Application/Enrolment Form

Complete all section using BLOCK LETTERS
Attach supporting documents, including certified copies of your passport and Academic Documents

Course selection

Select a course

Do you need Airport pickup?

Yes No

Personal details

Title

Mr. Mrs. Ms. Other

Gender

Male Female Other

Family name

Given name

Place and country of birth

Date of birth

Nationality

Passport No.

Expiry Date

Visa type

Visa subclass

Visa number

Visa expiry date

Overseas health Cover

Do you have Overseas Health Cover (OSHC)?

Yes No

If Yes, OSHC Provider:

If No, I require

Single Cover Family Cover

Name(s) of the family member(s)

Gender

Male Female

Date of Birth: (DD/MM/YYYY)

Are you currently studying in Australia?

Yes No

If Yes, Name of institute

Are you Transferring from another education provider in Australia?

Yes No

Unique Student Identifier

Do you have a Unique Student Identifier (USI)?

Yes No

USI verified by Institute of Business and Management (Victoria)

Staff name

Signature

Date

Contact Details

Residential Address (Home Country)

Address

Country

Phone

Residential Address(Australia)

Building/Property Name

Flat/Unit Details

Street No

Street Name

Suburb

State/Territory

Postcode

Mobile

Post Address (if different from residential Address)

Building/Property name

Flat/Unit Details

Street No

Street Name

Suburb

State/Territory

Postcode

PO Box or roadside delivery box

Preferred Contact Method

Email Phone

Emergency Contact in Australia or Home Country

Name

Phone

Relationship

English Language Proficiency

Assessment Type

IELTS PTE TOEFL Others

Score achieved

Date

Not Required. I am from Level I country. (You will be required to undertake Placement Assessment if you are not fromthe list of exempted countries. Refer Entry requirement policy)

Previous Qualification Achieved

Have you successfully completed any of the following qualifications in Australia or hold any recognized overseas qualification?

Yes No

In case of overseas qualification, has the qualification been skill assessed in Australia?

Yes No

Most recent or current Qualifications

Name of qualification

School / Institution

Country

Year was/to be completed

Recognition of Prior Learning/ Credit Transfer

Do you want to apply for RPL/Credit Transfer?

Yes No

If Yes, you must attach certified translated (English) copies of your supporting documents (e.g. employment letter,position descriptions, Statement of Attainment, etc.). so that Institute of Business and Management (Victoria) can assessyour eligibility for RPL/Credit TransferComplete RPL/CT form available at our reception and website.

Reason for Study Which of the following best describes your reason for undertaking this course?

Special Needs

Do you need any special support such as Language, Literacy and Numeracy?

Yes No

Do you suffer from any physical / mental disability that may affect your participation in the course?

Yes No

Any Other Special Need?

Yes No

If Yes, direct it to our administration Department who will assist you on the support option available to you.

Employment

Which of the following best describes your current employment status?

Privacy Notice

Underthe Data Provision Requirements 2012, Institute of Businessand Management(Victoria) is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by institute for statistical, regulatory and research purposes. Institute of Business and Management (Victoria) may disclose your personal information for these purposes to third parties, including:

Employer – if you are enrolled in training paid by your employer;
Commonwealth and State or Territory government departments and authorised agencies;
NCVER;
Organisations conducting student surveys; and
Researchers. Personal information disclosed to NCVER may be used or disclosed for the following purposes:
Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
facilitating statistics and research relating to education, including surveys;
understanding how the VET market operates, for policy, workforce planning and consumer information; and
administering VET, including program administration, regulation, monitoring and evaluation.

You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third-party contractor. You may opt out of the survey at the time of being contacted.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

Student Declaration and consent

I declare that the information I have provided to the best of my knowledge is true and correct. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above. I have read and understood Institute of Business and Management (Victoria)’s relevant policies and procedures and the terms and conditions of enrolment, fee payment, fee refunds, deferment, suspension or cancellation. I also understand that all pre-enrolment information can be requested by emailing info@ibm.vic.edu.au or calling 03 9478 3163. I confirm that I am fully aware of the fees, cancellation and refund conditions and I agree to be a student at IBM (Victoria). I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my application may result in the cancellation of my enrolment.

Use of personal information

I understand that Institute of Business and Management (Victoria) may distribute my personal details as indicated in the statement

"Information is collected on this form and during your enrolment in order to meet our obligations under the ESOS Act and the National Code 2018; to ensure student compliance with the conditions of their visas and their obligations under Australian immigration laws generally. The authority to collect this information is contained in the Education Services for Overseas Students Act 2000, the Education Services for Overseas Students Regulations 2001 and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2018.

Information collected about you on this form and during your enrolment can be provided, in certain circumstances, to the Australian Government and designated authorities. In other instances, information collected on this form or during your Enrolment can be disclosed without your consent where authorized or required by law."

Student name

Student signature

Student date

Application Checklist

Completed all sections of this application Copy of your current OHSC Attached certified true copies of your VISA Attached relevant employment documentation Attached certified true copies of your Passport Read and signed the declaration Attached certified true copies of your qualifications Attached certified true copies of your English Proficiency

Education Agent Details (If applicable)

Agency name

Agent name

Email id

Agent declaration (Please click all the circles to indicate your agreement)

As the Education Agent of this student seeking to apply for enrolment at BIC, I confirm

That I comply with the standards of the ESOS framework (including the Education Services for Overseas Students (ESOS) Act 2000 and the National Code of Practice for Providers of Education and Training to Overseas Students 2018 That the information contained within this application form is accurate, and that the supporting documentation including, but not limited to the "certified copy" of the applicant's academic record is correct and has not been altered in any way. That I understand Institute of Business and Management (Victoria) expects Education Agents to act ethically in dealings with the Overseas Students and their families. That any Enrolment Fees paid to me by the student to support this application will be immediately transferred to Institute of Business and Management (Victoria) so that Institute can uphold its commitment to ESOS legislation with regards to enhancing the refund policy where appropriate. That I understand Institute of Business and Management (Victoria) expects Education Agents to ensure that each student applying for entry to Institute of Business and Management (Victoria) is familiar with the information contained in: The Application Form, Overseas Student Pre-Enrolment Information and the student Handbook. I confirm the student has signed this application form. I have provided the student’s personal email address and residential address, as disclosed to me by the student

Identification documents

The documents listed below are examples of documents that can be used as proof of identity. Other documents may be used as long as the document as a minimum provides proof of the participant’s full name as well as a photo:

ID Form:

Maximum size: 2 MB and File Type: PDF, JPG, JPEG, PNG & TIFF.

Passport
(Australian Passport current or expired within the last two years, but not cancelled, International Passport must be current)

Driver’s Licence
Australian with photo, must be current. Driver’s Learners Permit – Australian with photo, must be current.

Boat Operator’s Licence
Australian with photo, must be current.

Firearm Licence
Victorian with photo, must be current. (Can accept interstate Firearms Licence as long as it contains a photo and is current)

Licence to Perform High Risk Work or equivalent photo certificate of competency
It should be current, not expired.

State, Territory or Federal Government Employee ID card with photo

Other Australian Government issued ID card with photo

Photo identity card issued by a Tertiary Education Institution must be current Keypass ID Card with photo, must be current

Consumer Affairs Victoria Proof of Age Card with pho

Application/Enrolment Form

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