International Student Application Form

Postgraduate Coursework, Undergraduate and Vocational Courses

Instructions:
• Do not complete this form if you are an Australian or New Zealand citizen or an Australian Permanent Resident.
• Complete all questions in the form below using blue or black ink. Incomplete applications cannot be processed.
• 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. AGENT DETAILS
Please complete the
Are you using an education agent to submit this application? No Yes >
AGENT DETAILS

agency details below

Company Name:

Contact Name: Telephone:

Address:

Email Address:

2. PERSONAL DETAILS - What are your details as they appear on your passport?
Title: Mr Mrs Miss Ms Dr

Family Name: Please attach a copy of

your passport showing
your personal details as
Given Names: you have written them
on this form

Former Family Name: Preferred Name:

If applicable If applicable

Date of Birth: / / Passport Number:

Day Month Year
APPLICANT DETAILS

Country of Birth: Nationality:

Marital Status Single Married

Are you in Australia? No Yes

3. HOME ADDRESS – What is your street address in your home country?

Address: Suburb / Town:

State / Region: Postcode / Zip: Country:

4. POSTAL ADDRESS – What is your current postal address?

Address: Suburb / Town:

State / Region: Postcode / Zip: Country:

5. CONTACT DETAILS - How can we get in contact with you? This must be the student’s details, not the agent’s.
Email Address: Telephone:

6. CURRENT STUDY
Have you ever been enrolled at Charles Darwin University? No Yes >
Please provide student number

Please complete the details

Are you currently studying in Australia? No Yes > below

Institution: City:

Course: Please attach a copy of

any previous or current
NOTE: If successful in your application to CDU a CoE’s.
Letter of Release from your current institution may
Expected completion date: be required.

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW)
 7. COURSE PREFERENCES - What course/s would you like to study at CDU?
* ONLY SELECTED COURSES ARE AVAILABLE IN SYDNEY
Which intake and location you would like to apply for? Please check the CDU website for the most up to date course information:
www.cdu.edu.au/international

2019 2020 2021

COURSE PREFERENCES

Location July November

February February July November February
Darwin Not available Not available

Sydney*

Which course you would like to apply for?

NOTE:
Course 1: CDU may offer you an
alternate study pathway if
Course 2: you do not meet the entry
requirements for your
Course 3: chosen course.

Please attach a statement of purpose indicating why you chose to study this course.

This is not available for

Are you applying to study externally by distance education? No Yes > Student Visa holders

8. ENGLISH LANGUAGE PROFICIENCY

ENGLISH LANGUAGE

Have you applied to study an Academic English course No

at Navitas English Darwin or Navitas English Sydney
Yes > Provide copy of Letter of Offer or COE
NOTE: Application for English courses can be submitted online at: www.navitasenglish.com/study_english_darwin.html; www.atmc.vic.edu.au/courses/atmc-programs
Which of the following English language proficiency tests have you taken or do you plan to take?

IELTS  TOEFL  PTE  Other  Please attach a copy of your English language test results

Overall Band Score: Listening Reading Writing Speaking

Date of Test: __________________________ Test Report Form Number: ____________________________

9. SECONDARY STUDIES (SENIOR SCHOOL)

1. Institution:

Qualification:
For example: ‘A’ Levels, HSC, STPM, STTB, IB, GAOKAO, 10+2

Course Length: Year of Completion: Country:

If more than 2 years has passed between completing your secondary studies and the intended start date in an Undergraduate program, please provide a
record of activity or employment for this period.
ACADEMIC QUALIFICATIONS

10. POST SECONDARY STUDIES

Have you ever been excluded from an Australian post

No Yes >
Please attach further
secondary institution? details

1. Institution:

Qualification:
For example: Degree, Diploma, Certificate or Foundation course

Course Length: Year of Completion: Country:

2. Institution:

Qualification:
For example: Degree, Diploma, Certificate or Foundation course

Course Length: Year of Completion: Country:

Please attach certified copies of your secondary and post secondary qualifications, including your final certificate and academic transcripts.

If more than 5 years has passed between completing your undergraduate degree and the intended start date in a Postgraduate program, please provide
a record of activity or employment for this period.

Will you be applying for advanced standing (credit transfer)

>
Please attach a detailed
based on your previous study? No Yes syllabus or unit outlines

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW) V4 17/07/2018
 11. FINANCIAL CAPACITY
The information you provide below will be used to assess whether you have sufficient funds to cover the cost of
tuition and living expenses for yourself and your family members for the duration of your study in Australia.
The table below indicates the minimum amount in Australian dollars (AUD) that you will need for each year of your stay in Australia. The costs below
do not necessarily represent the cost of studying and living in Australia. The actual amount required for your stay in Australia will be included on your
Letter of Offer and are subject to change.

Tuition fees $17,000 - $26,000 Depending on the course you study

OSHC – 3 years $2,138 - $11,113 Depending on the number of accompanying dependents
$20,290 Primary applicant
Living costs $7,100 Spouse
FINANCIAL CAPACITY

$3,040 Each child

$2,000 Per adult included on the student visa application
Travel costs
$1,000 Per child included on the student visa application
Total cost per year $52,568 - $70,543 For a single student with no accompanying dependents

Please indicate which sources of funding you will use to pay for your tuition fees and living costs:

Self funded In which country are the funds beings held?

Family funded In which country are the funds beings held?

Bank loan Other

Please specify which Bank is providing the loan Please give further details
Home government
or foreign agency
Scholarship
Who is the organisation awarding the scholarship?

You must provide evidence in the form of a certified statement from the funding source indicating the amount of funds available to you to cover the
cost of your tuition and living expenses. If you are entirely self-funded you must still provide certified evidence.

