Hosanna International College

Online Application for Enrollment

Please ensure that all sections are completed.

Course Selection and Commencement Date

	Name of course Applied for:
	Course Commencement Date:

Personal Details

Surname / Family Name (As in your passport)
Given Name (As in your passport)
Gender	Male Female	Date of Birth
Country of Birth		Nationality
Passport number		Religion
Telephone (Home)		Telephone (Office)
Mobile		Email
Home Address
Postal Address

Emergency Contacts

Name		Name
Relationship		Relationship
Telephone		Telephone

Academic Qualifications

Last Completed School Level		Year Completed
Highest English Level Achieved

Other Qualifications

Qualification	Name of Institution	Date Obtained

Language Spoken (list in order of competence)

Language	Competency	Language	Competency

Do you have a disability, impairment, long-term medical condition or any other conditions which HIC should know about for your safety and welfare? If yes, please give details.

Please attach the following documents (certified by Commissioners of Oats or Public Notary) in your submission:

Birth Certificate or Passport
IELTS result receipt
Academic transcripts, reports and other certificates you have received from your school for the last two years of schooling and qualifications stated above

HIC will at all times respect your privacy. We collect personal information and use it for the following reasons:

Educational requirements such as TAFESA for Diploma of Nursing students
Reporting to government agencies such as ESOS Assurance Fund Manager, Dept. of Immigration and Citizenship (DIAC), the Tuition Assurance Scheme and;
Health Insurance

This information includes personal and contact details, course enrolment details and changes and the circumstances of any suspected breach by the student of a student visa conditions.

Student Declaration

I have read and understood the rules and policies stated in the Student Handbook (available on website: www.hosannacollege.com or through your local agent) and I hereby agree to abide by the rules of Hosanna International College and acknowledge that failure to abide by these rules may lead to dismissal from the course and cancellation of my student visa.

Date:

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Provider Name: Peace Centre Pty Ltd Trading as Hosanna International College CRICOS Provider No. 02801F

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