Application Form

Carefully read the Prospectus for International Students. Complete this Application Form and send any supporting documents and a copy of a valid passport to: Melbourne applications: International Student Admissions, Milestones English Academy, Level 3 / 252 Lygon St – Carlton VIC 3053 Phone number: 1 300 991 716 or electronically to [email protected] All documents must be certified by a recognized authority e.g. school, university, institute representative and/ or education agent. It is your responsability to advise Milestones English Academy of any change of details prior to enrolment at the institute.

STUDENT INFORMATION

Personal Information
First Name *	Middle Name	Last Name *	Birth Date *

Contact Information
Telephone Number *	E-mail Address *	Passport Number *	Passport Expire Date *	Passport Country *

In the case of an emergency I request that the Academy use its reasonable efforts to contact the designated person.

Emergency Contact Information
Name *	Telephone Number *	E-mail Address *

ADDRESS INFORMATION

Home Country Address
Street Address *	Address line 2	City *	State *	Postal / Zip Code *	Country *

Australian Address (if applicable)
Street Address	Address line 2	City	State	Postal / Zip Code

Postal Address (if different from above)
Street Address	Address line 2	City	State	Postal / Zip Code

ABOUT VISA

If you have an Australian visa, please specify
Are you currently in Australia? YesNo	Visa Processing Branch (if applicable)	Do you hold a valid Australian Visa, which has study rights? YesNo
Visa Type	Visa Subclass	Visa Number	Visa Expire Date *

"I understand and agree that it is my responsability and obligation to obtain and retain a visa, which permits me to study full time in Australia for the duration of the Course".

AGENT DETAILS

If you are applying via an agency, please inform
Agent Name	Telephone Number	E-mail Address	Company Name

DISABILITY STATUS

Do you consider yourself to have any disability? YesNo

Hearing / DeafnessIntellectualVisionAcquired Brain ImparimentMental IlnessMedical ConditionLearningPhysicalOther

If other, please specify

OVERSEAS STUDENT HEALTH COVER (OSHC)

Have you organised your OSHC? YesNo

Part A
Name of Insurer	Membership Number	Date of Expire

Part A
Would you like us to organize OSHC for you?? YesNo	Cover Type DoubeFamilySingle	Coverage from:	Coverage to:

COURSES

ENGLISH COURSES (ELICOS)

Choose the English course of your preference
	Study Duration (in weeks)	Start Date (on Mondays) *
	Study Duration (in weeks)	Start Date (on Mondays) *
	Study Duration (in weeks)	Start Date (on Mondays) *

Do you require any holidays? (in weeks) (if not, please put in 0) *

VOCTIONAL COURSES (VET)

Choose the VET course of your preference
	Start Date (check intake dates) *
	Start Date (check intake dates) *
	Start Date (check intake dates) *

Do you require any holidays? (in weeks) (if not, please put in 0) *

Do you require a payment plan? YesNo

If so, how many instalments?

I have completed an English Language Test YesNo
If YES, what type of test was it:

OTHER SERVICES

ACCOMODATION SERVICES

Do you want to book accommodation with Milestones? YesNo	If yes, how many weeks	Start Date
Type of Accommodation	Type of Room	Does it include meals? YesNo
Do you have any allergies or medical conditions we need to be aware of? YesNo	Are you happy to stay with a family who have children? YesNo	If ‘Student Residence’, Shared Room with people:	Depending on availability, please inquire with the Student Services team. Comment:

AIRPORT PICKUP

Do you require Airport Pick Up? YesNo

Flight Arrival Date

Flight Arrival Time (AM/PM)

Flight Number

How did you hear about Milestones? * InternetReferralAgentOther

Please upload any supporting documents here. (ie passport, visa grant letter)
Please mention below if you have any specific needs or requirements.

I agree to the Terms and Conditions.

Milestones Education is a group of training organisations. ELICOS courses are to be delivered and administered by Milestones English Academy Pty Ltd trading as Milestones English Academy (CRICOS 03496B) Vocational courses are to be delivered and assessed by Trident Education Australia Pty Ltd trading as Milestones International College (TOID 45323 / CRICOS 03877M).

Application Form 2022 | Milestones English Academy Pty Ltd trading as Milestones English Academy (CRICOS 03496B) | Level 3, 252 Lygon St.
Carlton VIC 3053 | +61 1300 991 716 | [email protected]

Application Form

STUDENT INFORMATION

ADDRESS INFORMATION

ABOUT VISA

AGENT DETAILS

DISABILITY STATUS

OVERSEAS STUDENT HEALTH COVER (OSHC)

COURSES

ENGLISH COURSES (ELICOS)

VOCTIONAL COURSES (VET)

OTHER SERVICES

ACCOMODATION SERVICES

AIRPORT PICKUP

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Application Form

STUDENT INFORMATION

ADDRESS INFORMATION

ABOUT VISA

AGENT DETAILS

DISABILITY STATUS

OVERSEAS STUDENT HEALTH COVER (OSHC)

COURSES

ENGLISH COURSES (ELICOS)

VOCTIONAL COURSES (VET)

OTHER SERVICES

ACCOMODATION SERVICES

AIRPORT PICKUP

Start studying with us

Want to chat first?

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