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Student Visa Assessment Form

Jan
1
2013

How did you come to know about us (Required) :

Student Name (required):

Address (required) :

E-mail (required):

Mobile Number with codes (required):

Other Contact Number E.g. Landline Phone with codes: Numeric :

Age(required):

Date Of Birth (required):

Qualification (required) :

Total in Percentage (required):

Date of achieving Qualification (required) :

Medium of Instruction (required):

Post Qualification Work Experience (years):

Position & Tasks Performed:

Refused a VISA for Australia before: Yes No

If yes is selected then display these 2 fields Refused Date:

Reason for refusal:

f you are from a Non English Country, Have you appeared for IELTS Test : Yes No

Test Date:

TRF Number :

Overall Band:

Sub Test Scores 1.Listening

Sub Test Scores 2.Reading

Sub Test Scores 3.Writing

Sub Test Scores 4.Understanding

Course Interested (required)

University Preferred (required)

Financial Capability: Explain how you will meet the Financial Requirements for the Desired Course and Support yourself in Australia. Eg Obtaining Education Loan, Having a fixed Deposit, clearly Explain your circumstances (required)

Additional Information

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