New Student Information Form PERSONAL DETAILSStudent 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. GenderMaleFemaleOtherDate of Birth(Required) DD slash MM slash YYYY Nationality(Required) Passport No(Required) Course Detail(Required)General English (GE)International English Language Testing System (IELTS) PreparationStart Date(Required) DD slash MM slash YYYY 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 DETAILSRelationship 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 STATEMENTThe 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.DECLARATIONConsent I acknowledge that I have read, understood the content of student handbook and accept the terms of Australian International College’s Conditions of Enrolment, its Cancellations & Refund Policy and my student visa study obligations.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. SignatureEmailThis field is for validation purposes and should be left unchanged.
