+61 7 5532 2001

Level 1/18 Rawlins street, Southport QLD 4215 | National Provider No. 45524 CRICOS No. 03791F

International Student Enrolment

International Student Enrolment

STEP 1

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).

STEP 2

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

    Fields marked with * are required.

    YOUR DETAILS

    First Name*
    Last Name*
    Company / Organisation

    Email*
    Contact Phone*
    Date of Birth* (date, month, year)
    Gender* (Female / Male)

    ADDRESS IN HOME COUNTRY - required

    Street Address*
    Suburb*
    State
    Postcode*
    Country*

    ADDRESS IN AUSTRALIA - please provide if known

    Street Address

    Suburb
    State
    Postcode

    COURSE SELECTION

    I wish to enrol in*

    YOUR EDUCATION

    Name of Highest Qualification*
    Name of Institution*
    Year Completed*
    What do you plan to do when you have finished this course?*

    UPLOAD SUPPORTING DOCUMENTATION (max 1mb per file, jpg, png or pdf)

    Certificate of highest qualification* this field is required
    Academic Transcript
    Other Supporting Documentation

    VISA AND PASSPORT DETAILS

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

    Immigration Office - Country*
    Immigration Office - City*
    Current VISA Expiry Date
    Current VISA Type
    Copy of Current Visa (max 1mb, jpg, png or pdf)
    Passport Issued By*
    Passport Number*
    Passport Expiry* (date,month, year)
    Certified Copy of Your Passport* (max 1mb, jpg, png or pdf)


    ENGLISH LANGUAGE PROFICIENCY

    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 (max 1mb, jpg, png or pdf)
    English Language Level*
    Do you wish to apply for the General English course?*


    MEDICAL & EMERGENCY CONTACT

    Are you currently under medical attention?
    Do you have medical coverage for your stay in Australia?*
    IF YES, please upload a copy of your medical policy. (max 1mb, jpg, png or pdf)
    IF NO, do you require Overseas Health Cover?
    Level of Cover Required

    YOUR 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.*


    AGENT / LAWYER

    Do you have an agent or lawyer?*
    Please provide their contact details (name, email, address)


    COMMENTS / NOTES



    TERMS & CONDITIONS



    AGE / OVER 18

    I confirm that I am under 18 years of age*

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


    I have read and understood terms and conditions for international students and agree with them.*
    YES, I AGREE
    I have read and understood Health Institute Australasia Accredited Course Terms and Conditions and agree with them.*
    YES, I AGREE
    I have read and understood the Health Institute Australasia Privacy Policy and agree with it.*
    YES, I AGREEE


    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.*

    YES I AGREE TO PAY the compulsory non-refundable enrollment fee of AUD$250