SIMPLIFIED STUDENT VISA FRAMEWORK (SSVF) APPLICATION RTO ID: 91116 CRICOS Provider Code: 02635D ABN: 87 102 234 257 Family Name: Given Name: Date of Birth: / / Gender: Male Female Authorised agent (if any): Address in your home country: Address in Australia: Phone: Email Address: Passport No: Country of Citizenship: Proposed enrolling course: Proposed commencement: Jan Feb Apr May July Aug Oct Nov Year: ENGLISH LANGUAGE PROFICIENCY: (a) Is English your first language? Yes No if no, please answer question (b) (b) Have you completed a degree or diploma within the last 2 years, where the sole language of was instruction in English? Yes Please state degree and institution: No (c) Have you undertaken English Language test within the last 2 years? English Test: IELTS TOEFL PET CAE SCORE (Please attach certified copy or English Proficiency Report) EDUCATIONAL BACKGROUND: Name of Qualification Institution State/Country Year Completed OVERSEAS STUDENT HEALTH COVER: Single Dual Family Multiple Family SSVF Applicant Form Version 1.0 Update June 2016 Page 1
LIST OF YOUR EMPLOYMENT HISTORY: Employer Position/duty From (M/Y) To (M/Y) DISABILITY: Do you have any disability, impairment or long-term medical condition or any other special needs that may affect your studies? Yes No If yes, indicated the area of impairment (more than one box may be indicated) Hearing Vision Mobility Other If you answer to the above question, would you like to receive advice on support services, equipment and facilities which may assist you? No Yes PURPOSE OF STUDY (STATEMENT PURPOSE) Please attached a statement of purpose of study giving the reasons for undertaking you intended course at SCBIT. Please respond to each of the following points: a) How will the SCBIT course you have chosen relate to your current background and your future career plan? b) What research have you conducted to compare an alternative option of study in your home country with any other Australian education institutes in order to decide to enroll with SCBIT? c) Describe what you have been doing if your last education qualification was completed more than one year ago? d) Describe what you intend to do on completion of your studies the proposed course at SCBIT? e) In the case that you already hold a qualification in the same or similar course area, describe how your selected SCBIT course build into your existing knowledge? FINANCIAL FUND Do you have access to sufficient funds to support you and your dependants (if any) for the total period of your stay in Australia to ensure that you meet course progress? This includes tuition fees, travel costs, living costs as outlined on the DIBP website: http://www.border.gov.au/trav/stud/more/student-visa-living-costs-and-evidence-of-funds Please indicate your source of funding: Self-Funded Parents Relative Bank loan Employer Scholarship SSVF Applicant Form Version 1.0 Update June 2016 Page 2
Expend Per person Amount required in AUD Do you have these funds? Travel Applicant Return airfare to Australia Yes No Dependants One Return airfare to Australia per person Yes No Not Applicable Tuition Applicant Course Fees for one academic year Yes No School-age children aged 5-18 $8,000 per year Yes No Not Applicable Living Applicant $18,610 per year Yes No Partner $6,515 per year Yes No Not Applicable First child $3,720 Yes No Not Applicable Each other child $2,790 Yes No Not Applicable Overseas Single Visa length cover, appro. $41/month Health Care Couple (no children) Visa length cover, appro. $114/month Yes No Cover Family Visa length cover, appro. $167/month Will any family members come to Australia with you as part of your student visa application? Yes No If yes, please provide the detail: Name Date of birth Relationship (wife/husband/child) PREVIOUS STUDY IN AUSTRALIA Have you been refused a visa for any country including Australia? Yes No If yes, please provide details of your circumstances changed since the refusal with support documents. Are you currently studying or have you previous studies in Australia? Yes No If yes, please provide details such as provider and courses name, date and the support document outcome SSVF Applicant Form Version 1.0 Update June 2016 Page 3
Have you been reported of not achieving satisfactory course progress, attendance, or non-commencement of studies for any CRICOS enrollment? Yes No If yes, please provide details with relevance support documents. Are you awaiting a decision on another visa for any country including Australia? Yes No If yes, please provide details with the type of visa. STUDENT DECLARATION: I declare that all information provided in this application is accurate and complete and that SCBIT may refuse my application or cancel my enrollment if any information is found to be incurred or misleading. I understand that by completing this application, I am giving written consent for SCBIT to independently verify the information supplied by me and any agents in this form and to provide further documents as required. I declare that I am a Genuine Temporary Entrant and a Genuine Student. (see detail on http://www.border.gov.au/trav/stud/more/genuine-temporary-entrant) Student signature: Date: AGENT DECLARATION (if applicable): As an authorization of SCBIT agent, I/we take full responsibility for verifying any of the information provided in this application on behalf of SCBIT and that SCBIT may take action under that agreement, including the cancellation of the agreement for any false or misleading information or breach of the Code of Conduct. Agent signature: Date: SSVF Applicant Form Version 1.0 Update June 2016 Page 4
DOCUMENT CHECKLIST FOR THE ONSHORE APPLICATION Please make sure you have every box ticked off for timely processing of an application: Completed an application form with ensuring of provided valid email address/ current contact detail, Australian address and answer all relevance questions Provided a certify copies of the main application s passport, and every dependent who is included in the application Provided detail of academic history record and a certify copies of transcripts which you have taken in Australia Provided a certify copies of English language proficiency evident such as IELTS, TOEFL, PET, or CAE test result or proved of an offer enrollment as package course with other ELICOS providers Provided a certify copies of completion of Australian Year 12 or international equivalent Provided statement of purpose of study giving the reasons for undertaking student s intended course at SCBIT Provided signed of Financial Declaration form by the student and the agent DOCUMENT CHECKLIST FOR THE OFFSHORE APPLICATION Please make sure you have every box ticked off for timely processing of an application: Completed an application form with ensuring of provided valid email address/ current contact detail, Australian address and answer all relevance questions Provided a certify copies of the main application s passport, and every dependent who is included in the application Provided detail of academic history record and a certify copies of transcripts which you have taken in your home country or other countries outside Australia Provided a certify copies of English language proficiency evident such as IELTS, TOEFL, PET, or CAE test result or proved of an offer enrollment as package course with other ELICOS providers Provided statement of purpose of study giving the reasons for undertaking student s intended course at SCBIT Provided signed of Financial Declaration form by the student and the agent with a certify copies of the bank account balance or funding sources such as bank loan letter or Australian sponsor funding source detail support letter SSVF Applicant Form Version 1.0 Update June 2016 Page 5
Please note that SCBIT cannot issue any offer letter without the above documents. CoE will only be issued if the following documents are in place: Evidence of minimum payment receipt from the bank Signed Student Agreement to confirm acceptance an enrollment offer with agree term and condition which attached to the offer letter All documents must certify English Language translation an please emailed to admission@scbit.edu.au@scbit.edu.au Signed of Checklist confirmation completion: Signed of Counselor s /Agent name: Date of completion: SSVF Applicant Form Version 1.0 Update June 2016 Page 6