Академический Документы
Профессиональный Документы
Культура Документы
ta page of each applicants passport Payment in cash /cheque of RM100 (Individual) / RM200 (Family) for IDP Students 2 passport sized photographs for each applicant Other documents will be required for students under 18 and families after lodgement
TRN #
It is recommended that your passport should be valid for the total period of your stay in Australia. Proposed Arrival Date (Optional) __________________ Proposed Departure Date (Optional) ______________ Proposed Incoming Flight Details (if known) _________ Proposed duration of stay in Australia _____________ Are you known by any other names? (This includes names before marriage) Do you hold any other citizenship than that shown as your Passport Country above? Yes / No Yes / No
SPONSORSHIP DETAILS
As previously stated, this form can only be used where the visa application charge is required. If you believe you are in one of the following categories please do not continue this application form, as you will be charged the full application fee. Sponsored by the Australian Government, for example, AusAID, Department of Defence. Holder of one of the following scholarships: - International Postgraduate Research Scholarship Scheme (IPRSS); - Overseas Postgraduate Research Scholarship Scheme (OPRS); - Australian-European Scholarships (AES); - Australian-Greek Awards Program (AGAP); - Australian Program of Training for Eurasia (APTEA); - Commonwealth Scholarship and Fellowship Plan (CSFP); - Holder of a completed Acceptance Advice of Secondary Exchange Student (AASES) form.
Give details of the Australian residential address (if known) Address _____________________________ Suburb/Town _____________________________ State or Territory _____________________________ Postcode _____________________________ Your contact telephone number in Australia (if known) Home phone __________________ Authorization Do you want to authorize another person to act and/or receive communication about this application on your behalf? This includes authorizing the Department to send that person any communication, documents or notifications relating to the application that would otherwise have been sent to you.
NO
CONTACT DETAILS
Give details of your current postal address. If your postal address is different, please amend the following details. Family name Address Postcode Communicating with you We can communicate about the application more quickly using e-mail. Do you agree to this Department communicating with you via e-mail? Yes (Compulsory) enter your e-mail address _______________________________________ All communication will be sent to the above contact address. This may result in delays in receiving communication about your application. ___________________________ ___________________________ ___________________________ Given name Suburb/Town Country _________________________ _________________________ _________________________
Communicating with this Department In the course of deciding this application, we may need you to attend an Australian Government office overseas for an interview. If this occurs, which office would you prefer to go to? Kuala Lumpur
HEALTH DECLARATIONS
You are required to answer the following questions for yourself and any other person included in the application. In the last five (5) years, have you or any person in this application visited or lived outside MALAYSIA for more than three (3) consecutive months (not including Australia)? Yes / No Name of Country Purpose of Visit If yes, kindly provide the details below _______________________ _______________________ Date from Date to ____/___/____ (DD/MM/YY) COMPULSORY ____/___/____ (DD/MM/YY) COMPULSORY
Do you or any other person included in this application, intend to enter a hospital or a health care facility (for example, a dentist surgery, private health care clinic, nursing home, pathology laboratory, ambulance station, or community or rural nursing facility) for any purpose while in Australia? Yes / No If yes
Do you or any other person included in this application, intend to work as, or study to be, or train to be, a doctor, dentist, nurse or paramedic during your stay in Australia? Yes / No Do you or any other person included in this application, intend to work, or be a trainee, at a child care centre (including preschools and crches) as an employee, trainee or student while in Australia? Yes / No Have you or any other person included in this application: - ever had, or currently has, tuberculosis - been in close contact with a family member that has active tuberculosis - ever had a chest x-ray that showed an abnormality Yes / No During your proposed stay in Australia, do you or any person included in this application, expect to incur medical costs or require treatment or medical follow up for: blood disorders cancer heart disease hepatitis B or C HIV infection, including AIDS kidney disease, including dialysis liver disease mental illness pregnancy respiratory disease that has required hospital admission or oxygen therapy any form of surgery? any other health concerns? Australia or overseas? Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
Do you or any person included in this application, require assistance with mobility or care due to a medical condition in
You are strongly advised to carry certification of your vaccination status, especially for children attending Australia child care centers (including preschools and crches) and schools. Vaccinations against polio, tetanus, measles, mumps, rubella, diphtheria, pertussis (whooping cough), Haemophilus influenza type B(Hib) and Hepatitis B is recommended for children, with certification sought at time of child care centre (including preschools and crches) and school enrolment. Vaccination against rubella is also recommended for women of child bearing age.
