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STEP 2 - PAY enrolment processing fee* of $250


    Please allow adequate time to complete this form.

    All fields marked with * are compulsory. The form will NOT submit if you have not completed all required fields.
    After a successful submission a) you will see a notice of acknowledgement and b) receive a copy of your submission via email.

    We recommend completing this form on a large screen / laptop / PC.

    First name*

    Last name*

    Company (if applicable)



    Confirm Email*


    Date of birth*

    Address in home country:

    Street address*


    Address in Australia:

    Street address




    Select course for enrolment

    Past education:

    Please upload copies or certificates as supporting documentation regarding your prior qualifications
    If you need to send more than 3 attachments, please contact our office on
    ALL FILES uploaded MUST be in pdf format and each LESS than 1MB in size.

    What do you plan to do after completing this course?

    Visa and Passport details:
    DIBP = Australian Department of Immigration and Border Protection = Office where you apply for your visa

    DIBP - Immigration Office COUNTRY*

    DIBP - Immigration Office CITY*

    Passport issued by*

    Passport Number*

    Passport Expiry (date, month, year)*

    CERTIFIED copy of your passport*
    pdf and LESS than 1MB

    English language:

    Is English your first language at home, or a language that you have spoken since childhood?*

    IF NOT, please upload a CERTIFIED copy of your English results.
    pdf and LESS than 1MB

    English language level*

    Do you wish to enrol for GENERAL ENGLISH course?*

    Please confirm that you understand that in case you are unable to prove having the required English level, you are expected to have a Skype or phone interview with one of our English teachers to assess your current level. This interview incurs a fee of $100 and is organised after you submit your enrolment form and have paid your $250 enrolment administration fee.*

    Medical information

    Are you under medical attention at the present time?*

    Do you have medical coverage for your stay in Australia?*

    IF YES, please upload a copy of your cover
    pdf and LESS than 1MB

    IF NO, do you require us (HIA) to organise you a Overseas Health Cover?

    If you would like us to organise your health cover, please indicate level required:

    number of people

    length of time

    If you do not currently have health cover, and do not wish us (HIA) to organise you one, please indicate who is organising this for you:

    Please include the name and contact number (including country and area code) for your EMERGENCY CONTACT

    Agent / lawyer

    If you have an agent or a lawyer, please provide their name and full contact details

    Terms & Conditions


    I have read and understood HEALTH INSTITUTE AUSTRALASIA ACCREDITED COURSE TERMS AND CONDITIONS and agree to abide by them.*

    I have read and understood HEALTH INSTITUTE AUSTRALASIA PRIVACY POLICY and agree with it.*

    I agree to pay the compulsory AUD$250 enrolment fee after submitting this form. I understand that NO applications are processed without this fee. I also understand that this fee is non-refundable and does not guarantee my entry to Australia. I agree to pay via the payment buttons below on this page, within 24 hours from submitting this form.

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

    Additional Information / Message / Notes


    The Health Institute Australasia's enrolment processing fee is a non-refundable administration fee. Please note NO applications (form submissions) are processed without an accompanying enroment fee. Please select payment method below.

    Do you need help?

    Looking for clarification about something?
    If you are interested in enrolling in a Health Institute Australasia course as an Australian citizen, or overseas based international student, but need clarification to something before you start, please reach out.

    Contact us