International Student

Agent Stamp/Details

Application Form
Please complete all section in BLOCK letters.
Items marked with ** are compulsory. If these fields are not responded, the forms will be returned.

Course Location: □ Melbourne City Campus (M) □ Footscray Campus (F)

✔
□ Hobart (H)
A Your Personal Details
First Name: PRABHAKAR Family Name: THAPA MAGAR
Date of Birth (dd/mm/yyyy): 24/09/1985 Gender:  Male
✔
 Female
Country of Birth: NEPAL Place of Birth: KATHMANDU

B Your Contact Details

Number & Street Name: MINBHAWAN

Address in your home Suburb/City: KATHMANDU

country** State/Province BAGMATI Postcode: 44600
Country: NEPAL
Number & Street Name: 150 RUPERT STREET
Address in Australia
(if known)
Suburb: WEST FOOTSCARY
State: VIC Post Code: 3012
Phone: ( ) Mobile: 0415605371
Contact Details
Email: prvkrmgr18@gmail.com

C Your Passport Details

Your Citizenship:NEPALESE Passport Number: 08146946 Expiry: 27/NOV/024

Are you currently in Australia?  Yes

✔
 No
If yes, state your visa type: Student
✔
 Visitor 
Spouse  Others Visa Subclass: 500
500
Overseas Student Health Cover
It is an Australian Government’s requirement that all international students on a student visa must be covered by Overseas Student Health Cover (OSHC). Payment
of OSHC needs to occur when you accept your offer. If family and children accompany you, you require the compulsory family policy for OSHC. CAC can arrange
visa-length cover with our preferred OSHC provider, upon request.


Do you currently have OSHC?
✔
Yes (Please, provide details below)

OSHC Provider Name: ALLIANZ Membership Number: WEB41622399WVIC

WEB41622399WVIC Expiry Date: 15/JAN/2022
15/JAN/2022
 Yes (I want CAC to organize) 
✔
No (I will organize myself)

E Your English Language Proficiency**

 English is my first language


✔ I have completed a recognized English test in last 2 years. (e.g. IELTS)
Name of the Test: PTE Score: 39 Date of the Test: 17 JUN 2019

 I am planning to enroll into English language course. Provide course name:

Your Educational Background

Please provide details of your past education including the highest qualification completed. Please provide evidences.

Year Completed Name of Qualification Name of the Institution Country Duration

2010 BACHELOR NCC NEPAL 3 YEARS

2005 10+2 V.S. NIKETAN NEPAL 2 YEARS
Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 1 of 7
 Select Your Course
Please select courses you would like to apply to study at Central Australian College (CAC).

 English Language Courses

Duration (weeks)
Indicative Tuition & Non Campus Intake
CRICOS Tuition Fees Location
Tick Course Code Course Name Month
Code Total Class Break Tuition Application / Year
Non AQF
 096453K
Award
General English Level I 11 10 1 $2,530 $ 250 M/H
Non AQF
 096454J
Award
General English Level II 11 10 1 $2,530 $ 250 M/H
Non AQF
 096455G
Award
English for Academic Purpose I (EAP) 11 10 1 $2,530 $ 250 M/H
Non AQF
 096456G
Award
English for Academic Purpose II (EAP) 11 10 1 $2,530 $ 250 M/H

