asian institute of built environment - aibe-edu.orgmail.aibe-edu.org/forms/m01 - mop application...
TRANSCRIPT
Address: 1/F, Hamilton Commercial Building, 558-560 Nathan Road, Kowloon Tel: (852) 2376 1933 Fax: (852) 3579 2908 URL:www.aibe-edu.org
Page 1 of 2
Asian Institute of Built Environment
APPLICATION FORM
Master of Property awarded by The University of Newcastle, Australia (EDB Reg. No. 212127)
Admission Requirements Admission to the program will be competitive and on the basis of a completed undergraduate degree from an approved institution, with relevant qualifications in the following disciplinary areas:
• property, building, quantity surveying, construction management, construction economics; and/or
• related disciplinary areas including business, finance and commerce. A minimum of two year relevant work experience in a property or property related field is required, including property management, facilities management, land development, investment analysis, valuation, planning, project management, quantity surveying and other allied areas of professional practice. You may join the program by commencing in any trimester of the year.
Application Fee Payment Method The application fee is Non-refundable and Non-transferable. Only payment by cheque is acceptable.
Payment Amount Cheque No. Name of Bank
Application fee HK$ 300 ______________________________________________________________________________ Application by Mail or by Hand Please enclose the followings with your application form and send by mail or by hand to “Asian Institute of Built Environment, 1/F, Hamilton Commercial Building, 558-560 Nathan Road, Kowloon, Hong Kong.”:
An application fee of HK$300. (A crossed cheque payable to “Asian Institute of Built Environment Limited” - AIBE)
Photocopies of academic / professional qualifications and HKID card Company letter for proving working experience A passport photo
Address: 1/F, Hamilton Commercial Building, 558-560 Nathan Road, Kowloon Tel: (852) 2376 1933 Fax: (852) 3579 2908 URL:www.aibe-edu.org
Page 2 of 2
Deadline of Application Trimester 1: 25th Jan 2012 Trimester 2: 16th May 2012 Trimester 3: 29th Aug 2012 Tuition Fee Payment Method
A crossed cheque amounting HK$13,750 per course payable to “Asian Institute of Built Environment Limited”, 8 courses in total for the whole MoP program. You may normally register 2 courses per trimester.
The tuition fees should be paid to AIBE (Asian Institute of Built Environment) on or before Friday of the first week of every trimester.
1st trimester commences 30-Jan-2012 (Tuition fee deadline: 3-Feb-2012) 2nd trimester commences 21-May-2012 (Tuition fee deadline: 25-May-2012) 3rd trimester commences 3-Sep-2012 (Tuition fee deadline: 7-Sep-2012)
Remarks 1. You may be asked to submit course syllabus/description of courses as stated in the
transcript/certificate of your previous academic qualifications. 2. AIBE reserves the right to cancel a course if there is insufficient enrolment or unforeseen
difficulties arising from mounting the course. 3. Tuition fees of courses paid are not refundable, except in the event of a course being over-
subscribed or cancelled. 4. When the processing and consideration of all applicants for a particular program have been
completed, a. the application documents of unsuccessful candidates will be destroyed; and b. the application documents of successful candidates will become part of the student files, and
such data will thereafter be handled by AIBE staff. 5. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have rights to request
access to, and to request the correction of, their personal data. Applicants wishing to access or make corrections to their data, must submit written requests to AIBE.
APPLICANT DECLARATION I certify that the all information and documentation supplied by me to Asian Institute of Built Environment [AIBE] is true, accurate and completed. I agree to abide by the student regulations of [AIBE] once my application is successful. Applicant’s Signature: ________________________________ Date: ______________________ ******************************************************************************** For office use: ¨ Copy of HK Identity Card ¨ Copy of Certificate Checked by : ________________ ¨ Company Letter Date : ________________ ¨ 1 passport photo
Application Form
ALL SECTIONS MUST BE COMPLETED
SECTION 1 PERSONAL DETAILS Family Name Previous Family Name
First Name Other Names
Title
Gender Female Male DOB (DD/MM/YYYY) / /
Have you previously studied with The University of Newcastle? Yes No If yes, please provide your student number
SECTION 2 CITIZENSHIP DETAILS Are you an Australian Citizen? Yes No If No, what is your Country of Citizenship? What is your Country of Birth?
