Personal Details Client Given Names*
Client Middle Name
Client Family Names*
Date Of Birth*
Date Format: DD slash MM slash YYYY
Gender* Is Australian Resident* Non-Australian residents studying in Australia must have the appropriate Visa to study with a non-CRICOS training provider. If your course requires vocational placement, your Visa must have enough time left to complete the requirement in an appropriate registered Australian facility.
Is International Offshore Student* Home Address Address Building / Property Name
Address flat/unit details
Address Street Number
Address Street Name*
Address - suburb, locality or town*
Postcode*
Please Enter your Australian Postcode.
If your Address is not in Australia please enter OSPC
If you do not know your postcode please enter 0001
Address State* New South Wales Victoria Queensland South Australia Western Australia Tasmania Northern Territory Australian Capital Territory Other Australian territories or dependencies Other (overseas but not an Australian territory or dependency)
Address Country* Australia Unknown Born at Sea Pacific Islands Australia (includes External Territories) Norfolk Island McDonald Islands Stewart Island Melanesia Noumea Trobriand Islands Solomon Islands Vanuatu Pacific Islands Trust Territory Guam Washington Island Marshall Islands Micronesia, Federated States of Pleasant Island Northern Mariana Islands Palau Polynesia (excludes Hawaii) Rarotonga Rotumah Island Tuamotus Savage Island Western Samoa Samoa, American Tokelau Vava'u Tuvalu Wallis and Futuna Pitcairn Islands Wake Island Antarctica Adelie Land (France) Argentinian Antarctic Territory Australian Antarctic Territory British Antarctic Territory Chilean Antarctic Territory Queen Maud Land (Norway) Ross Dependency (New Zealand) North-West Europe United Kingdom, Channel Islands and Isle of Man Isles of Scilly Isle of Man Ulster Shetland Islands Wales Sark Jersey Waterford Western Europe Vienna Belgium Paris Wurttemberg Liechtenstein Luxemburg Monte Carlo Netherlands Switzerland Scandinavia Denmark Faroe Islands Suomi Kalaallit Nunaat Lyoveldio Island Norway Sweden Aland Islands Southern and Eastern Europe Southern Europe Andorra Gibraltar Vatican City Valle d'Aosta Malta Portugal San Marino Spain Yugoslavija Albania Yugoslavia Bosnia Rumelia Yugoslavia Croatia Northern Cyprus Yugoslavia Macedonia Yannina Republic of Moldova Transylvania Slovenija Montenegro Yugoslavia Serbia Kosovo Tchecoslovakia White Russia Tschechien Republic of Estonia Magyarorszag Republic of Latvia Memelland Silesia Siberia Slovenska Republika Ukraine USSR United Arab States North Africa Algerie Suez Tripoli Morocco Sudan Tunisie Western Sahara Spanish North Africa South Sudan Middle East Bahrain West Bank Persia Mesopotamia Jerusalem Transjordan Kuwait North Lebanon Uman Qatar Saudi Arabia Syria Usak United Arab Emirates Yemen South-East Asia Mainland South-East Asia Yangon Khmer Laos Thailand Vietnam Sunda Islands Brunei Darussalam West Timor West Malaysia Pilipinas Singapore Timor-Leste North-East Asia Sinitic Asia (includes Mongolia) Tibet Kowloon Portuguese Macao Outer Mongolia Taiwan Japan and the Koreas Okinawa People's Democratic Republic of Korea South Korea Southern and Central Asia Southern Asia East Pakistan Bhutan Yanaon Maldives Nepal, Federal Democratic Republic of Pakistan Tamil Eelam Turkestan Afghanistan Republic of Armenia Azerbaijan Georgia Kazakstan Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Americas Northern America Bermuda Yukon St Pierre and Miquelon USA South America Argentina Bolivia, Plurinational State of Brazil Londonderry Island Colombia Ecuador Malvinas Guyane Guyana Paraguay Peru Suriname Uruguay Venezuela, Bolivarian Republic of South Sandwich Islands Central America British Honduras Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama West Indies Anguilla Barbuda Aruba Bahamas Barbados Cayman Islands Cuba Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Montserrat Puerto Rico