 VET Qualifications
Indicative Tuition & Non Campus Intake
CRICOS Course Duration (weeks) Location
Tick Course Name Tuition Fees Month
Code Code
Total Class Break Tuition Application / Year
Certificate III in Light Vehicle Mechanical
✔ 091625B AUR30616
Technology
52 44 8 $ 15,650 $ 350 F/H
Certificate IV in Automotive Mechanical
✔ 091671G AUR40216
Diagnosis
26 24 2 $ 6,400 $ 350 F/H
 091692B AUR50116 Diploma of Automotive Management 52 44 8 $ 9,650 $ 350 F/H
✔ 092624F AUR50216 Diploma of Automotive Technology 26 24 2 $ 7,150 $ 350 F/H
 086975M BSB40215 Certificate IV in Business 26 23 3 $ 4,150 $ 350 F/M
 098791J BSB51918 Diploma of Leadership and Management 52 44 8 $ 11,650 $ 350 F/M/H
Advanced Diploma of Leadership and
 087999F BSB61015
Management
52 44 8 $ 11,650 $ 350 F/M/H
Certificate IV in Marketing and M/H
 092621J BSB42415
Communication
26 23 3 $ 4,650 $ 350
 092622G BSB52415 Diploma of Marketing and Communication 52 44 8 $ 11,650 $ 350 M/H
Advanced Diploma of Marketing and
 092623G BSB61315
Communication
52 44 8 $ 11,650 $ 350 M/H
Graduate Certificate in Management
 096778M BSB80515
(Learning)
26 22 4 $ 7,150 $ 350 F/M/H
 093528J BSB80215 Graduate Diploma of Strategic Leadership 52 44 8 $ 14,650 $ 350 F/M/H
Graduate Diploma of Management
 098480B BSB80615
(Learning)
52 44 8 $ 15,150 $ 350 F/M/H
*Conditions apply
Fees may change during your course of study. CAC reserves the right to discontinue or alter any course date, tuition or service fee, location, timetable or staffing
without prior notice. This will constitute a provider default and all tuition fees will be handled in accordance with Central Australian College’s Refund Policy. Interest
will not be credited to Student Fees or disbursements and therefore no interest will be recovered by students in the event of cancellation. Students must maintain valid
Overseas Student Health Care insurance throughout their enrolments.

H Fee Payment Options**

Do you wish to pay half or more of your course fees before your course start date? Please tick one of the desired options.

 Half
✔
 More, if more please specify the amount ____________________
*Please note: for monthly fee payment, options and payment plans please contact student administration

Credit Transfer / RPL

Are you applying for Credit Transfer for the units successfully completed at another provider? Yes 
✔
No
If yes, please submit the supporting documents such as official transcript or statement of attainment other evidences to the student administration.

Are you applying for Recognition of Prior Learning (RPL)? Yes 

✔
No
Please contact Student Administration for further information.

Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 2 of 7
 You must answer the following questions**
a. What are your reasons for selecting this course?
I DREAM TO BE AN AUTOMOTIVE ENGINEER. SO TO PURSUE MY DREAM, I WANT TO
ENROLL IN AUTOMOITIVE STUDIES.

b. Do you hope to work in the area of study after you graduate?

 Yes. (If yes, please specify how this course will assist you to achieve your career goal?)
✔

 No. (If no, please specify your intention for doing this course.)

c. Do you have any work experience related to this course?  Yes  No ✔

If yes, please specify

d. Are you aware of learning outcomes of this course?  Yes  No

✔

Please identify your preferred learning style.** You may tick more than one.
 Participating in classes face to face with teacher and other students.
✔


✔
Group work with other students, discussion with other students


✔
Online completion of some units/subjects

Continuous and regular communication with my teacher

✔


✔
Self-directed tasks and activities


✔
Hands on tasks, role plays and activities


✔
Self-paced flexible learning books


✔
On the job, workplace training and assessment

Computer and Internet Skills**

a. Do you have regular access to computer devices and the internet?  Yes
✔
 No
If no, please specify how/where you intend accessing the internet?

b. Do you use MS Office applications, e.g. Microsoft Word, Excel etc.?  Yes
✔
 No
If yes, how would you rate your skills:

☐ Beginner (i.e. creating new documents, saving files, can use cut, copy and paste functions etc.)

☐
✔
Intermediate (i.e. can generate graphs and use scaling options and most of functions)

☐ Expert (i.e. can use all functions in MS-Office)

c. Do you have any difficulties using search engines such as google and using internet in general?  Yes  No
✔

If yes, please specify:

Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 3 of 7
 Industry Specific Questions**

Answer the following questions if you are applying for Automotive Courses:

Tick () the most appropriate response.

