NEW STUDENT INFORMATION FORM

New Student Information Form

PERSONAL DETAILS

Student ID(Required)

If you do not know your student ID, you can find it in your CoE.

CLICK HERE to see example of CoE

Family Name(Required)

Given Name(Required)

Nickname / Alternative Name

An Informal name that others may easily call you.

Gender

Date of Birth(Required)

Nationality(Required)

Passport No(Required)

Course Detail(Required)

Start Date(Required)

Contact Number (Australia)(Required)

E-mail address(Required)

Enter Email Confirm Email

Address (Australia)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

EMERGENCY CONTACT DETAILS

Relationship to you(Required)

Family Name(Required)

Given Name(Required)

Contact Number (Australia)(Required)

E-mail address

Enter Email Confirm Email

Address (Australia)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

PRIVACY STATEMENT

The Australian government requires students to advise the College of any change of contact details. You must notify the college IN WRITING within 5 days of any changes.

DECLARATION

PHOTO CONSENT AND RELEASE FORM

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to the Australian International College, its affiliates and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet).

This consent includes, but not limited to;

Permission to interview, film, photograph, tape or otherwise make a video reproduction of me and/or record my voice;
Permission to use my name; and
Permission to used quotes from the interview(s) (or excerpts of such quotes, the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the Internet), in theatrical media and/or in mailing for educational and awareness

This consent is given in perpetuity, and does not require prior approval by me.

Signature

Comments

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