St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago Turks and Caicos Islands Virgin Islands, British Virgin Islands, United States St Barthelemy St Martin (French part) St Eustatius Curacao Island Sint Maarten (Dutch part) Sub-Saharan Africa French Central Africa Benin Volta French Cameroon Cape Verde Central African Republic Chad Republic of Congo Zaire Ivory Coast Spanish Guinea Gabon Gambia Ghana Guinee Portuguese Guinea Liberia Upper Senegal Mauritania Niger Nigeria Sao Tome and Principe Senegal Sierra Leone Togo Southern and East Africa Portuguese West Africa Botswana Urundi Comoros French Somaliland Eritrea Ethiopia Kenya Lesotho Malagash Nyasaland Rodrigues Mayotte Portuguese East Africa South West Africa Reunion Rwanda Tristan da Cunha Seychelles Islands Somaliya Transvaal Swaziland Zanzibar Uganda Zambia Zimbabwe Southern and East Africa, nec Africa Asia East Asia Europe USSR Kurdistan Not Specified
Contact Details Email Address*
Phone*
Mobile Phone
Work Phone
Work Mobile
Language and Cultural Diversity Country of Birth* Australia Unknown Born at Sea Pacific Islands Australia (includes External Territories) Norfolk Island McDonald Islands Stewart Island Melanesia Noumea Trobriand Islands Solomon Islands Vanuatu Pacific Islands Trust Territory Guam Washington Island Marshall Islands Micronesia, Federated States of Pleasant Island Northern Mariana Islands Palau Polynesia (excludes Hawaii) Rarotonga Rotumah Island Tuamotus Savage Island Western Samoa Samoa, American Tokelau Vava'u Tuvalu Wallis and Futuna Pitcairn Islands Wake Island Antarctica Adelie Land (France) Argentinian Antarctic Territory Australian Antarctic Territory British Antarctic Territory Chilean Antarctic Territory Queen Maud Land (Norway) Ross Dependency (New Zealand) North-West Europe United Kingdom, Channel Islands and Isle of Man Isles of Scilly Isle of Man Ulster Shetland Islands Wales Sark Jersey Waterford Western Europe Vienna Belgium Paris Wurttemberg Liechtenstein Luxemburg Monte Carlo Netherlands Switzerland Scandinavia Denmark Faroe Islands Suomi Kalaallit Nunaat Lyoveldio Island Norway Sweden Aland Islands Southern and Eastern Europe Southern Europe Andorra Gibraltar Vatican City Valle d'Aosta Malta Portugal San Marino Spain Yugoslavija Albania Yugoslavia Bosnia Rumelia Yugoslavia Croatia Northern Cyprus Yugoslavia Macedonia Yannina Republic of Moldova Transylvania Slovenija Montenegro Yugoslavia Serbia Kosovo Tchecoslovakia White Russia Tschechien Republic of Estonia Magyarorszag Republic of Latvia Memelland Silesia Siberia Slovenska Republika Ukraine USSR United Arab States North Africa Algerie Suez Tripoli Morocco Sudan Tunisie Western Sahara Spanish North Africa South Sudan Middle East Bahrain West Bank Persia Mesopotamia Jerusalem Transjordan Kuwait North Lebanon Uman Qatar Saudi Arabia Syria Usak United Arab Emirates Yemen South-East Asia Mainland South-East Asia Yangon Khmer Laos Thailand Vietnam Sunda Islands Brunei Darussalam West Timor West Malaysia Pilipinas Singapore Timor-Leste North-East Asia Sinitic Asia (includes Mongolia) Tibet Kowloon Portuguese Macao Outer Mongolia Taiwan Japan and the Koreas Okinawa People's Democratic Republic of Korea South Korea Southern and Central Asia Southern Asia East Pakistan Bhutan Yanaon Maldives Nepal, Federal Democratic Republic of Pakistan Tamil Eelam Turkestan Afghanistan Republic of Armenia Azerbaijan Georgia Kazakstan Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Americas Northern America Bermuda Yukon St Pierre and Miquelon USA South America Argentina Bolivia, Plurinational State of Brazil Londonderry Island Colombia Ecuador Malvinas Guyane Guyana Paraguay Peru Suriname Uruguay Venezuela, Bolivarian Republic of South Sandwich Islands Central America British Honduras Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama West Indies Anguilla Barbuda Aruba Bahamas Barbados Cayman Islands Cuba Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Montserrat Puerto Rico St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago