CBTC - International-Student-Enrolment-Form-V2

The Canberra Training School Pty. Ltd.
T/A
CANBERRA BUSINESS AND TECHNOLOGY COLLEGE
INTERNATIONAL STUDENT APPLICATION FORM
Tick the course(s) you wish to enroll

BSB30120 Certificate III in Business RII60520 Advanced Diploma of Civil Construction Design
BSB40120 Certificate IV in Business SIT30821 Certificate III in Commercial Cookery
BSB50120 Diploma of Business SIT40521 Certificate IV in Kitchen Management
BSB60120 Advanced Diploma of Business SIT50422 Diploma of Hospitality Management
BSB50820 Diploma of Project Management SIT60322 Advance Diploma of Hospitality Management

BSB50320 Diploma of Human Resource
Management CPC30220 Certificate III in Carpentry
BSB60320 Advanced Diploma of Human CPC30620 Certificate III in Painting and Decorating
Resource Management
BSB80120 Graduate Diploma of Management CPC33020 Certificate III in Bricklaying and Blocklaying
(Learning)
CHC30121 Certificate III in Early Childhood
Education and Care CPC31320 Certificate III in Wall and Floor Tiling
CHC50121 Diploma of Early Childhood Education
and Care CPC40120 Certificate IV in Building and Construction
CHC33015 Certificate III in Individual Support CPC50220 Diploma of Building and Construction (Building)
CHC43015 Certificate IV in Ageing Support ICT40120 Certificate IV in Information Technology
CHC52015 Diploma of Community Services ICT50220 Diploma of Information Technology
SIT31021 Certificate III in Patisserie ICT60220 Advance Diploma of Information Technology
SIT40721 Certificate IV in Patisserie
General English Number of Weeks 10 20 30 40 50

Preferred Intake Year Tick the intake month below
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
The actual Intake provided by Canberra Business and Technology College may vary due to the availability
of student enrolment numbers and is at the discretion of Canberra Business and Technology College.
Select Campus Location Canberra, ACT Sydney, NSW
75 Gozzard Street, Gungahlin ACT 2912 Australia

CRICOS: 03465J ABN: 68 164 068 875 RTO NO: 40882
Phone: 1 800 830 091 Email: info@cbtc.edu.au Website: www.cbtc.edu.au
The Canberra Training School Pty. Ltd. T/A
Overseas Student (Offshore) Overseas Student in Australia (Onshore) Resident Student (Domestic)
Personal Details (Please note without the following details enrolment will not be processed)
Title USI NUMBER
(if available)
Family Name Given Name
Gender Male Female Date of Birth
Telephone Mobile
Country of Birth City of Birth
Country of Citizenship First Language
Passport Number Passport Expiry
Email ID
Current Visa Category Status and Expiry
Address in Australia
Suburb/City State
Country Post Code

English Language Skill
How well do you speak English? Very Well Well Not Well Not at all
Result of any English Language test (please attach Date of test Score
result from any English test) IELTS TOEFL PEARSON CAMBRIDGE
Any Special Condition (Medical Condition etc.) Yes

Do you consider yourself to have a disability, impairment, or long-term No
Address in home country

Suburb/City State
Country Post Code
Language and culture
In which country were you born?

Do you speak a language other than No Yes
English at home? Please indicate the language
that is spoken most often?
Are you of Aboriginal or Torres Strait No
Islander origin? Yes, Aboriginal
(For persons of both Aboriginal and Torres Strait Yes, Torres Strait
Islander origin, mark both ‘Yes’ boxes) Yes, both Aboriginal and Torres Strait

Disability
Do you consider yourself to have a disability, Yes

impairment, or long-term condition? No
If you indicated the presence of a disability, Hearing/deaf

impairment, or long-term condition, please Physical
select the area(s) in the list: Intellectual
(You may indicate more than one area)
Learning
Mental illness
Acquired brain impairment
Vision
Medical condition
Other
Emergency Contact (Please specify 2)