While on a student visa you will be allowed to work up to 40 hours per fortnight (unlimited work rights during
semester breaks). These funds must only be used to supplement your living costs and cannot be the only source of
income to pay your tuition and living costs.

12. VISA
Have you ever had an Australian visa application rejected? No Yes >
Please attach a copy of
the visa rejection letter

Have you ever had a visa rejected for any other country? No Yes >
Please attach a copy of
the visa rejection letter

Do you have a current Australian visa? No Yes >

Please attach a copy of
your current visa
Visa subclass

Will you be applying for a student visa to study in Australia? No Yes

13. OVERSEAS STUDENT HEALTH COVER (OSHC)

OTHER INFORMATION

It is a condition of a student visa that you maintain Overseas Student Health Cover (OSHC). If you receive a Letter of
Offer from the University it will include the cost of OSHC from Worldcare for the full duration of your study.

Do you currently have OSHC? No Yes >

Please attach a copy of your OSHC policy or your OSHC
membership card

Please indicate what type of OSHC cover you require: Single Dual Family

14. DEPENDENTS

Do you intend to bring your spouse with you to Australia? No Yes

Do you intend to bring your children with you to Australia? No Yes >
How many?
NOTE: Schooling is compulsory for children between the ages of 6 and 18 years of age (including those who are 5 and will turn 6 during the school year). The cost of
education for school aged children is your responsibility. Fees range from $7,500 - $10,000 AUD per year. More information can be found at www.det.nt.gov.au (NT),
www.det.nsw.gov.au (NSW) or www.education.vic.gov.au (VIC)

15. DISABILITY SUPPORT

Do you have a physical or sensory disability, learning disability, medical illness or a psychological condition that may
impact on your ability to access and participate in study?
The Disability Liaison Officer will contact you to discuss what support may be available to you if you accept an offer to
No Yes > study at the University

16. VICE-CHANCELLOR'S INTERNATIONAL HIGH ACHIEVERS SCHOLARSHIPS (VCIHAS)

Please attach your Vice-Chancellor’s International High
I am applying for VCIHAS No Yes > Achiever’s Scholarship Application Form

Visit: http://www.cdu.edu.au/international/future-students/scholarships#vc for information

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW) V4 17/07/2018
 17. APPLICATION CHECKLIST – Please tick the documents that you attached to your application

To avoid delays in processing your application please ensure that you have attached the following documents:

Section 2: Certified copy of your passport, showing your personal details.

Section 6: Copies of current or previous Confirmation of Enrolment (CoE) documents

Section 7: Statement of Purpose

ATION CHECKLIST

Section 8: Copy of your English language test results (if available).

Section 9 and 10: Certified copies of academic documents (including transcripts and award certificates) and a record of
activity or employment (if applicable).
Section 10: Detailed information on any previous exclusion from an Australian post secondary institution (if applicable).

Section 10: Detailed syllabus or unit outlines for previous study (if applying for advanced standing).

Section 11: Certified evidence showing the amount of funds available to you.

Section 12: Copy of your previous visa application rejection letter/s (if applicable).

Section 13: Copy of your current visa (if applicable).

Section 14: Copy of your existing OSHC policy or membership card (if applicable).

! Your application will not be processed unless all of the required documents are received.

18. CONDITIONS OF APPLICATION – Please tick each of the conditions below

I will comply with the rules, policies and statutes of Charles Darwin University;
I will notify the Office of International Services if there is any change to the information I have provided in this application. I
understand that the University may vary or cancel any decision it makes if the information I have given is incorrect or
incomplete;
I permit Charles Darwin University to release details of my academic progress to my sponsoring body, loan agency or home
CONDITIONS OF APPLICATION

institution on request;
I permit Charles Darwin University to access my academic results from other institutions;
I permit Charles Darwin University to release my contact details to an authorised third party;
I understand that Charles Darwin University is under no obligation to return any documents submitted in hard copy and that
documents remain the property of the University and may be disposed of;
I understand that Charles Darwin University reserves the right to reject my application for admission;

I agree to comply with the conditions of my student visa if I am made an offer to study;

I accept full responsibility for paying my tuition fees and living expenses whilst studying at Charles Darwin University. I
understand that the University and the Australian Government are not obliged to provide financial assistance;
Information may be made available to the Australian Government pursuant to obligations under the ESOS Act and the
National Code;
I understand that Charles Darwin University will advise if I am eligible to apply for a student visa under Simplified student visa
framework (SSVF);
I have read and understand the Charles Darwin University Refund Policy for International Students available at
www.cdu.edu.au/international
I have read and understood the conditions listed above.

19. DECLARATION – The declaration can be signed by the applicant, the agent or both.

DECLARATION BY THE APPLICANT:

I declare that the information I have provided is true and correct and I have read and understood the conditions of application.
DECLARATION

Student signature: Date:

DECLARATION BY THE AGENT:
1. I declare that the information I have provided on behalf of the applicant is true and correct. I have explained to the student
the conditions of application;
2. I declare that I have assessed the applicant as a Genuine Temporary Entrant and Genuine Student as defined by the
Department of Immigration and Border Protection;
3. I declare that the applicant is genuine in making this application and has every intention of completing all courses listed in
the application;
4. I have made every effort to verify the authenticity and validity of the documents which form part of this application;
5. I am satisfied that the applicant has genuine access to the total funds required to cover the cost of living and studying in
Australia.

Agent signature: Date:

CRICOS Provider No. 00300K (NT/VIC) | CRICOS Provider No. 03286A (NSW) V4 17/07/2018