ACFE IRON RN Application Form

Australian Centre of Further Education
Initial Registration for Overseas Nurses (IRON)

Registered Nurse (RN)
STUDENT APPLICATION FORM
Personal Details
1. Surname:
2. Given Name:
3. Middle Name/s:
4. Title: Mr.
5. Marital Status:
Mrs.
Miss
Ms.
Single
Married
Divorced
6. Is this your legal name?
Dr.
Separated
Widow/Widower
If not, what is your

legal name?
No
Yes
8. Sex : Male
7. Date of birth (dd/mm/yyyy)

9. Home Phone:
Other
Yes
No
Female
10.Mobile Phone:
11. E-mail:
12. Do you have access to SKYPE?
13. Address in home country
Yes
No
If yes, please provide SKYPE contact details
Street
City
Country
Postcode:
14. Address in home country

Street
City
Country
Postcode:
15. Emergency Contact

Name
Relationship to you
Phone
E-mail
Australian Centre of Further Education Pty Ltd

Phone: (03) 8600 8600 | Fax: (03) 9670 0454 | Email: [email protected] | Website: acfe.edu.au
Level 5/341 Queen Street, Melbourne VIC 3000, Australia
ABN: 37 135 002 167 | ACN: 135 002 167 | RTO Code: 40898 | Cricos# 03377J
Form SAF-IRON-RN_20150315 Version 1.1
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PRE REQUISITES FOR REGISTRATION WITH AHPRA

Are there any grounds on which the Australian Health Practitioners Regulations Agency (AHPRA) might refuse to register
you as a nurse pursuant to The Health Practitioner Regulation National Law (Victoria) Act 2009 (these grounds include
a substance abuse problem or a physical or mental impairment which significantly impairs your capacity to practice as a
registered nurse or any disclosable criminal record?
Yes
NO
Please refer to www.nursingmidwiferyboard.gov.au for any further information.
If YES, please specify:
APPLICATION PROCESS
The Student Application Form is completed and submitted to Australian Centre of Further Education (ACFE ) with
supporting documents (Minimum Requirement for Enrolment)
If application is successful you will be invited to interview. Interviews are conducted either at our office or via SKYPE.
Application Requirements
Documents Required to Submit this
Application Form
Additional Documents Required when accepted in

the Program
1. Australian Health Practitioner Regulation Agency

(AHPRA) Student must provide an original certified true
copy of the AHPRA Letter indicating which course they
have permission to complete. This letter must be Valid. (A
valid letter is 12 months from the date of issue)
1. Applicants must provide certified copies of all relevant

information of nursing registration, and other nursing
courses.
2. English Language proficiency International English

language Testing System (IELTS) a score of at least 7.0
in each component OR Occupational English Test (OET) a
score of at least B in each component.
Requirements much be achieved in a single sitting and
results a valid for two years. Student need to provide a
certified copy for enrolment.
3. Supporting documents
Please attach an up to date resume and a letter explaining
the reason why you wish to enrol into the course.
2. POLICE CLEARANCE: Students must provide a certified

copy of a Police Clearance certificate from country of origin.
3. On shore applicants must have a current working with
children check (Victoria) or interstate equivalent.
4. IMMUNIZATION: Students need to provide evidence of
Immunisation for Hepatitis B, Pertussis, Diphtheria, Tetanus,
Measles, Mumps, Rubella, Annual Influenza vaccination and
clear X-ray for Tuberculosis.
5. OVERSEAS HEALTH INSURANCE: Student must provide
evidence of having Overseas Health Insurance prior to staring
course.
6. Two (2) passport-size certified photos taken within the last
six (6) months
Course Fee And Refund Policy

1. Application Fee: AUD $250 (non-refundable) this fee is required together with a completed ACFE Application Form
2. Course Fee: AUD $14,000 (inclusive materials)

a. Initial Fee of $7,000 (50% deposit) is required within 7 days of receiving the Letter of Offer and Invoice from ACFE. This fee will

confirm your place in the IRON Program and your Clinical Placement.

b. The balance is required not later than one month prior to the start of the Course or as soon as the Applicant has been granted

Visa by the Australian government.

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3. Refunds

a. Full Refund is applicable if the enrolment is withdrawn 30 days or more prior to the intake date as stated in the Confirmation

of Enrolment (COE).

b. Half of the total fee is refundable if the student cancels less than 30 days prior to the intake date as stated in the Confirmation

of Enrolment.

c. No refund is applicable if the student withdraws on or after the commencement date of the course intake as stated in the

Confirmation of Enrolment.
Note: All students must refer and read the SM25-Fees Charges and Refund Policy Document located on the ACFE website by clicking on
the following link: http://acfe.edu.au/fees-charges-and-refunds-policy/
I have read, understood and accept the SM25-Refund Policy pdf

on your website.
Payment or participation in the program does not guarantee recommendation or registration with the Nursing and Midwifery
Board of Australia (NMBA) within the Registered Nurse section of the AHPRA register, this requires successful completion of
the program.
PAYMENT DETAILS
(A) CREDIT CARD All VISA and MASTERCARD transactions will incur a 2.5% additional fee. AMEX will incur a 5.75% additional fee
VISA
MASTER CARD
CASH
BANK CHEQUE
Card Number
VERIFICATION CODE (last
3 digits on back of card)
Card Holder Name
Card Holders Signature
EXPIRY DATE
(B) ELECTRONIC FUNDS TRANSFER (EFT)

Account Name: Australian Centre of Further Education Swift code: NATAAU3303M
BSB: 083 091

Account Number: 94-385-6373
Bank Details: National Australia Bank
Bank Address: 460 Collins St., Melbourne, VIC 3000 Australia
Please include the Student name in the description box, so we are able to identify payment allocation.
Please allow extra for Bank transfer fees.
Student Declaration
In signing this form I agree:
That the information I have provided on this form is true, correct and complete;
To be bound by the applicable standards of conduct , statutes, regulations , policies and procedures of Australian Centre
of Further Education including any variations that are made from time to time
I read and accept the Fees, Charges and Refund Policy of the Australian Centre of Further Education
I understand that failure to comply with any of the above may result in being unable to register as Registered Nurse in
Australia with AHPRA
Student Signature
Date
Please return this Form along with supporting documents to:

The Administrator

Australian Centre of Further Education Pty Ltd.

Level 5, 341 Queen Street. Melbourne 3000 AUSTRALIA

Tel: +613 8600 8600 | Fax: +613 9670 0454 | Email: [email protected]

Page 3/3

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Australian Centre of Further Education

Initial Registration for Overseas Nurses (IRON)

6. Is this your legal name?

If not, what is your

7. Date of birth (dd/mm/yyyy)

14. Address in home country

15. Emergency Contact

Australian Centre of Further Education Pty Ltd

PRE REQUISITES FOR REGISTRATION WITH AHPRA

Additional Documents Required when accepted in

1. Australian Health Practitioner Regulation Agency

1. Applicants must provide certified copies of all relevant

2. English Language proficiency International English

2. POLICE CLEARANCE: Students must provide a certified

Course Fee And Refund Policy

Australian Centre of Further Education Pty Ltd

I have read, understood and accept the SM25-Refund Policy pdf

Card Holder Name

Card Holders Signature

(B) ELECTRONIC FUNDS TRANSFER (EFT)

Please return this Form along with supporting documents to:

Australian Centre of Further Education Pty Ltd

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