1 Name: Relationship
Address: City
State Country
Email Phone
2 Name: Relationship
Address: City
State Country
Email Phone

Education History
What is your highest completed school level?
Year 7 Year 8 Year 9 Year 10 Year 11 Year 12
Have you successfully completed any of the following qualification/s:

Bachelor degree or higher degree
Advanced diploma or associate degree
Diploma (or associate diploma)
Certificate IV (or advanced certificate/technician)
Certificate III (or trade certificate)
Certificate II
Certificate I
Other education (including certificates or
overseas qualifications not listed above)
Started Completed Outcome

Course Institution Country (Month & (Month & (Pass/Fail &
Year) Year) Marks/Grades

Employment
Of the following categories, which BEST describes your current employment status? (Tick ONE
box only).
Full-time employee
Part-time employee
Self-employed – not employing others
Self-employed – employing others
Employed – unpaid worker in a family business
Unemployed – seeking full-time work
Unemployed – seeking part-time work
Not employed – not seeking employment
Study Reason
Of the following categories, select the one which BEST describes the main reason you are
undertaking this course/traineeship/apprenticeship (Tick ONE box only).
To get a job
To develop my existing business
To start my own business
To try for a different career
To get a better job or promotion
It was a requirement of my job
I wanted extra skills for my job
To get into another course of study
For personal interest or self-development
To get skills for community/voluntary work
Other reasons

Airport Transfer
Do you require transport from Canberra Airport to your selected Yes

accommodation on arrival in Australia? Fees app No
Accommodation
Would you like Canberra Business and Technology College to assist in finding Yes
you short term accommodation? Fees apply No
Overseas Student Health Cover
As an overseas student, it is a condition of your student visa that you have Overseas Student Health
Cover (OSHC) for the entire duration of your stay in Australia. OSHC gives you access to out of hospital
and in hospital medical services to help you maintain your health.(fees may be subject to change)
Do you want Canberra Business and Technology College to arrange OSHC for you?
Yes No Agent:
If No, who is arranging it for Company:
*OSHC Cover Prices may vary and you will be applicable as on date of purchase of cover.
Application/Enrolment Fee
All applicants to Canberra Business and Technology College must pay a non-refundable application
fee.

Declaration by Applicant
• I declare that the information supplied in this application is true and correct.
• I understand that should the information be subsequently found to be incorrect or misleading my
enrolment may be cancelled.
• I authorise Canberra Business and Technology College to verify the information provided.
• I declare that I have sufficient funds to cover my course costs, health insurance and living
expenses while in Australia.
• I understand that a staff member of Canberra Business and Technology College may conduct a
telephone or Skype interview with me to satisfy themselves of my genuine intent.
• I understand that the Department of Home Affairs will make their own assessment and
determination of my visa application and that my visa is not ensured upon acceptance to Canberra
Business and Technology College.
• I declare that I have done adequate research prior to choosing this course and study location and I
will not change my mind once I have been granted the visa and I am in Australia. I confirm that I
have accessed and understood all the information and policies related to my study program
provided on the Canberra Business and Technology College website.
• I understand that information provided as part of this application may be shared with the
Department of Home Affairs and other government bodies and statutory authorities as required
under the Australian legislation.
• I authorise Canberra Business and Technology College to liaise with my nominated agent (as per the
details below) in relation to my enrolment at the College.
Declaration by Agent
(If the student is applying through Canberra Business and Technology College approved agent)
• I declare that I have explained the student about Canberra Business and Technology College, the available
courses, living costs in Australia and any relevant information helpful for the student to take a decision on study
in Australia at Canberra Business and Technology College.
• I declare that I have not provided any misleading information to the student and given enough opportunity to
the student about the visa process and that issue of COE from Canberra Business and Technology College does
not guarantee the visa and ultimate decision depends on assessment by Department of Home Affairs.