If you were born outside of Australia, Year of arrival (YYYY)
Are you the holder of a Permanent Humanitarian Visa (within Australia) Yes No Are you an Australian Permanent Resident (Permanent Visa)? Yes No ABORIGINAL/TORRES STRAIT ISLANDER ORIGIN Are you an Australian Aboriginal Person (e.g. Goori, Koori, Murri or Nunga)? Yes No Are you of Torres Strait Islander descent? Yes No
SECTION 3 CONTACT DETAILS EMAIL ADDRESS/ES
TELEPHONE (H) (W) (M) HOME ADDRESS ADDRESS (Please note - P.O BOX numbers cannot be used for students residing outside Australia) SUBURB/CITY STATE POSTCODE COUNTRY SHIPPING ADDRESS ADDRESS (Please note - P.O BOX numbers cannot be used for students residing outside Australia) SUBURB/CITY STATE POSTCODE COUNTRY
SECTION 4 PROGRAM DETAILS Program or Single Course Title
1ST Preference Program or Single Course Title
2ND Preference
Are you applying for credit for this program? Yes No If YES, Please also submit a Credit Application form (http//www.gradschool.com.au)
SECTION 5 PROFESSIONAL QUALIFICATIONS AND EXPERIENCE DETAILS Occupation/Job Title Please attach a copy of your current CV or resumé. If you are applying on the basis of work experience, please supply a letter from your employer confirming relevant work experience, including years and position title. SECTION 6 TERTIARY OR HIGHER EDUCATION STUDY DETAILS Please provide certified copies of your academic transcripts and awards. (Excluding studies undertaken at The University of Newcastle)
Institution Name Qualification Title Last Year Attended
Completed Qualifications Yes No
Duration
SECTION 7 ENGLISH LANGUAGE PROFICIENCY Is your first language English? Yes No If NO, please tick relevant box and provide certified evidence that you have satisfied the University of Newcastle’s English Language Proficiency requirements on the basis of completion one of the following:
An Australian Tertiary Qualification within the last 5 years
Secondary or Tertiary studies in another English speaking country within the last 5 years
GCE “A” level general paper with a grade of ‘C’ or better in General paper English
HKALE use of English paper with a grade of ‘C’ or better Combined Universities Language Test (CULT) score of 70 or better.
For more information, refer to the University of Newcastle’s English Proficiency Policy at www.newcastle.edu.au/policylibrary/000104.html
SECTION 8 STATISTICAL INFORMATION
Do you speak a language other than English at your permanent home residence? Yes No If ‘Yes’, indicate the non-English language spoken most often:
Do you have a disability, impairment or long term medical condition which may affect your studies? Yes No If you have a disability, impairment or long term medical condition, please indicate by ticking the relevant area(s) of impairment: Hearing Learning Vision Mobility Medical Other Will you require your course materials in alternative formats Yes No If you require additional support or adjustments during your studies, please contact the Disability Support Service at: Telephone: (02) 4921 5766 TTY: (02) 4921 7040 Email: [email protected]
Score: Refer to policy below for score requirements
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
• IhavereadandagreetotheGradSchool.comPtyLimited(GradSchool)TermsandConditions.• IunderstandthatImustenrolincoursesthatcomplywiththerequirementsofthedegreeprogramtowhichIhave beenadmitted.• IauthorisetheUniversityofNewcastle/GradSchooltoreleaseinformationregardingmyenrolmenttoGovernment agenciesinaccordancewithlegalrequirements.• IunderstandthatfailuretopayfeesandchargesowedtotheUniversityofNewcastle/GradSchoolbytheduedate mayresultinmyaccesstoUniversityofNewcastle/GradSchoolservicesbeingrestricted,thecancellationofmy enrolmentand/oractiontorecoveranyremainingdebt• IcertifythatallinformationanddocumentationsuppliedbymetotheUniversityofNewcastle/GradSchoolistrue, accurateandcomplete• Iconsenttothecollection,storage,anddisclosurebytheUniversityofNewcastle/GradSchool,UniversitiesAustralia (UA)oranyUAmemberinstitutionofarecordofanysuchinformationoranyotherirregularactivitythatmaybe consideredtobeuntrueormisleadinginanyrespect.• Iagreetocomplywiththerules,policiesandby-lawsoftheUniversityofNewcastle/GradSchool• IunderstandthatagreementtoallofthesetermsisaconditionofmyenrolmentattheUniversityofNewcastle/ GradSchool• IunderstandthattheUniversityofNewcastle/GradSchooliscollectingtheinformationinthisformforthepurposeof assessingmyentitlementtoCommonwealthassistanceundertheHigherEducationSupportAct2003,andallocation ofaCommonwealthHigherEducationStudentSupportNumber(CHESSN)tome• IunderstandthattheUniversityofNewcastle/GradSchoolwilldisclosethisinformationtotheDepartmentof Education,EmploymentandWorkplaceRelations(DEEWR)fortheabovepurposesandthatDEEWRwillstorethe informationsecurelyintheHigherEducationInformationManagementSystem• IacceptthatDEEWRmaydisclosetheinformationtoAustralianTaxationOffice(ATO),andthattheUniversityof Newcastle/GradSchoolwillnototherwisedisclosetheinformationwithoutmyconsentunlessrequiredorauthorisedby law.• InsigningthisformandenrollingattheUniversityofNewcastle/GradSchool,youareagreeingtoalloftheabove conditions.
