PRELIMINARY STUDENT APPLICATION FORM Step 1 of 7 14% XEL INTERNATIONAL EDUCATION AGENCY SECTION 1: BIOGRAPHICAL DETAILSYOUR NAME*HAVE YOU BEEN KNOWN BY ANY OTHER NAME?*REASON FOR CHANGE OF NAME MARRIAGE OTHER REASON? DATE OF BIRTH* AGE*SEX*MARITAL STATUS*PASSPORT NUMBER:*COUNTRY ISSUED:*EXPIRY DATE:* CURRENT COUNTRY OF RESIDENCE*YOUR CURRENT RESIDENTIAL ADDRESS*POSTAL ADDRESS*EMAIL ADDRESS*TELEPHONE NUMBER*NEXT OF KIN NAME/EMERGENCY CONTACT*CURRENT ADDRESS*EMAIL ADDRESS*TELEPHONE NUMBER 1*TELEPHONE NUMBER 2 SECTION 2: EDUCATION DETAILS SECONDARY EDUCATION (ORDINARY LEVEL)NAME OF HIGH SCHOOL*TITLE OF HIGH SCHOOL COURSE*TITLE OF HIGH SCH.QUALIFICATION*YEARS STUDIEDYEAR STARTED:YEAR COMPLETED:SUBJECTGRADE1.SUBJECTGRADE2.SUBJECTGRADE3.SUBJECTGRADE4.SUBJECTGRADE5.SUBJECTGRADE6.SUBJECTGRADE7.SUBJECTGRADE8.SUBJECTGRADE SECONDARY EDUCATION (ADVANCED LEVEL/SENIOR HIGH SCHOOL)NAME OF SCHOOL*TITLE OF HIGH SCHOOL COURSE*TITLE OF HIGH SCH.QUALIFICATION*YEARS STUDIEDYEAR STARTED:YEAR COMPLETED:SUBJECTGRADE1.SUBJECTGRADE2.SUBJECTGRADE3.SUBJECTGRADE4.SUBJECTGRADE5.SUBJECTGRADE6.SUBJECTGRADE7.SUBJECTGRADE8.SUBJECTGRADE9.SUBJECTGRADE10.SUBJECTGRADE11.SUBJECTGRADE TERTIARY EDUCATION (COLLEGE/UNIVERSITY)NAME OF INSTITUTION*TITLE OF COURSE*TITLE OF QUALIFICATION*YEARS STUDIEDYEAR STARTED:YEAR COMPLETED:SUBJECTGRADE1.SUBJECTGRADE2.SUBJECTGRADE3.SUBJECTGRADE4.scdGRADE5.SUBJECTGRADE6.SUBJECTGRADE7.SUBJECTGRADE8.SUBJECTGRADE9.SUBJECTGRADE10.SUBJECTGRADE11.SUBJECTGRADE12.SUBJECTGRADE13.SUBJECTGRADEMore courses? More courses? Please continue on a separate page SHORT COURSESNAME OF INSTITUTION/PLACETITLE OF CERTIFICATETITLE OF QUALIFICATIONYEAR STUDIED ENGLISH LANGUAGE PROFICIENCY EVIDENCEDO YOU HAVE IELTS? YES NO IELTS EXAM REF NO:DATE SAT:READING:WRITING:SPEAKING:LISTENING:OVERALL:PLACE: PROFESSIONAL REGISTRATIONNAME OF INSTITUTION/COUNTRYREGISTRATION PIN NUMBERDATE FROMDATE EXPIRESTITLE OF REGISTRATIONNAME OF INSTITUTION/COUNTRYREGISTRATION PIN NUMBERDATE FROMDATE EXPIRESTITLE OF REGISTRATIONNAME OF INSTITUTION/COUNTRYREGISTRATION PIN NUMBERDATE FROMDATE EXPIRESTITLE OF REGISTRATION SECTION 3: EMPLOYMENT DETAILSMOST RECENT/CURRENT EMPLOYERNAMEADDRESSYEARS STUDIEDFROMTOMAIN DUTIESPREVIOUS EMPLOYER 2NAMEADDRESSYEARS STUDIEDFROMTOMAIN DUTIESPREVIOUS EMPLOYER 3NAMEADDRESSYEARS STUDIEDFROMTOMAIN DUTIESMORE EMPLOYMENTS? MORE EMPLOYMENTS? Please continue on a separate page