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Australian Student Visa Assessment form

Full Name (Per Passport)*

Date Of Birth Per Passport (DD/MM/YYYY)

Nationality

Country of Residence:

Gender*

Male

Female

Other

Your email*

Whatsapp Number*

Name of desired course

CRICOS Code (if known)

Duration of Course

Institution Name

Institution & Country

Year Completed

Previous Work Experience (if applicable)

Have you taken an English language proficiency test?:

Yes

No

If yes, specify the test taken

IELTS

PTE

TOEFL

Other

Overall Score Obtained

Date of Test

Who will be funding your studies?

Self

Parent

Sponsor

Loan

Do you have evidence of financial support for tuition, living costs, and travel expenses?

Yes

No

Estimated available funds

Do you have any existing medical conditions?

Yes

No

Have you ever been convicted of a criminal offence?

Yes

No

Why do you want to study in Australia?

What are your plans after completing your studies?

Are you bringing any dependents (spouse/children)?

Yes

No

If yes, please provide details

Have you applied for an Australian visa before?

Yes

No

If yes, please provide details

Have you been refused a visa for any country?

Yes

No

If yes, provide details

Australian Student Visa Assessment form

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