Turks and Caicos Islands Virgin Islands, British Virgin Islands, United States St Barthelemy St Martin (French part) St Eustatius Curacao Island Sint Maarten (Dutch part) Sub-Saharan Africa French Central Africa Benin Volta French Cameroon Cape Verde Central African Republic Chad Republic of Congo Zaire Ivory Coast Spanish Guinea Gabon Gambia Ghana Guinee Portuguese Guinea Liberia Upper Senegal Mauritania Niger Nigeria Sao Tome and Principe Senegal Sierra Leone Togo Southern and East Africa Portuguese West Africa Botswana Urundi Comoros French Somaliland Eritrea Ethiopia Kenya Lesotho Malagash Nyasaland Rodrigues Mayotte Portuguese East Africa South West Africa Reunion Rwanda Tristan da Cunha Seychelles Islands Somaliya Transvaal Swaziland Zanzibar Uganda Zambia Zimbabwe Southern and East Africa, nec Africa Asia East Asia Europe USSR Kurdistan Not Specified
Main Language Spoken* English Unknown Non verbal Swiss, so described Cypriot, so described Creole, nfd French Creole, nfd Spanish Creole, nfd Portuguese Creole, nfd Pidgin, nfd NORTHERN EUROPEAN LANGUAGES Celtic Gaelic (Scotland) Irish Welsh Celtic, nec German and Related Languages German Letzeburgish Yiddish Dutch and Related Languages Dutch Frisian Afrikaans Scandinavian Danish Icelandic Norwegian Swedish Scandinavian, nec Finnish and Related Languages Estonian Finnish Finnish and Related Languages, nec SOUTHERN EUROPEAN LANGUAGES French Greek Iberian Romance Catalan Portuguese Spanish Iberian Romance, nec Italian Maltese Other Southern European Languages Basque Latin Other Southern European Languages, nec EASTERN EUROPEAN LANGUAGES Baltic Latvian Lithuanian Hungarian East Slavic Belorussian Russian Ukrainian South Slavic Bosnian Bulgarian Croatian Macedonian Serbian Slovene Serbo-Croatian/Yugoslavian, so described West Slavic Czech Polish Slovak Czechoslovakian, so described Other Eastern European Languages Albanian Aromunian (Macedo-Romanian) Romanian Romany Other Eastern European Languages, nec SOUTHWEST AND CENTRAL ASIAN LANGUAGES Iranic Kurdish Pashto Balochi Dari Persian (excluding Dari) Hazaraghi Iranic, nec Middle Eastern Semitic Languages Arabic Hebrew Assyrian Neo-Aramaic Chaldean Neo-Aramaic Mandaean (Mandaic) Middle Eastern Semitic Languages, nec Turkic Turkish Azeri Tatar Turkmen Uygur Uzbek Turkic, nec Other Southwest and Central Asian Languages Armenian Georgian Other Southwest and Central Asian Languages, nec SOUTHERN ASIAN LANGUAGES Dravidian Kannada Malayalam Tamil Telugu Tulu Dravidian, nec Indo-Aryan Bengali Gujarati Hindi Konkani Marathi Nepali Punjabi Sindhi Sinhalese Urdu Assamese Dhivehi Kashmiri Oriya Fijian Hindustani Indo-Aryan, nec Other Southern Asian Languages SOUTHEAST ASIAN LANGUAGES Burmese and Related Languages Burmese Chin Haka Karen Rohingya Zomi Burmese and Related Languages, nec Hmong-Mien Hmong Hmong-Mien, nec Mon-Khmer Khmer Vietnamese Mon Mon-Khmer, nec Tai Lao Thai Tai, nec Southeast Asian Austronesian Languages Bisaya Cebuano IIokano Indonesian Malay Tetum Timorese Tagalog Filipino Acehnese Balinese Bikol Iban Ilonggo (Hiligaynon) Javanese Pampangan Southeast Asian Austronesian Languages, nec Other Southeast Asian Languages EASTERN ASIAN LANGUAGES Chinese Cantonese Hakka Mandarin Wu Min Nan Chinese, nec Japanese Korean Other Eastern Asian Languages Tibetan Mongolian Other Eastern Asian Languages, nec AUSTRALIAN INDIGENOUS LANGUAGES Arnhem Land and Daly River Region Languages Anindilyakwa Maung Ngan'gikurunggurr Nunggubuyu Rembarrnga Tiwi Alawa Dalabon Gudanji Iwaidja Jaminjung Jawoyn Jingulu Kunbarlang Larrakiya Malak Malak Mangarrayi Maringarr Marra Marrithiyel Matngala Murrinh Patha Na-kara Ndjébbana (Gunavidji) Ngalakgan Ngaliwurru Nungali Wambaya Wardaman Amurdak Garrwa Kuwema Marramaninyshi Ngandi Waanyi Wagiman Yanyuwa Marridan (Maridan) Kunwinjkuan Gundjeihmi Kune Kuninjku Kunwinjku Mayali Kunwinjkuan, nec Burarran Burarra Gun-nartpa Gurr-goni Burarran, nec Arnhem Land and Daly River Region Languages, nec Yolngu