• I declare that the information supplied by the student in this application is true and correct to the best
of my knowledge.
• I have done reasonable efforts to verify the information and documents provided by the student.
• I understand that in the event of any fraudulent document being provided by the student, it will lead to
the refusal of visa and will also affect my relationship with Canberra Business and Technology College.
• I understand that Canberra Business and Technology College has the right to verify the information
provided by the student.
• I understand that a staff member of Canberra Business and Technology College may conduct a
telephone or Skype interview with the student to satisfy themselves of student’s genuine intention.
• I understand that information provided as part of this application may be shared with the Department
of Home Affairs.
STUDENT NAME: (PRINT)
Student Signature & Date
AGENTS SECTION (IF THE STUDENT IS APPLYING THROUGH AN AGENT)
AGENT SEAL/STAMP AGENT SIGN
AGENT COMPANY
COUNTRY
OFFICIAL’s NAME
PHONE NUMBER
Date

PLEASE SUBMIT WITH THIS FORM
 Copy of passport
 Copy of current visa (if applicable)
 Copy of last two years’ qualification
 Copy of valid English proficiency test/level
 Translated documents (not in English) by an approved translator
 Copy of resume & work experience letter (if applicable)
 Certification must clearly include the stamp, printed name, title/position, signature, and date of notary.
 All documents to be scanned in color, saved as PDF and emailed to Canberra Business and Technology
College. Scanning should be clear, readable, and straight (not upside down)


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The Canberra Training School Pty. Ltd.

INTERNATIONAL STUDENT APPLICATION FORM

Tick the course(s) you wish to enroll

BSB40120 Certificate IV in Business SIT30821 Certificate III in Commercial Cookery

BSB50120 Diploma of Business SIT40521 Certificate IV in Kitchen Management

BSB60120 Advanced Diploma of Business SIT50422 Diploma of Hospitality Management

BSB50820 Diploma of Project Management SIT60322 Advance Diploma of Hospitality Management

SIT31021 Certificate III in Patisserie ICT60220 Advance Diploma of Information Technology

SIT40721 Certificate IV in Patisserie

General English Number of Weeks 10 20 30 40 50

Select Campus Location Canberra, ACT Sydney, NSW

75 Gozzard Street, Gungahlin ACT 2912 Australia

Family Name Given Name

Gender Male Female Date of Birth

Country of Birth City of Birth

Country of Citizenship First Language

Passport Number Passport Expiry

Current Visa Category Status and Expiry

75 Gozzard Street, Gungahlin ACT 2912 Australia

English Language Skill

Any Special Condition (Medical Condition etc.) Yes

Address in home country

Language and culture

In which country were you born?

75 Gozzard Street, Gungahlin ACT 2912 Australia

Do you consider yourself to have a disability, Yes

If you indicated the presence of a disability, Hearing/deaf

Emergency Contact (Please specify 2)

75 Gozzard Street, Gungahlin ACT 2912 Australia

Year 7 Year 8 Year 9 Year 10 Year 11 Year 12

Have you successfully completed any of the following qualification/s:

Started Completed Outcome

75 Gozzard Street, Gungahlin ACT 2912 Australia

75 Gozzard Street, Gungahlin ACT 2912 Australia

Do you require transport from Canberra Airport to your selected Yes

Overseas Student Health Cover

75 Gozzard Street, Gungahlin ACT 2912 Australia

75 Gozzard Street, Gungahlin ACT 2912 Australia

STUDENT NAME: (PRINT)

Student Signature & Date

AGENTS SECTION (IF THE STUDENT IS APPLYING THROUGH AN AGENT)

AGENT SEAL/STAMP AGENT SIGN

75 Gozzard Street, Gungahlin ACT 2912 Australia

PLEASE SUBMIT WITH THIS FORM

75 Gozzard Street, Gungahlin ACT 2912 Australia

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