SECTION 4: SPONSORSHIP DETAILS Who will be sponsoring your course and your stay in Australia ()* SELF PARENTS OTHER NAME OF SPONSORADRESS OF SPONSORSPONSOR’S TELEPHONESPONSOR’S EMAIL ADDRESSEVIDENCE OF FUNDS ATTACHEDBANK STATEMENT X3 MONTHS Drop files here or SECTION 5: WHAT COURSE WOULD YOULIKE TO STUDY PLEASE LIST THE COURSE/PROGRAM YOU WOULD LIKE TO STUDY AT BOND UNIVERSITY BELOW SECTION 5: VISA SECTION Have you ever applied for a migration visa before, for study/immigration or visitor/tourist /business?YESNoCOUNTRY: YEAR VISA APPLIEDPURPOSEGRANTEDDENIED1. YEAR VISA APPLIEDPURPOSEGRANTEDDENIED2. YEAR VISA APPLIEDPURPOSEGRANTEDDENIED3. YEAR VISA APPLIEDPURPOSEGRANTEDDENIED SECTION 6: XEL INTERNATIONAL AGENCY SERVICES PLEASE LIST THE SERVICES THAT YOU WOULD LIKE XEL INTENATIONAL AGENCY TO ASSIST YOU WITH BELOW ()COURSE SELECTION ASSISTANCE Yes CAREER PATHWAY MAPPING Yes UNIVERSITY COURSE APPLICATION PROCESS AND MONITORING PROGRESS Yes VISA APPLICATION PROCESS AND MONITORING PROGRESS Yes HEALTH INSURANCE ASSISTANCE Yes ASSISTANCE TO FIND STUDENT ACCOMODATION Yes ASSISTANCE TO FIND FLIGHTS Yes AIRPORT PICK UP/MEET AND GREET Yes ASSISTANCE TO FIND STUDENT JOBS Yes SETTLING PROCEDURES ASSISTANCE BANK ACCOUNT, TRANSPORT CARDS, FINDING A GP, TAX FILE APPLICATION ETC Yes UNIVERSITY STUDY PREPAREDNESS Yes SECTION 6: REFERENCESACADEMIC REFEREE NAME:POSITION:TELEPHONE NUMBER:EMAIL ADDRESS:ADDRESS:EMPLOYMENT REFEREE NAME:POSITION:TELEPHONE NUMBER:EMAIL ADDRESS:ADDRESS: SECTION 7: DISCLAIMER AND CONSENT SECTION I confirm that the above details which I have filled on this form are true…Signed: . I consent to XEL international Educationto contact any of the above people, contacts and institutions for verification purposes…Signed: . I understand that falsification of information may result in termination of my studies and deportation from Australia…Signed: . I confirm that I am able to fully fund my course and my stay in Australia at Bond university without recourse to public funds…Signed: . FOR OFFICE USE YES NO ACTION NEEDED F/UP 1 DATE OUTCOME F/UP 2 DATE OUTCOME F/UP 3 DATE OUTCOME APPLICATION TERMINATED REASON CONSENTS SIGNED CHANGE OF NAMES NO ISSUE VALID PASSPORT MEETS COURSE ENTRY CRITERIA NO PREVIOUS VISA REFUSALS MEETS FINANCE CRITERIA BANK STATEMENTS VALID EVIDENCE OF EDUCATION QUALIFICATIONS VALID EMPLOYMENT EXPERIENCE VERIFIED REFERENCES CONTACTED