+61 7 5532 2001

126 Scarborough Street, Southport, QLD 4215, Australia

Enrol International Student

International Student Enrolment


Please fill in and submit the enrolment form below.
This enrolment form is for students who are citizens or permanent residents of another country (other than Australia).


Use the PayPal button to pay for your compulsory AUD$250 International Student Enrolment Fee.

    Course Selection

    I wish to study:*
    • Are you currently enrolled in a course with another provider?*

    Your Details

    Name of organisation / Company name

    Leave this blank of not applicable

    Date of Birth*
    Your age in digits (eg. 35)
    Street Address 1*
    Street Address2

    Your Education

    Certificate of highest qualification

    Upload a copy of Certificate of your highest qualification

    Academic transcripts

    Academic transcripts of last courses completed (if applicable) (max 500KB)

    Additional Certificates & Supporting Documentation (if applicable)

    Please include copies of additional certificates or other supporting documentation.

    Continuing Education

    What do you plan to do when you have finished this course?*

    Visa Status

    DIBP (Australian Department of Immigration and Border Protection) office where you will apply for a student visa. Enter the country where the office is located.

    Enter the city where the office is located.

    (If applicable)

    Upload copy of current visa (if applicable) (max 500KB)

    Passport Status


    You must upload a certified copy of your passport (max 500KB)

    General English Language

    English Language Proficiency Level

    Is English your first language, or the language you have grown up speaking since childhood?

    If not, please upload a CERTIFIED copy of your English test results

    English Language Level*

    Indicate what level you feel you are at

    I wish to apply for the General English course*


    Are you under medical attention at the present time?

    Emergency Contact*

    Please include the name and phone number (including country and area code) of a person or persons we can contact in the case of an emergency.*

    Do you have medical coverage for your stay in Australia?

    Agent or Lawyer

    Are you using an Agent or Lawyer?


    Conditional Terms

    Under or over 18

    Terms and Conditions for accredited courses*

    I certify that the information provided on this form is true and correct, and I agree to abide by the terms and conditions of The Health Institute Australasia Pty Ltd including the refund policy, of which I have read and understood.

    Privacy Policy*

    I agree to the Privacy Policy of The Health Institute Australasia Pty Ltd, of which I have read and understood.

    Enrolment Fee

    After submitting this form, you must agree to pay our compulsory AUD$250 enrolment fee. A PayPal button is available on this page. Alternatively, please contact our office to arrange an alternative method of payment.

    Enrolment fee for accredited course*

    After successful submission of the form, please use PayPal to pay the $250AUD enrolment fee.

    Do you have questions? Contact us.