CHARACTER DECLARATIONS
If you wish to study in Australia, you must be of good character. The following questions ask details of your character. If your circumstances change before you travel you should inform the Australian Government office overseas. If you are receiving assistance in completing this form, you must ensure you personally answer these questions, and that the answers are faithfully transcribed to this form. For your reference, a copy of these questions can also be found in form 157A Application for a student (temporary) visa. Have you, or any person included in this application to apply for this visa, ever been convicted of a crime or offence in any country (including any conviction which is now removed from official records)? Yes / No been charged with any offence that is currently awaiting legal action? Yes / No been acquitted of any criminal offence or other offence on the grounds of mental illness or unsoundness of mind? Yes / No been removed or deported from any country (including Australia)? Yes / No left any country to avoid being removed or deported? Yes / No been excluded from or asked to leave any country (including Australia)? Yes / No committed, or been involved in the commission of war crimes or crimes against humanity or human rights? Yes / No been involved in any activities that would represent a risk to Australian national security? Yes / No had any outstanding debts to the Australian Government or any public authority in Australia? Yes / No been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? Yes / No served in a military force or state sponsored/private militia, undergone any military/paramilitary training, or been trained In weapons/explosives use (however described) other than in the course of compulsory national military Service? Yes / No
PROCESSING DETAILS
Have you or any person included in this application held or currently hold a visa for travel to Australia? Yes / No Have you, or any person included in this application ever been refused an entry permit or visa to Australia? Yes / No Have you, or any person included in this application ever had a visa cancelled? Yes / No Are you, or any person included in this application currently awaiting a decision on another visa application (not including this application)? Yes / No
Name Type of visa applied for Date visa was issued Visa number
__________________
DECLARATION
Do you have access to sufficient funds to support you and your family unit members for the TOTAL period of your stay in Australia (including proposed tuition costs for you and any school aged family members, living costs and cost of fares, regardless of whether your dependants intend to accompany you to Australia)? Yes / No I certify that the information provided on or with this form is correct. Yes / No Do you acknowledge that you must immediately advise this Department if you become aware that any information provided in this form is incorrect or if there is a change in your circumstances at any time? Yes / No If granted a visa, do you acknowledge that you are required to abide by its conditions as outlined in the information form 1160i Applying for a student visa and on this Department's web site? Yes / No Do you hold health insurance with an approved Overseas Student Health Cover (OSHC) provider? Yes / No I will respect Australian values as listed at the beginning of this application, during my stay in Australia and will obey the laws of Australia Yes / No
The following declaration must be signed and dated by all people over the age of 18 included in this application, parents/legal guardians must complete the declaration on behalf of any children under the age of 18 years or any person who lacks the legal capacity to sign on their own behalf. I certify the information supplied on or with this form is correct, If granted a visa, I acknowledge that I am required to abide by its conditions as outlined in the information form I 160i Applying for a I have attached all documentary evidence as specified in the appropriate booklet from the Temporary Entry: Overseas Students series for my assessment level and the visa subclass under which I am applying, I acknowledge that I understand that if the 8534 visa condition is imposed on my visa, it will be indicated by the condition code 8534 and by the short description No Further Stay, I acknowledge that this means that the 8534 condition has been imposed on my visa and that I will not, while in Australia, be entitled to the grant of any other visa i, apart from a further student visa providing permission to work. I understand that the effect of the 8534 visa condition is that it will not be possible for me to apply to remain in Australia beyond the authorized date on my visa label i and that I will be required to depart Australia on or before the date notified on my visa label. I agree to having this condition included on any visa issued to me as a result of this application if DIAC decides to impose it as a condition of grant of a visa, I acknowledge that I understand that if the 8535 visa condition is imposed on my visa, it will be indicated code 8535 and by the short description No Further Stay, I acknowledge that this means that the 8535 condition has been imposed on my visa and that I will not, while in Australia, be entitled to be granted any other visa i, apart from: A further student visa with permission to work, the application for which was made on form 157P; or A further student visa, with the consent of my sponsor I understand that the effect of the 8535 visa condition is that it will not be possible for me to remain in Australia beyond the authorized date on my visa label i, unless I am applying for a further student visa with the consent of my sponsor and that I will be required to depart Australia on or before the date notified on my visa label, I agree to having this condition included on any visa issued to me as a result of this application if DIAC decides to impose it as a condition of grant of a visa,
Student Visa and in the appropriate booklet from the Temporary Entry: Overseas Students series,
I am aware that I must immediately advise DIAC if I become aware that any information provided in this form is incorrect or if there is
a change in my circumstances that are relevant to this application at anytime. EXCEPT in extremely limited circumstances which are outside your control or to engage Australias protection obligation under the 1 951 UN convention relating to the status of refugees.
Student Signature
Parents Signature
______________
Date
Date
PAYMENT DETAILS
How will you pay your application charge? (If applying in Australia, debit or credit card is the preferred method) Credit card details Credit card number Expiry date Cardholders name Telephone Master card
Visa
American Express
JCB
Diners
- - - -
__________ Signature of cardholder ___________
IMPORTANT:
All student visas have condition 8202 attached to them. Condition 8202 stipulates that students must attend a minimum of 80% of their classes and maintain a satisfactory performance record. If condition code 8202 is breached the education institution will report the student to DIAC for consideration of cancellation of their student visa. Students whose visas are cancelled for breach of condition are subject to a three-year exclusion period from Australia. PLEASE NOTE THAT IDP WILL NOT BE RESPONSIBLE OR LIABLE FOR ANY PROBLEMS OR DELAY IN THE PROCESSING OR GRANT OF A STUDENT VISA. IF THE VISA HAPPENS TO BE GRANTED AFTER A COURSE HAS BEGUN, STUDENTS MAY HAVE TO REAPPLY FOR A NEW VISA IF THE EDUCATION PROVIDER REFUSES TO ACCEPT THEM FOR THAT PARTICULAR INTAKE. VISA FEES ARE ABSOLUTELY NON-REFUNDABLE.
WE ACKNOWLEDGE THAT ALL MATTERS MENTIONED ABOVE ARE CLEARLY UNDERSTOOD.