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Application Form

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 * :

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?




Please enter your visa details below:


Do you have a visa? *



Please select from the list below if you have answered yes.

If Yes:


Please select from the list below if you have answered no.

If No: what type of visa will you be applying for?


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:

First Course name * Second Course Name
Number of weeks  
Starting date  


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.

Airline
Flight no.
Arrival airport
Time of arrival
Date of Arrival

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:


What is your religion?

What are your hobbies and interests?

This box must be ticked before you submit the form:
I have read and understood the refund and grievance policy

 
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Study English in Australia at Bond University - an accredited University based Australian English School based on the Queensland Gold Coast