Matha Dhangu Galpu Golumala Wangurri Dhangu, nec Dhay'yi Dhalwangu Djarrwark Dhay'yi, nec Dhuwal Djambarrpuyngu Djapu Daatiwuy Marrangu Liyagalawumirr Liyagawumirr Dhuwal, nec Dhuwala Gumatj Gupapuyngu Guyamirrilili Manggalili Wubulkarra Dhuwala, nec Djinang Wurlaki Djinang, nec Ganalbingu Djinba Manyjalpingu Djinba, nec Yakuy Ritharrngu Wagilak Yakuy, nec Nhangu Yan-Nhangu Nhangu, nec Other Yolngu Matha Dhuwaya Djangu Madarrpa Warramiri Rirratjingu Other Yolngu Matha, nec Cape York Peninsula Languages Kuku Yalanji Guugu Yimidhirr Kuuku-Ya'u Wik Mungkan Djabugay Dyirbal Girramay Koko-Bera Kuuk Thayorre Lamalama Yidiny Wik Ngathan Alngith Kugu Muminh Morrobalama Thaynakwith Yupangathi Tjungundji Cape York Peninsula Languages, nec Torres Strait Island Languages Kalaw Kawaw Ya/Kalaw Lagaw Ya Meriam Mir Yumplatok (Torres Strait Creole) Northern Desert Fringe Area Languages Bilinarra Gurindji Gurindji Kriol Jaru Light Warlpiri Malngin Mudburra Ngardi Ngarinyman Walmajarri Wanyjirra Warlmanpa Warlpiri Warumungu Northern Desert Fringe Area Languages, nec Arandic Alyawarr Kaytetye Antekerrepenh Anmatyerr Central Anmatyerr Eastern Anmatyerr Anmatyerr, nec Arrernte Eastern Arrernte Western Arrarnta Arrernte, nec Arandic, nec Western Desert Language Antikarinya Kartujarra Kukatha Kukatja Luritja Manyjilyjarra Martu Wangka Ngaanyatjarra Pintupi Pitjantjatjara Wangkajunga Wangkatha Warnman Yankunytjatjara Yulparija Tjupany Western Desert Language, nec Kimberley Area Languages Bardi Bunuba Gooniyandi Miriwoong Ngarinyin Nyikina Worla Worrorra Wunambal Yawuru Gambera Jawi Kija Kimberley Area Languages, nec Other Australian Indigenous Languages Adnymathanha Arabana Bandjalang Banyjima Batjala Bidjara Dhanggatti Diyari Gamilaraay Garuwali Githabul Gumbaynggir Kanai Karajarri Kariyarra Kaurna Kayardild Kriol Lardil Mangala Muruwari Narungga Ngarluma Ngarrindjeri Nyamal Nyangumarta Nyungar Paakantyi Palyku/Nyiyaparli Wajarri Wiradjuri Yindjibarndi Yinhawangka Yorta Yorta Baanbay Badimaya Barababaraba Dadi Dadi Dharawal Djabwurrung Gudjal Keerray-Woorroong Ladji Ladji Mirning Ngatjumaya Waluwarra Wangkangurru Wargamay Wergaia Yugambeh Aboriginal English, so described Other Australian Indigenous Languages, nec OTHER LANGUAGES American Languages African Languages Acholi Akan Mauritian Creole Oromo Shona Somali Swahili Yoruba Zulu Amharic Bemba Dinka Ewe Ga Harari Hausa Igbo Kikuyu Krio Luganda Luo Ndebele Nuer Nyanja (Chichewa) Shilluk Tigré Tigrinya Tswana Xhosa Seychelles Creole Anuak Bari Bassa Dan (Gio-Dan) Fulfulde Kinyarwanda (Rwanda) Kirundi (Rundi) Kpelle Krahn Liberian (Liberian English) Loma (Lorma) Lumun (Kuku Lumun) Madi Mandinka Mann Moro (Nuba Moro) Themne Lingala African Languages, nec Pacific Austronesian Languages Fijian Gilbertese Maori (Cook Island) Maori (New Zealand) Nauruan Niue Samoan Tongan Rotuman Tokelauan Tuvaluan Yapese Pacific Austronesian Languages, nec Oceanian Pidgins and Creoles Bislama Hawaiian English Norf'k-Pitcairn Solomon Islands Pijin Oceanian Pidgins and Creoles, nec Papua New Guinea Languages Kiwai Motu (HiriMotu) Tok Pisin (Neomelanesian) Papua New Guinea Languages, nec Invented Languages Sign Languages Auslan Key Word Sign Australia Sign Languages, nec not specified
Language Spoken At Home English Unknown Non verbal Swiss, so described Cypriot, so described Creole, nfd French Creole, nfd Spanish Creole, nfd Portuguese Creole, nfd Pidgin, nfd NORTHERN EUROPEAN LANGUAGES Celtic Gaelic (Scotland) Irish Welsh Celtic, nec German and Related Languages German Letzeburgish Yiddish Dutch and Related Languages Dutch Frisian Afrikaans Scandinavian Danish Icelandic Norwegian Swedish Scandinavian, nec Finnish and Related Languages Estonian Finnish Finnish and Related Languages, nec SOUTHERN EUROPEAN LANGUAGES French Greek Iberian Romance Catalan Portuguese Spanish Iberian Romance, nec Italian Maltese Other Southern European Languages Basque Latin Other Southern European Languages, nec EASTERN EUROPEAN LANGUAGES Baltic Latvian