This form can also be printed as a PDF document. Please enter your personal details below:... (Fields marked with an asterisk * are required) Family Name * : Given Names * : Country of Birth * : Date of Birth * : / / (format: dd/mm/yyyy) Gender * : Please Select... Male Female
Passport * : (which country's passport are you holding?) Passport Number: Home Address: Telephone: Facsimile: E-mail: * Do you wish to enter a degree course at Bond University? Yes No If yes, which degree? Anticipated commencement date How did you find out about Bueli? AGENT ADVERTISING FRIEND Other: Please enter your visa details below: Do you have a visa? * Please Select... Yes No Please select from the list below if you have answered yes. If Yes: Please Select... PERMANENT RESIDENT WORKING HOLIDAY TOURIST STUDENT Please select from the list below if you have answered no. If No: what type of visa will you be applying for? Please Select... STUDENT TOURIST WORKING If you have studied in Australia, give the name of the most recent institution and completion date:
Are you travelling alone or with your spouse and/or children? Alone With family.
Please note that school aged dependents accompanying you to Australia will be required to pay full fees if they are enrolled in either a government or non-government school.
Please enter your course selection and commencement date below: Please enter name of the course(s) you wish to undertake:
Airport pick-up We can assist your arrival in Australia by meeting you at Brisbane or Coolangatta airport and making you welcome. Our representative will arrange for your transfer to accommodation. The Institute is not a common carrier and accepts no liability for any loss or injury. Do you want to be picked up at the airport and taken to your accommodation? Yes No Arrival details If you can't supply these details now, please give them to us three ( 3 ) weeks before you arrive in Australia.
Accommodation choices If you require accommodation, please indicate your preference by ticking the appropriate box: Homestay Furnished Apartment 1bed 2 bed Application for homestay Do you want to live in a home with a student of the same nationality? Yes No Do you smoke? Yes No Do you drink alcohol? Yes No Do you like having young children in the home? Yes No Do you like pets? Yes No Do you like having cigarette smokers in the home? Yes No Do you have a special diet, any health problems or allergies? Yes No If yes, please describe: Please enter your description here: What is your religion? What are your hobbies and interests? Please enter your description here:
This box must be ticked before you submit the form: I have read and understood the refund and grievance policy
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