
 I am satisfied that the applicant has genuine access to the total funds required while in Australia to cover all
travel, overseas Student Health Cover, tuition and living costs for themselves and any accompanying family
members;
 I recommend that the University proceed with the assessment of this application; and
 I confirm that the student has signed this application form.

Agent signature: Date:

Agency Name: Staff Name:

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW) v2 DS110213