Lithuanian Hungarian East Slavic Belorussian Russian Ukrainian South Slavic Bosnian Bulgarian Croatian Macedonian Serbian Slovene Serbo-Croatian/Yugoslavian, so described West Slavic Czech Polish Slovak Czechoslovakian, so described Other Eastern European Languages Albanian Aromunian (Macedo-Romanian) Romanian Romany Other Eastern European Languages, nec SOUTHWEST AND CENTRAL ASIAN LANGUAGES Iranic Kurdish Pashto Balochi Dari Persian (excluding Dari) Hazaraghi Iranic, nec Middle Eastern Semitic Languages Arabic Hebrew Assyrian Neo-Aramaic Chaldean Neo-Aramaic Mandaean (Mandaic) Middle Eastern Semitic Languages, nec Turkic Turkish Azeri Tatar Turkmen Uygur Uzbek Turkic, nec Other Southwest and Central Asian Languages Armenian Georgian Other Southwest and Central Asian Languages, nec SOUTHERN ASIAN LANGUAGES Dravidian Kannada Malayalam Tamil Telugu Tulu Dravidian, nec Indo-Aryan Bengali Gujarati Hindi Konkani Marathi Nepali Punjabi Sindhi Sinhalese Urdu Assamese Dhivehi Kashmiri Oriya Fijian Hindustani Indo-Aryan, nec Other Southern Asian Languages SOUTHEAST ASIAN LANGUAGES Burmese and Related Languages Burmese Chin Haka Karen Rohingya Zomi Burmese and Related Languages, nec Hmong-Mien Hmong Hmong-Mien, nec Mon-Khmer Khmer Vietnamese Mon Mon-Khmer, nec Tai Lao Thai Tai, nec Southeast Asian Austronesian Languages Bisaya Cebuano IIokano Indonesian Malay Tetum Timorese Tagalog Filipino Acehnese Balinese Bikol Iban Ilonggo (Hiligaynon) Javanese Pampangan Southeast Asian Austronesian Languages, nec Other Southeast Asian Languages EASTERN ASIAN LANGUAGES Chinese Cantonese Hakka Mandarin Wu Min Nan Chinese, nec Japanese Korean Other Eastern Asian Languages Tibetan Mongolian Other Eastern Asian Languages, nec AUSTRALIAN INDIGENOUS LANGUAGES Arnhem Land and Daly River Region Languages Anindilyakwa Maung Ngan'gikurunggurr Nunggubuyu Rembarrnga Tiwi Alawa Dalabon Gudanji Iwaidja Jaminjung Jawoyn Jingulu Kunbarlang Larrakiya Malak Malak Mangarrayi Maringarr Marra Marrithiyel Matngala Murrinh Patha Na-kara Ndjébbana (Gunavidji) Ngalakgan Ngaliwurru Nungali Wambaya Wardaman Amurdak Garrwa Kuwema Marramaninyshi Ngandi Waanyi Wagiman Yanyuwa Marridan (Maridan) Kunwinjkuan Gundjeihmi Kune Kuninjku Kunwinjku Mayali Kunwinjkuan, nec Burarran Burarra Gun-nartpa Gurr-goni Burarran, nec Arnhem Land and Daly River Region Languages, nec Yolngu Matha Dhangu Galpu Golumala Wangurri Dhangu, nec Dhay'yi Dhalwangu Djarrwark Dhay'yi, nec Dhuwal Djambarrpuyngu Djapu Daatiwuy Marrangu Liyagalawumirr Liyagawumirr Dhuwal, nec Dhuwala Gumatj Gupapuyngu Guyamirrilili Manggalili Wubulkarra Dhuwala, nec Djinang Wurlaki Djinang, nec Ganalbingu Djinba Manyjalpingu Djinba, nec Yakuy Ritharrngu Wagilak Yakuy, nec Nhangu Yan-Nhangu Nhangu, nec Other Yolngu Matha Dhuwaya Djangu Madarrpa Warramiri Rirratjingu Other Yolngu Matha, nec Cape York Peninsula Languages Kuku Yalanji Guugu Yimidhirr Kuuku-Ya'u Wik Mungkan Djabugay Dyirbal Girramay Koko-Bera Kuuk Thayorre Lamalama Yidiny Wik Ngathan Alngith Kugu Muminh Morrobalama Thaynakwith Yupangathi Tjungundji Cape York Peninsula Languages, nec Torres Strait Island Languages Kalaw Kawaw Ya/Kalaw Lagaw Ya Meriam Mir Yumplatok (Torres Strait Creole) Northern Desert Fringe Area Languages Bilinarra Gurindji Gurindji Kriol Jaru Light Warlpiri Malngin Mudburra Ngardi Ngarinyman Walmajarri Wanyjirra Warlmanpa Warlpiri Warumungu Northern Desert Fringe Area Languages, nec Arandic Alyawarr Kaytetye Antekerrepenh Anmatyerr Central Anmatyerr Eastern Anmatyerr Anmatyerr, nec Arrernte Eastern Arrernte Western Arrarnta Arrernte, nec Arandic, nec Western Desert Language Antikarinya Kartujarra Kukatha Kukatja Luritja Manyjilyjarra Martu Wangka Ngaanyatjarra Pintupi Pitjantjatjara Wangkajunga Wangkatha Warnman Yankunytjatjara Yulparija Tjupany Western Desert Language, nec Kimberley Area Languages Bardi Bunuba Gooniyandi Miriwoong Ngarinyin Nyikina Worla Worrorra Wunambal Yawuru Gambera Jawi Kija Kimberley Area Languages, nec Other Australian Indigenous