1. Hazards can be controlled in the workshop by.

 Cleaning up spills immediately  Wearing the correct PPE
 Reading and following safety signage
✔
 All of the above
 Removing hazards
2. The yellow and black markings on the workshop floor are.
 Machinery safety zones
✔
 Teacher only zones
 Areas to be swept at the end of each lesion  Areas where safety glasses must be worn

3. When operating any mechanical equipment, you should:

 wear earphones for hearing protection
✔
 operate it correctly and safely and concentrate on the job
✔

 keep all guards in place  All of the above

4. When manual handling heavy objects, what you should not do:
 You should bend your knees before lifting  If the object is over 15kgs you should use a trolley or
✔

 You should lift any object over 15kgs on your own another lifting/ carrying device
 All of the above
5. PPE includes anything someone can use or wear to mitigate the threats that workplace hazards pose to health and safety. Please match the
PPE tools in the left column with the correct uses in the right column. Use arrows to match the columns.
PPE Use in a Mechanical Workshop
a. Safety glasses i. Protects feet/toes from injury caused by dropping heavy items.
b. Overalls ii. Protects hands from solvents and fluids.
c. Gloves (light weight) iii. Used to reduce hearing damage caused by loud noises such as air rattle gun, air chisel, hammering.
d. Face shield iv. To protect eyes and face from flying materials created when grinding or drilling.
e. Steel capped boots v. To protect eyes from debris when panels are sanded.
vi. Protects against fluids or chemicals causing damage to clothing and skin. Essential when doing
f. Ear muffs or ear plugs
spray work.

Answer the following questions if you are applying for Business and Marketing Courses

Tick () the most appropriate response.

1. Which word does not describe the customer’s needs regarding product?
 Functionality  Empathy
 Price  Convenience
2. What are types of media?
 Billboards  Video games
 Television  All of the above
3. Why is it important for companies to evaluate managerial decisions using a SWOT Analysis?
 It analyses strengths, weaknesses, opportunities, and threats
 It analyses strengths, weaknesses, obligations, and threats
 It analyses strengths, weaknesses, opportunities, and time
 It analyses strong points, weak points, opportunities, and threats
4. Financial statement is a report that shows the financial information of a business. What is not a part of financial statement? (Multiple choices
question)
 Balance Sheet  Cash flow statement
 Profit and Loss Statement  Business plan
5. SMART is an acronym that you can use to guide your goal setting. What does SMART stand for?
 Specific, Measurable, Achievable, Relevant, Time bound
 Specific, Measureable, Acceptable, Relevant, Threaten
 Special, Modifying, Accurate, Reliable, Transferrable
 Special, Motion, Accurate, Reliable, Transferrable

Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 4 of 7
Answer the following questions if you are applying for Graduate courses

Tick () on the correct response

1. What is collaborative thinking?

 Procedure by which leader enforces team to follow his opinion
 Procedure by which members of team work together in a joint intellectual effort
 Procedure by which a member of the team makes a decision as a sole intellectual prowess
 Procedure by which a member of the team leaves the decision making to the manager
2. What is not considered as leadership in an organisation?
 Setting a clear vision
 Motivating employees
 Guiding employees
 Taking all the credit
3. Tick () the three suitable steps to inspire employee engagement
 Communicate who you are
 Alienate employee
 Empower employee
 Reward and recognise risk
4. When will the need for coaching arise in the workplace? Tick () two suitable options.
 Workplace problems
 When organisation is making profit
 Manager wants take a break
 Request for coaching from employees
5. Match the terms with their appropriate meaning. Use arrows to match.

Term Meaning
i. To explore environment outside organisation to identify the opportunities and
a. Strategic plan
challenges the organisation faces
ii. is the formalized roadmap that describes how your company executes the chosen
b. External environment assessment
strategy
iii. Concerned with an organisation and its individual’s moral judgments about right
c. Contingency plan
and wrong
d. Benchmarking iv. Provide directions to operate personnel if unplanned events occur
v. Measuring the quality and effectiveness of a firm’s policies, products and service
e. Business ethics
delivery etc. against your past performance or industry standard

Additional Support Required

Do you require any additional support or anything that might prevent you from progressing through the training and assessment program?

 Yes 
✔
No

If yes, please specify:

O Medical History
Please provide us with information about any medical conditions, disability or impairment you have that may affect your studies.

P Unique Student Identifier (USI)

From 1 January 2015 all students undertaking nationally recognized training delivered by a registered training organization will need to have a USI.
The Unique Student Identifier or USI is a reference number made up of 10 numbers and letters that:
 creates a secure online record of your recognized training and qualifications gained in Australia, even from different training organization
 will give you access to your training records and transcripts (available in late 2016)

Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 5 of 7
  can be accessed online, anytime and anywhere
 is free and easy to create and
 stays with you for life
Please enter your USI (if known)

 No, I don’t have a USI number. I consent CAC to apply on my behalf.

