Online application form Online Student Application Form Title: MissMrs.Ms.Mr.Dr. First Name: Last Name: Father Name: Email address: Date Of Birth: Gender: Malefemale Home Telephone: Present address: Is this address in Australia? YesNo Are you registered with an agent? YesNo Contact Name in place of Emergency: Relationship: Telephone/Mobile No: How did you hear about Australian Institute of Digital Technology? AgentNewspaperFacebookTwitterFriends/FamilyGoogle SearchOther Nationality Your Nationality: Please state the country in which you normally live: Which Country Passport do you hold: Passport No: Will you need a visa to study in Australia? Do you hold a current Australian visa? Do you have a visa to study in Australia? Do you hold any Health Insurance? Do you want college to organize Health Insurance? Highest Qualifications What is the Highest Qualification? Completed: **Attach Supporting Documents, i.e. copy of passport, IELTS copy (if applicable), All academic transcripts and others. English Proficiency IELTS Test: Score: Attended on: Previous Studies in Australia: Others: Services Request Do you wish the College to arrange Accommodation? YesNo Please mention how many weeks (4 weeks minimum): Airport Pickup:YesNo • By agreeing to submit the application to Australian Institute of Digital Technology you are declaring that the information you have provided is correct. The information on this form will be treated in confidence and will only be used in accordance with the Data Protection Act 1998. • When we have processed your application, we will contact you by email informing you of the next step. • We look forward to welcoming you to Australian Institute of Digital Technology, Australia • Please confirm that your form is complete and that you have accepted our terms and conditions. Δ