Languages Adnymathanha Arabana Bandjalang Banyjima Batjala Bidjara Dhanggatti Diyari Gamilaraay Garuwali Githabul Gumbaynggir Kanai Karajarri Kariyarra Kaurna Kayardild Kriol Lardil Mangala Muruwari Narungga Ngarluma Ngarrindjeri Nyamal Nyangumarta Nyungar Paakantyi Palyku/Nyiyaparli Wajarri Wiradjuri Yindjibarndi Yinhawangka Yorta Yorta Baanbay Badimaya Barababaraba Dadi Dadi Dharawal Djabwurrung Gudjal Keerray-Woorroong Ladji Ladji Mirning Ngatjumaya Waluwarra Wangkangurru Wargamay Wergaia Yugambeh Aboriginal English, so described Other Australian Indigenous Languages, nec OTHER LANGUAGES American Languages African Languages Acholi Akan Mauritian Creole Oromo Shona Somali Swahili Yoruba Zulu Amharic Bemba Dinka Ewe Ga Harari Hausa Igbo Kikuyu Krio Luganda Luo Ndebele Nuer Nyanja (Chichewa) Shilluk Tigré Tigrinya Tswana Xhosa Seychelles Creole Anuak Bari Bassa Dan (Gio-Dan) Fulfulde Kinyarwanda (Rwanda) Kirundi (Rundi) Kpelle Krahn Liberian (Liberian English) Loma (Lorma) Lumun (Kuku Lumun) Madi Mandinka Mann Moro (Nuba Moro) Themne Lingala African Languages, nec Pacific Austronesian Languages Fijian Gilbertese Maori (Cook Island) Maori (New Zealand) Nauruan Niue Samoan Tongan Rotuman Tokelauan Tuvaluan Yapese Pacific Austronesian Languages, nec Oceanian Pidgins and Creoles Bislama Hawaiian English Norf'k-Pitcairn Solomon Islands Pijin Oceanian Pidgins and Creoles, nec Papua New Guinea Languages Kiwai Motu (HiriMotu) Tok Pisin (Neomelanesian) Papua New Guinea Languages, nec Invented Languages Sign Languages Auslan Key Word Sign Australia Sign Languages, nec not specified
Indigenous status identifier* Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal AND Torres Strait Islander No, Neither Aboriginal nor Torres Strait Islander Not Specified
Proficiency in Spoken English* Very Well Well Not Well Not at All Not Specified
Disability Has Disability* Disability List* Schooling Highest school level completed* Did not go to school Year 8 or below Year 9 or Equivalent Completed Year 10 Completed Year 11 Completed Year 12 Not Specified
Year highest School level completed Has Completed any Prior Education* Still In Secondary Yes - the client is still enrolled in secondary school No - the client is not enrolled in secondary school Not Specified
Prior Achievements* Year Completed Highest qualification* Study Reason 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 Other reasons For personal interest or self-development To get skills for community/voluntary work Not Specified
Has Internet Access* Computer Skills Rating* Excellent Good Basic Poor
Number Skills Rating* Excellent Good Basic Poor
Needs Additional Support* Additional Support Description*
Applying For RPL* Yearly Household Income* $19,999 or less $20,000 to $29,999 $30,000 to $39,999 $40,000 to $49,999 $50,000 to $59,999 $60,000 to $69,999 $70,000 to $79,999 $80,000 to $89,999 $90,000 to $99,999 $100,000 or more Not Specified
I understand that these are online courses and that I will access all my learning materials online, and that all my results and all my student correspondence will be received online.* Employment Employment Status* 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 Not Specified
Employment Industry* Not currently employed Accommodation and Food Services Administrative and Support Services Arts and Recreation Services Construction Education and Training Electricity, Gas, Water, Waste Services Financial and Insurance Services Health Care and Social Assistance Information Media and Telecommunications Manufacturing Mining Professional, Scientific, Technical Services Public Administration and Safety Retail Trade Transport, Postal and Warehousing Wholesale Trade Other
With Separate Postal Address With Separate Postal Address* Postal Client Title
Postal Building / Prop Name
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Postal State* New South Wales Victoria Queensland South Australia Western Australia Tasmania Northern Territory Australian Capital Territory Other Australian territories or dependencies Other (overseas but not an Australian territory or dependency)
