Murdoch_Application_UG

Please fax/post application to:

Admission to undergraduate study for international student application form

223 Vincent Street, West Perth 6005 Perth Western Australia Tel: 618 9227 5538 | Fax: 618 9227 5540 Email: info@link2uni.com

www.link2uni.com Murdoch International, Murdoch University, South St, Murdoch 6150, Western Australia Telephone: +61 3 9627 4809 Facsimile: +61 8 9310 5090 internat@murdoch.edu.au, www.murdoch.edu.au

1. Personal Details – please write clearly Yes

Have you studied at Murdoch University before?

No

Student ID number

Title.....................Family Name ........................................................................................................................................................................................................

Given Names ........................................................................................................................Date of Birth dd/mm/yy ............/............/............ Sex

M

F

Country of Birth ....................................................................................................................Passport Number .................................................................................

Nationality (as indicated on passport) ................................................................................................................................................................................................

Notification Address (any Offer of Admission will be sent to this address) ............................................................................................................................................... ......................................................................................................................................................................................................................................................

Telephone number (............) ..........................................Mobile / Cell Number (............) .........................................Facsimile (............)..............................................

Email address Home Country Address ..................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................

Telephone number (............) .......................................... Mobile / Cell Number (............) ........................................ Facsimile (............) .............................................

2. Course Preference One (February)

I am applying for admission in semester

Two (July)

Year 20..........

Which undergraduate degree course are you applying for?

First preference ................................................................................................................................................................................................................................

Second preference ...........................................................................................................................................................................................................................

Note: please indicate if you wish to apply for a double major or double degree course.

Please do not use this application for honours degree, contact Murdoch International for the application forms.

3. English Proficiency Please tick the appropriate box to indicate any English test you have completed within the last two years: TOEFL

IELTS

A/O level English

Do you wish to enrol in an English language course?

Others .......................................................................................................................................

Yes

No

4. Education - provide details of all secondary/polytechnic/tertiary studies undertaken.

Applications will only be assessed if accompanied by certified copies of academic transcripts for all completed or incomplete courses undertaken to date.

Course/award e.g. HSC, A levels

Institution e.g. Taylors College

Country e.g. Australia

Year started e.g. 2002

Year completed e.g. 2005

Secondary School Junior College or Pre-university Polytechnic or Tertiary Postgraduate Others

Are you currently studying

No

Yes If yes, provide details below:

Institution .......................................................................................................................................................................................................................................

Country ............................................................................................................................................................................ Date results expected .........../........../.......

If studying matriculation in Perth, please provide your SEA number ......................................................................................................................................................

CRICOS Provider Code 00125J - MD5506

Name of course/award......................................................................................................................................................................................................................

5. Advanced Standing Yes

Are you seeking advanced standing for studies completed at tertiary level?

No

If you wish to apply for advanced standing, you must also attach detailed syllabi of subjects you have successfully completed.

Applications for advanced standing will not be fully assessed without this information.

6. Work Experience Please list details of any work experience you have.

Employer .........................................................................................Period of Employment .................. to ...................... Position held ...............................................

Employer .........................................................................................Period of Employment .................. to ...................... Position held ...............................................

7. Equity and Disability If you have a disability which means that you may require additional help at Murdoch University it is very important that you provide the following information.

This information will be kept confidential and will not affect your admission to the University.

Type of Disability:

Vision

Hearing

Mobility

Impairment

Learning

Psychiatric

Other

Please attach a brief statement about what your needs will be ........................................................................................................................................................................ .................................................................................................................................................................................................................................................................

8. Resident and Family Status Yes

Have you or any members of your family applied for Australian permanent resident status?

No

If yes, state date of application .........../.........../........... and date you expect permanent residency to be granted .........../.........../...........

Yes

Will you be accompanied by your spouse and/children during your studies in Australia?

No

Undergraduate students applicants who receive their Permanent Resident Status prior to 30th May or 30th November will be required to apply through the Tertiary Institutions Service Centre (TISC).

If yes, how many will be accompanying you and what relationship are they to you? ............................................................................................................................... ......................................................................................................................................................................................................................................................

Do you hold a Temporary Resident Visa

Yes

No

or Business Visa

Yes

No

or student Visa

Yes

No

If yes, a copy of your visa must be attached to the application.

Check List Use this checklist to ensure that you have completed ALL the steps necessary for your application. You may not be considered if your application is incomplete. Copies of transcripts must be certified by the issuing authority or by a University representative. All documents must be in English, if not, please include certified English translation.

Tick if you have completed ALL relevant sections of this application form.

Tick if you have included certified copies of ALL relevant documentation.

Tick if you have included a 500 word personal statement if applying for Nursing, Chiropractic, Sports Science or Veterinary Science.

Personal Information Please tick if you do not wish to have your personal information forwarded to Murdoch’s preferred providers for consideration of a packaged offer if you application is unsucessful.

Declaration and Agreement I declare that the information provided on this form is true and complete in every detail.

I authorise Murdoch University to obtain further information about me from educational and other institutions which I have attended.

I acknowledge that Murdoch University reserves the right at any stage to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect or incomplete information.

I understand that my application will only be assessed when it is complete in every detail and includes all required documentation as stated on this application form.

I am aware of the conditions relating to my application and admission, and agree to pay all fees for which I am liable.

Signature:................................................................................................ Date: .........../.........../...........

The details you provide to Murdoch on this form will be stored by us, and used to process your application and assist in the provision of services to you if your application is successful. It will not be used for any other purposes, unless you provide consent, or it is otherwise in accordance with Australian privacy laws.

To learn more about how Murdoch protects your privacy, please visit: www.murdoch.edu.au/admin/policies/privacy.html