Admissions Application CANTERBURY INSTITUTE OF MANAGEMENT(CIM)

SYDNEY: 41 McLaren St, North Sydney NSW 2060

Form (Student) DARWIN: 2 Printers Place, Darwin NT 0800

(T) + 61 2 8007 5846 (F) + 61 2 9280 3858
Please Choose Location: Sydney Darwin (E) admissions@ciom.edu.au (W) www.ciom.edu.au
PERSONAL DETAILS

Have you previously studied at the Canterbury Institute of Management (CIM)? Yes No
if yes, please provide Student ID Number

Title Mr Ms Miss Mrs Other Nationality

Family Name/s Country of Birth
Given Name/s Passport Number
Gender Male Female Unspecified Expiry Date day month year

Date of Birth* (as shown on passport) day month year Country of Issue
Telephone At the time of application are you in Australia? No Yes
Mobile Please provide name of your current education provider (if applicable)
Email Address
Address in Australia (if known) Home Country Address

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Suburb/City Suburb/City

Postcode State Postcode State

Note*: CIM does not accept students under 18 years of age

AUTHORISED AGENT DETAILS (IF APPLICABLE)

Agency Name Contact Person

Email Address Telephone Number

MAJOR(S) SELECTION

Bachelor of Business (CRICOS Course Code: 0101271)

Please choose your preferred option for major(s)

Single Major Options Double Major Options (Conditions apply)

Accounting Accounting & Hospitality Management Hospitality Management & Management
Hospitality Management Accounting & Information Systems Information Systems & Hospitality Management
Information Systems Accounting & Management Information Systems & Management
Management
Conditions
Students choosing to study CIM Bachelor of Business Double Major will:
- Study a fully structured Program Planner that does not have Elective Courses;
- Not receive advance standing on the basis of VET qualifications such as Diploma or Advanced Diploma;
- Study and pay tuition fees for 2 additional courses where Accounting is one of the two majors.

Cross-Institutional Study (please specify Course Codes) 1. 2. 3. 4.

INTAKE DATE

February May September Year

ENGLISH PROFICIENCY

Is English your first language? Yes No if no, what is your first language?

Have you completed any secondary or tertiary studies with English as the level of instruction? Yes No
Please indicate if you have taken any of the following English Uests:

IELTS TOEFL PTE Other Overall Score: Test Date: / /

Note: To check if you have met CIM's English language Entry Requirements, please refer to the Student Admission Policy and Procedure available on the CIM website
(www.ciom.edu.au)

EDUCATION BACKGROUND

Institution/School Name of Qualification Location Year completed

P.S.: Please sign the declaration printed on the reverse of this application form.
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 Admissions Application CANTERBURY INSTITUTE OF MANAGEMENT
SYDNEY: 41 McLaren St, North Sydney NSW 2060

Form (Student) DARWIN: 2 Printers Place, Darwin NT 0800

(T) + 61 2 8007 5846 (F) + 61 2 9280 3858
(E) admissions@ciom.edu.au (W) www.ciom.edu.au
ADVANCED STANDING

Do you wish to apply for Advanced Standing? Yes No Your USI Number:
(Mandatory if seeking Credits from Australian RTO)

If you have studied or are currently studying at another academic institution, you may be eligible for credit/advanced standing towards your program at
CIM.
Please refer to the Advanced Standing and Credit Transfer Policy available on the CIM website (www.ciom.edu.au) for further information on the process
and the application deadline.

OVERSEAS STUDENT HEALTH COVER (OSHC)

Would you like us to arrange health cover for you? if yes, please choose the level of cover:

Yes No Single Couple Family

SUPPORT SERVICES

Do you have a disability, impairment or long-term medical condition, which may affect your studies? Yes No
if yes, please specify: Hearing Vision Learning Mobility Medical Other

CHECKLIST

I have: Completed all sections of the application form

Attached certified copy of passport and current Australian visa (if applicable)
Attached certified copies of academic transcript(s) and certificate(s) translated into English (if applicable)
Attached evidence of English language proficiency
Read and signed the student declaration

DECLARATION

I declare that the information provided in this application form is true and correct, and the academic records provided are a true record of my
academic results
• I authorise the Canterbury Institute of Management (CIM) to obtain enrolment and academic information from any of my previous or current
education providers.
• I declare that I have accessed information regarding the costs related to studying at CIM available on the CIM website (www.ciom.edu.au) and that I
have accessed information regarding the costs associated with living in Australia for me and any dependents accompanying me, published by the
Australian Government at www.studyinaustralia.gov.au/en/study-costs.
• I declare that I have adequate funds available to cover tuition fees, ancillary costs and living expenses for myself and any dependents travelling with
me.
• I consent to information collected about me on this form being disclosed if authorised or required by law and/or the Australian Government and/or
designated authorities authorised by the CIM.
• I understand that the CIM may vary or reverse any decision regarding admission or enrolment based on incorrect, imcomplete or fraudulent
information provided by me.
• I understand that all documents I submit with my application become the property of CIM and will not be returned.
• I confirm that I have read and fully understand the requirement of the program as outlined on the CIM website (www.ciom.edu.au).
• I will notify CIM immediately if there is any change to the information I have given in this application.
• I am aware that $200 application fees is non-refundable.

Full Name (please print)

Student’s Signature Date day month year

For Current fees/Overseas students health cover, please refer our website (www.ciom.edu.au) or email us at admin@ciom.edu.au
Please return completed form along with requested documents to your representative or CIM at:

Canterbury Institute of Management

SYDNEY: DARWIN:
41 McLaren St 2 Printers Place,
North Sydney NSW 2060 Darwin NT 0800

Phone: +61 2 8007 5846

Fax: +61 2 9280 3858
Email: admissions@ciom.edu.au
Website: www.ciom.edu.au

Canterbury Institute of Management | ABN: 66 101 617 396 | TEQSA Provider ID: PRV14258 | CRICOS Provider Code: 03809A
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