Postal Country* Australia Unknown Born at Sea Pacific Islands Australia (includes External Territories) Norfolk Island McDonald Islands Stewart Island Melanesia Noumea Trobriand Islands Solomon Islands Vanuatu Pacific Islands Trust Territory Guam Washington Island Marshall Islands Micronesia, Federated States of Pleasant Island Northern Mariana Islands Palau Polynesia (excludes Hawaii) Rarotonga Rotumah Island Tuamotus Savage Island Western Samoa Samoa, American Tokelau Vava'u Tuvalu Wallis and Futuna Pitcairn Islands Wake Island Antarctica Adelie Land (France) Argentinian Antarctic Territory Australian Antarctic Territory British Antarctic Territory Chilean Antarctic Territory Queen Maud Land (Norway) Ross Dependency (New Zealand) North-West Europe United Kingdom, Channel Islands and Isle of Man Isles of Scilly Isle of Man Ulster Shetland Islands Wales Sark Jersey Waterford Western Europe Vienna Belgium Paris Wurttemberg Liechtenstein Luxemburg Monte Carlo Netherlands Switzerland Scandinavia Denmark Faroe Islands Suomi Kalaallit Nunaat Lyoveldio Island Norway Sweden Aland Islands Southern and Eastern Europe Southern Europe Andorra Gibraltar Vatican City Valle d'Aosta Malta Portugal San Marino Spain Yugoslavija Albania Yugoslavia Bosnia Rumelia Yugoslavia Croatia Northern Cyprus Yugoslavia Macedonia Yannina Republic of Moldova Transylvania Slovenija Montenegro Yugoslavia Serbia Kosovo Tchecoslovakia White Russia Tschechien Republic of Estonia Magyarorszag Republic of Latvia Memelland Silesia Siberia Slovenska Republika Ukraine USSR United Arab States North Africa Algerie Suez Tripoli Morocco Sudan Tunisie Western Sahara Spanish North Africa South Sudan Middle East Bahrain West Bank Persia Mesopotamia Jerusalem Transjordan Kuwait North Lebanon Uman Qatar Saudi Arabia Syria Usak United Arab Emirates Yemen South-East Asia Mainland South-East Asia Yangon Khmer Laos Thailand Vietnam Sunda Islands Brunei Darussalam West Timor West Malaysia Pilipinas Singapore Timor-Leste North-East Asia Sinitic Asia (includes Mongolia) Tibet Kowloon Portuguese Macao Outer Mongolia Taiwan Japan and the Koreas Okinawa People's Democratic Republic of Korea South Korea Southern and Central Asia Southern Asia East Pakistan Bhutan Yanaon Maldives Nepal, Federal Democratic Republic of Pakistan Tamil Eelam Turkestan Afghanistan Republic of Armenia Azerbaijan Georgia Kazakstan Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Americas Northern America Bermuda Yukon St Pierre and Miquelon USA South America Argentina Bolivia, Plurinational State of Brazil Londonderry Island Colombia Ecuador Malvinas Guyane Guyana Paraguay Peru Suriname Uruguay Venezuela, Bolivarian Republic of South Sandwich Islands Central America British Honduras Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama West Indies Anguilla Barbuda Aruba Bahamas Barbados Cayman Islands Cuba Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Montserrat Puerto Rico St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago Turks and Caicos Islands Virgin Islands, British Virgin Islands, United States St Barthelemy St Martin (French part) St Eustatius Curacao Island Sint Maarten (Dutch part) Sub-Saharan Africa French Central Africa Benin Volta French Cameroon Cape Verde Central African Republic Chad Republic of Congo Zaire Ivory Coast Spanish Guinea Gabon Gambia Ghana Guinee Portuguese Guinea Liberia Upper Senegal Mauritania Niger Nigeria Sao Tome and Principe Senegal Sierra Leone Togo Southern and East Africa Portuguese West Africa Botswana Urundi Comoros French Somaliland Eritrea Ethiopia Kenya Lesotho Malagash Nyasaland Rodrigues Mayotte Portuguese East Africa South West Africa Reunion Rwanda Tristan da Cunha Seychelles Islands Somaliya Transvaal Swaziland Zanzibar Uganda Zambia Zimbabwe Southern and East Africa, nec Africa Asia East Asia Europe USSR Kurdistan Not Specified