RewardYourselfScheme
Name:
StudentNo:
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
UniversityofNewcastleWebsite
InternetSearchEngine
OtherWebsite
NewspaperIndustryPublication/MagazineRecruitmentEventWordofMouthRadioTelevisionOther
Hui & Kuah Pty Ltd
IGEC
International Education Group
Mehravaran Institute of Technology
Educational Link Consultant
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
• IhavereadandagreetotheGradSchool.comPtyLimited(GradSchool)TermsandConditions.• IunderstandthatImustenrolincoursesthatcomplywiththerequirementsofthedegreeprogramtowhichIhave beenadmitted.• IauthorisetheUniversityofNewcastle/GradSchooltoreleaseinformationregardingmyenrolmenttoGovernment agenciesinaccordancewithlegalrequirements.• IunderstandthatfailuretopayfeesandchargesowedtotheUniversityofNewcastle/GradSchoolbytheduedate mayresultinmyaccesstoUniversityofNewcastle/GradSchoolservicesbeingrestricted,thecancellationofmy enrolmentand/oractiontorecoveranyremainingdebt• IcertifythatallinformationanddocumentationsuppliedbymetotheUniversityofNewcastle/GradSchoolistrue, accurateandcomplete• Iconsenttothecollection,storage,anddisclosurebytheUniversityofNewcastle/GradSchool,UniversitiesAustralia (UA)oranyUAmemberinstitutionofarecordofanysuchinformationoranyotherirregularactivitythatmaybe consideredtobeuntrueormisleadinginanyrespect.• Iagreetocomplywiththerules,policiesandby-lawsoftheUniversityofNewcastle/GradSchool• IunderstandthatagreementtoallofthesetermsisaconditionofmyenrolmentattheUniversityofNewcastle/ GradSchool• IunderstandthattheUniversityofNewcastle/GradSchooliscollectingtheinformationinthisformforthepurposeof assessingmyentitlementtoCommonwealthassistanceundertheHigherEducationSupportAct2003,andallocation ofaCommonwealthHigherEducationStudentSupportNumber(CHESSN)tome• IunderstandthattheUniversityofNewcastle/GradSchoolwilldisclosethisinformationtotheDepartmentof Education,EmploymentandWorkplaceRelations(DEEWR)fortheabovepurposesandthatDEEWRwillstorethe informationsecurelyintheHigherEducationInformationManagementSystem• IacceptthatDEEWRmaydisclosetheinformationtoAustralianTaxationOffice(ATO),andthattheUniversityof Newcastle/GradSchoolwillnototherwisedisclosetheinformationwithoutmyconsentunlessrequiredorauthorisedby law.• InsigningthisformandenrollingattheUniversityofNewcastle/GradSchool,youareagreeingtoalloftheabove conditions.