■

Please refer to USI Privacy notice and consent in the enrolment form and/or www.cac.edu.au.
 No I don’t have a USI number. I will create it myself. Go to www.usi.gov.au

Q Supporting Documents Checklist

Certified copies of the following supporting documents must be included when you submit your application. Applications that are submitted without
necessary supporting documents will be delayed in processing. Please select all relevant.


✔ Certified copies of passport


✔ Certified academic transcripts


✔ Certified copies of qualification certificates


✔ Evidence of English language proficiency


✔ Evidence of OSHC (if applicable)


✔ Certified English translation of documents (if not in English)


✔ Evidence of finances

R Student Declaration
I understand and accept:

✔ That I have read the CAC student Prospectus (also available on website www.cac.vic.edu.au) which details information about the CAC course
requirements, fees payments, refund policy, ESOS framework, and CAC policy and procedures.

✔ The CAC fees and refund policy and conditions of enrolment set out in CAC prospectus (also available on website www.cac.vic.edu.au) and I
agree to abide by them.

✔ That I need to sign a Student Agreement to accept the offer and enrol at CAC.

✔ That CAC collects uses and manages my information in accordance with the CAC Privacy Policy.

✔ That I have read and understood the Privacy Notice regarding the USI and I consent Central Australian College to apply for USI on my behalf,
if I already have not applied.
 That this agreement, and the availability of complaints and appeals processes, does not remove the right of the students to take action under
Australia’s consumer protection laws

✔ I acknowledge that I am not required to pay more than 50% of the tuition fee before the start of the course. However, I have a choice to pay
more than 50% of the tuition or the full course fees if I wish.
I authorize the Central Australian College (CAC) to disclose information relevant to my application and enrolment to CAC’s preferred OSHC
provider and other third parties for the purposes of arranging my OSHC, processing my application and enrolment, and administering my course.


✔ I give CAC permission to check my visa status using the Department of Home Affairs (DoHA) Visa Electronic
Verification Online (VEVO) system.

✔ I declare that all information provided in this application is complete and correct. I understand that failure to provide correct information or
documentation in relation to this application may result in cancellation of my enrolment.

Student Signature:* Parent or Legal Guardian’s Signature:*

Date (dd/mm/yyyy): 06/01/2021 Parent or Legal Guardian’s Name:* Date (dd/mm/yyyy):

* Please Note: This application must be signed by a parent or legal guardian if the student is under 18 years of age at the time of application.
Student must be at least 18 years of age at the time of commencement of a course at CAC.

Please send in your completed application with supporting documents to:

Melbourne - By Post: 8 Cross Street, West Footscray, VIC 3012 Australia Email: admin@cac.edu.au
Hobart - By Post: Level 3, 4 45 Murray Street, Hobart TAS 7000 Email: admin@hobart.cac.edu.au

Central Australian Institute of Technology Pty Ltd | CRICOS: 03217C |TOID: 22302 | V9.8 | 0820 | Page 6 of 7
FOR OFFICE USE ONLY

I. Pre –training evaluation (please tick)

a. Considering the response on the PTR form and the LLN Test outcome does the applicant  Yes  No
have appropriate literacy and numeracy skill levels to meet the requirement of this course?
If No:
With additional support is the applicant likely to be successful in the chosen course of
study?
 Yes, What additional support should be provided:
☐ Delivery and assessment methods adapted by trainers, e.g. oral assessment
☐ Referral to Student Support Officers for out of class learning support
☐ Other: _________________________________________
 No, please provide further advice of options available to the applicant.

b. Understands course and unit information  Yes  No

c. Appropriate work experience and level of skill and ability to undertake this course  Yes  No
successfully
d. Student is eligible for RPL/CT  Yes  No

e. Based on the information provided above:

Enrolment to proceed:  Yes  No
Enrolment to proceed with adjustment/ conditions:  Yes  No
Area requiring assistance/ recommendation for support of adjustment (if any):

Note: If additional assistance/recommendation for support or adjustment is identified, please ensure proper processing to the Student Support
Service/ Academic Departments.

f. PTR review conducted Date: Signature

g. Supporting document verified Date: Signature

h. Offer letter issued Date: Signature

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