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Invoice Company Name*
Invoice ABN
Invoice Country* Australia Unknown Born at Sea Pacific Islands Australia (includes External Territories) Norfolk Island McDonald Islands Stewart Island Melanesia Noumea Trobriand Islands Solomon Islands Vanuatu Pacific Islands Trust Territory Guam Washington Island Marshall Islands Micronesia, Federated States of Pleasant Island Northern Mariana Islands Palau Polynesia (excludes Hawaii) Rarotonga Rotumah Island Tuamotus Savage Island Western Samoa Samoa, American Tokelau Vava'u Tuvalu Wallis and Futuna Pitcairn Islands Wake Island Antarctica Adelie Land (France) Argentinian Antarctic Territory Australian Antarctic Territory British Antarctic Territory Chilean Antarctic Territory Queen Maud Land (Norway) Ross Dependency (New Zealand) North-West Europe United Kingdom, Channel Islands and Isle of Man Isles of Scilly Isle of Man Ulster Shetland Islands Wales Sark Jersey Waterford Western Europe Vienna Belgium Paris Wurttemberg Liechtenstein Luxemburg Monte Carlo Netherlands Switzerland Scandinavia Denmark Faroe Islands Suomi Kalaallit Nunaat Lyoveldio Island Norway Sweden Aland Islands Southern and Eastern Europe Southern Europe Andorra Gibraltar Vatican City Valle d'Aosta Malta Portugal San Marino Spain Yugoslavija Albania Yugoslavia Bosnia Rumelia Yugoslavia Croatia Northern Cyprus Yugoslavia Macedonia Yannina Republic of Moldova Transylvania Slovenija Montenegro Yugoslavia Serbia Kosovo Tchecoslovakia White Russia Tschechien Republic of Estonia Magyarorszag Republic of Latvia Memelland Silesia Siberia Slovenska Republika Ukraine USSR United Arab States North Africa Algerie Suez Tripoli Morocco Sudan Tunisie Western Sahara Spanish North Africa South Sudan Middle East Bahrain West Bank Persia Mesopotamia Jerusalem Transjordan Kuwait North Lebanon Uman Qatar Saudi Arabia Syria Usak United Arab Emirates Yemen South-East Asia Mainland South-East Asia Yangon Khmer Laos Thailand Vietnam Sunda Islands Brunei Darussalam West Timor West Malaysia Pilipinas Singapore Timor-Leste North-East Asia Sinitic Asia (includes Mongolia) Tibet Kowloon Portuguese Macao Outer Mongolia Taiwan Japan and the Koreas Okinawa People's Democratic Republic of Korea South Korea Southern and Central Asia Southern Asia East Pakistan Bhutan Yanaon Maldives Nepal, Federal Democratic Republic of Pakistan Tamil Eelam Turkestan Afghanistan Republic of Armenia Azerbaijan Georgia Kazakstan Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Americas Northern America Bermuda Yukon St Pierre and Miquelon USA South America Argentina Bolivia, Plurinational State of Brazil Londonderry Island Colombia Ecuador Malvinas Guyane Guyana Paraguay Peru Suriname Uruguay Venezuela, Bolivarian Republic of South Sandwich Islands Central America British Honduras Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama West Indies Anguilla Barbuda Aruba Bahamas Barbados Cayman Islands Cuba Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Montserrat Puerto Rico St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago Turks and Caicos Islands Virgin Islands, British Virgin Islands, United States St Barthelemy St Martin (French part) St Eustatius Curacao Island Sint Maarten (Dutch part) Sub-Saharan Africa French Central Africa Benin Volta French Cameroon Cape Verde Central African Republic Chad Republic of Congo Zaire Ivory Coast Spanish Guinea Gabon Gambia Ghana Guinee Portuguese Guinea Liberia Upper Senegal Mauritania Niger Nigeria Sao Tome and Principe Senegal Sierra Leone Togo Southern and East Africa Portuguese West Africa Botswana Urundi Comoros French Somaliland Eritrea Ethiopia Kenya Lesotho Malagash Nyasaland Rodrigues Mayotte Portuguese East Africa South West Africa Reunion Rwanda Tristan da Cunha Seychelles Islands Somaliya Transvaal Swaziland Zanzibar Uganda Zambia Zimbabwe Southern and East Africa, nec Africa Asia East Asia Europe USSR Kurdistan Not Specified
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