PRELIMINARY STUDENT APPLICATION FORM

XEL INTERNATIONAL EDUCATION AGENCY

SECTION 1: BIOGRAPHICAL DETAILS
YOUR 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 STUDIED
YEAR STARTED:
YEAR COMPLETED:
SUBJECT
GRADE
1.
SUBJECT
GRADE
2.
SUBJECT
GRADE
3.
SUBJECT
GRADE
4.
SUBJECT
GRADE
5.
SUBJECT
GRADE
6.
SUBJECT
GRADE
7.
SUBJECT
GRADE
8.
SUBJECT
GRADE
SECONDARY EDUCATION (ADVANCED LEVEL/SENIOR HIGH SCHOOL)
NAME OF SCHOOL*
TITLE OF HIGH SCHOOL COURSE*
TITLE OF HIGH SCH.QUALIFICATION*
YEARS STUDIED
YEAR STARTED:
YEAR COMPLETED:
SUBJECT
GRADE
1.
SUBJECT
GRADE
2.
SUBJECT
GRADE
3.
SUBJECT
GRADE
4.
SUBJECT
GRADE
5.
SUBJECT
GRADE
6.
SUBJECT
GRADE
7.
SUBJECT
GRADE
8.
SUBJECT
GRADE
9.
SUBJECT
GRADE
10.
SUBJECT
GRADE
11.
SUBJECT
GRADE
TERTIARY EDUCATION (COLLEGE/UNIVERSITY)
NAME OF INSTITUTION*
TITLE OF COURSE*
TITLE OF QUALIFICATION*
YEARS STUDIED
YEAR STARTED:
YEAR COMPLETED:
SUBJECT
GRADE
1.
SUBJECT
GRADE
2.
SUBJECT
GRADE
3.
SUBJECT
GRADE
4.
scd
GRADE
5.
SUBJECT
GRADE
6.
SUBJECT
GRADE
7.
SUBJECT
GRADE
8.
SUBJECT
GRADE
9.
SUBJECT
GRADE
10.
SUBJECT
GRADE
11.
SUBJECT
GRADE
12.
SUBJECT
GRADE
13.
SUBJECT
GRADE
More courses?
- More courses?
- Please continue on a separate page
SHORT COURSES
NAME OF INSTITUTION/PLACE
TITLE OF CERTIFICATE
TITLE OF QUALIFICATION
YEAR STUDIED
ENGLISH LANGUAGE PROFICIENCY EVIDENCE
DO YOU HAVE IELTS?
- YES
- NO
IELTS EXAM REF NO:
DATE SAT:
READING:
WRITING:
SPEAKING:
LISTENING:
OVERALL:
PLACE:
PROFESSIONAL REGISTRATION
NAME OF INSTITUTION/COUNTRY
REGISTRATION PIN NUMBER
DATE FROM
DATE EXPIRES
TITLE OF REGISTRATION
NAME OF INSTITUTION/COUNTRY
REGISTRATION PIN NUMBER
DATE FROM
DATE EXPIRES
TITLE OF REGISTRATION
NAME OF INSTITUTION/COUNTRY
REGISTRATION PIN NUMBER
DATE FROM
DATE EXPIRES
TITLE OF REGISTRATION

SECTION 3: EMPLOYMENT DETAILS
MOST RECENT/CURRENT EMPLOYER
NAME
ADDRESS
YEARS STUDIED
FROM
TO
MAIN DUTIES
PREVIOUS EMPLOYER 2
NAME
ADDRESS
YEARS STUDIED
FROM
TO
MAIN DUTIES
PREVIOUS EMPLOYER 3
NAME
ADDRESS
YEARS STUDIED
FROM
TO
MAIN DUTIES
MORE 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 SPONSOR
ADRESS OF SPONSOR
SPONSOR’S TELEPHONE
SPONSOR’S EMAIL ADDRESS
EVIDENCE OF FUNDS ATTACHED
BANK 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?
- YES
- No
COUNTRY:
YEAR VISA APPLIED
PURPOSE
GRANTED
DENIED
1.
YEAR VISA APPLIED
PURPOSE
GRANTED
DENIED
2.
YEAR VISA APPLIED
PURPOSE
GRANTED
DENIED
3.
YEAR VISA APPLIED
PURPOSE
GRANTED
DENIED

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

Study Tours

Pearson Test Academic

IELTS Test Format

XEL ADELAIDE

XEL BRISBANE

XEL BYRON BAY

XEL GOLD COAST

XEL MELBOURNE

XEL PERTH

Study Tours

Pearson Test Academic

IELTS Test Format

XEL ADELAIDE

XEL BRISBANE

XEL BYRON BAY

XEL GOLD COAST

XEL MELBOURNE

XEL PERTH

Step 1 of 7

XEL INTERNATIONAL EDUCATION AGENCY

SECTION 1: BIOGRAPHICAL DETAILS

SECTION 2: EDUCATION DETAILS

SECONDARY EDUCATION (ORDINARY LEVEL)

YEARS STUDIED

SUBJECT

GRADE

SECONDARY EDUCATION (ADVANCED LEVEL/SENIOR HIGH SCHOOL)

YEARS STUDIED

SUBJECT

GRADE

TERTIARY EDUCATION (COLLEGE/UNIVERSITY)

YEARS STUDIED

SUBJECT

GRADE

SHORT COURSES

ENGLISH LANGUAGE PROFICIENCY EVIDENCE

IELTS EXAM REF NO:

PROFESSIONAL REGISTRATION

SECTION 3: EMPLOYMENT DETAILS

MOST RECENT/CURRENT EMPLOYER

YEARS STUDIED

PREVIOUS EMPLOYER 2

YEARS STUDIED

PREVIOUS EMPLOYER 3

YEARS STUDIED

SECTION 4: SPONSORSHIP DETAILS

EVIDENCE OF FUNDS ATTACHED

SECTION 5: WHAT COURSE WOULD YOULIKE TO STUDY

SECTION 5: VISA SECTION

COUNTRY:

YEAR VISA APPLIED

PURPOSE

GRANTED

DENIED

1.

2.

3.

SECTION 6: XEL INTERNATIONAL AGENCY SERVICES

SECTION 6: REFERENCES

ACADEMIC REFEREE

EMPLOYMENT REFEREE

SECTION 7: DISCLAIMER AND CONSENT SECTION

CONTACT INFO

RESOURCES

COUNTRIES

IMAGE GALLERY