english language school in sydney
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Visa Information
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(required)
First Name
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Address line 1
Address line 2
Country
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Argentina
Australia
Bangladesh
Brazil
Bulgaria
Canada
China
Czech Republic
Estonia
France
Germany
HongKong
Hungary
India
Indonesia
Italy
Japan
Kazakhstan
Korea(south)
Latvia
Lebanon
Lithuania
Malasiya
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Russia
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Spain
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Vietnam
Nationality
Select Country
Argentina
Australia
Bangladesh
Brazil
Bulgaria
Canada
China
Czech Republic
Estonia
France
Germany
HongKong
Hungary
India
Indonesia
Italy
Japan
Kazakhstan
Korea(south)
Latvia
Lebanon
Lithuania
Malasiya
Mexico
NewZealand
Norway
Poland
Russia
Slovak Republic
Spain
Switzerland
Thailand
United Arab Emirates
Ukraine
Uzbekistan
Vietnam
Passport Number
Country of Birth
Select Country
Argentina
Australia
Bangladesh
Brazil
Bulgaria
Canada
China
Czech Republic
Estonia
France
Germany
HongKong
Hungary
India
Indonesia
Italy
Japan
Kazakhstan
Korea(south)
Latvia
Lebanon
Lithuania
Malasiya
Mexico
NewZealand
Norway
Poland
Russia
Slovak Republic
Spain
Switzerland
Thailand
United Arab Emirates
Ukraine
Uzbekistan
Vietnam
Email
(valid email required)
Phone
Fax
Sex
Male
Female
Date of Birth
Language Spoken at Home
Occupation
Type of VISA
Visitor VISA
Student VISA
Working Holiday VISA
Other
How did your hear about ELSIS
A friend or Family Member
Agent in my country
Travel and tourism Exbition
My school or University
The Internet
News Paper or Magazine advertisements
Others
Name of the agency ( If booking with Agency)
Present level of English
Beginner
Elementry
Intermediate
Advanced
Select your Course
General Intensive English
Preparation for IELTS
English for Academic Purposes
Cambridge preparation -PET
Cambridge preparation -FCE
Cambridge preparation -CAE
Proposed Commencement Date [ DD/MM/YY ]
How Many Weeks ?
Further Studies In Australia
Do you intend to pursue education after your course ?
Yes
No
If yes, what level will you study ?
Secondary School
TAFE
Vacation College
University
What subject/course do you intend to study ?
Name of institution [ if known ]
Course Commencement Date [ DD/MM/YY ]
Have you already received a provisional letter of offer ?
Yes
No
If not, would you like ELSIS to assist placement ?
Yes
No
Accomodation
Would you like ELSIS to arrange accommodation for you ?
Yes
No
If yes, for how many weeks ?
Do you have any special diatery needs ?
Yes
No
If yes, please specify
Do you smoke ?
Yes
No
Do you object to pets in your host family ?
Yes
No
Do you object to children in your host family ?
Yes
No
Do you suffer any medical conditions ? [ e.g Epilespy or Diabetes ]
Yes
No
If yes, please specify ?
Airport Pickup
Do you require airport pick-up service ?
Yes
No
If yes, what is the date of arrival ? [ DD/MM/YY ]
Flight Number
I have read, understand and accept the terms and conditions of enrolment of the ELSIS and hereby authorise the College to apply the monies payable by me in accordance with the same.
Verification
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