RewardYourselfScheme
Name:
StudentNo:
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
UniversityofNewcastleWebsite
InternetSearchEngine
OtherWebsite
NewspaperIndustryPublication/MagazineRecruitmentEventWordofMouthRadioTelevisionOther
Where did you find out about GradSchool? (Please complete all relevant information)
• IhavereadandagreetotheGradSchool.comPtyLimited(GradSchool)TermsandConditions.• IunderstandthatImustenrolincoursesthatcomplywiththerequirementsofthedegreeprogramtowhichIhave beenadmitted.• IauthorisetheUniversityofNewcastle/GradSchooltoreleaseinformationregardingmyenrolmenttoGovernment agenciesinaccordancewithlegalrequirements.• IunderstandthatfailuretopayfeesandchargesowedtotheUniversityofNewcastle/GradSchoolbytheduedate mayresultinmyaccesstoUniversityofNewcastle/GradSchoolservicesbeingrestricted,thecancellationofmy enrolmentand/oractiontorecoveranyremainingdebt• IcertifythatallinformationanddocumentationsuppliedbymetotheUniversityofNewcastle/GradSchoolistrue, accurateandcomplete• Iconsenttothecollection,storage,anddisclosurebytheUniversityofNewcastle/GradSchool,UniversitiesAustralia (UA)oranyUAmemberinstitutionofarecordofanysuchinformationoranyotherirregularactivitythatmaybe consideredtobeuntrueormisleadinginanyrespect.• Iagreetocomplywiththerules,policiesandby-lawsoftheUniversityofNewcastle/GradSchool• IunderstandthatagreementtoallofthesetermsisaconditionofmyenrolmentattheUniversityofNewcastle/ GradSchool• IunderstandthattheUniversityofNewcastle/GradSchooliscollectingtheinformationinthisformforthepurposeof assessingmyentitlementtoCommonwealthassistanceundertheHigherEducationSupportAct2003,andallocation ofaCommonwealthHigherEducationStudentSupportNumber(CHESSN)tome• IunderstandthattheUniversityofNewcastle/GradSchoolwilldisclosethisinformationtotheDepartmentof Education,EmploymentandWorkplaceRelations(DEEWR)fortheabovepurposesandthatDEEWRwillstorethe informationsecurelyintheHigherEducationInformationManagementSystem• IacceptthatDEEWRmaydisclosetheinformationtoAustralianTaxationOffice(ATO),andthattheUniversityof Newcastle/GradSchoolwillnototherwisedisclosetheinformationwithoutmyconsentunlessrequiredorauthorisedby law.• InsigningthisformandenrollingattheUniversityofNewcastle/GradSchool,youareagreeingtoalloftheabove conditions.
RewardYourself Scheme
Name:
StudentNo:
UniversityofNewcastleWebsite
InternetSearchEngine
Other Website
Newspaper
IndustryPublication/Magazine
RecruitmentEvent
Word of Mouth
Radio
Television
Other
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
• IhavereadandagreetotheGradSchool.comPtyLimited(GradSchool)TermsandConditions.• IunderstandthatImustenrolincoursesthatcomplywiththerequirementsofthedegreeprogramtowhichIhave beenadmitted.• IauthorisetheUniversityofNewcastle/GradSchooltoreleaseinformationregardingmyenrolmenttoGovernment agenciesinaccordancewithlegalrequirements.• IunderstandthatfailuretopayfeesandchargesowedtotheUniversityofNewcastle/GradSchoolbytheduedate mayresultinmyaccesstoUniversityofNewcastle/GradSchoolservicesbeingrestricted,thecancellationofmy enrolmentand/oractiontorecoveranyremainingdebt• IcertifythatallinformationanddocumentationsuppliedbymetotheUniversityofNewcastle/GradSchoolistrue, accurateandcomplete• Iconsenttothecollection,storage,anddisclosurebytheUniversityofNewcastle/GradSchool,UniversitiesAustralia (UA)oranyUAmemberinstitutionofarecordofanysuchinformationoranyotherirregularactivitythatmaybe consideredtobeuntrueormisleadinginanyrespect.• Iagreetocomplywiththerules,policiesandby-lawsoftheUniversityofNewcastle/GradSchool• IunderstandthatagreementtoallofthesetermsisaconditionofmyenrolmentattheUniversityofNewcastle/ GradSchool• IunderstandthattheUniversityofNewcastle/GradSchooliscollectingtheinformationinthisformforthepurposeof assessingmyentitlementtoCommonwealthassistanceundertheHigherEducationSupportAct2003,andallocation ofaCommonwealthHigherEducationStudentSupportNumber(CHESSN)tome• IunderstandthattheUniversityofNewcastle/GradSchoolwilldisclosethisinformationtotheDepartmentof Education,EmploymentandWorkplaceRelations(DEEWR)fortheabovepurposesandthatDEEWRwillstorethe informationsecurelyintheHigherEducationInformationManagementSystem• IacceptthatDEEWRmaydisclosetheinformationtoAustralianTaxationOffice(ATO),andthattheUniversityof Newcastle/GradSchoolwillnototherwisedisclosetheinformationwithoutmyconsentunlessrequiredorauthorisedby law.• InsigningthisformandenrollingattheUniversityofNewcastle/GradSchool,youareagreeingtoalloftheabove conditions.
RewardYourselfScheme
Name:
StudentNo:
SECTION 9 AGENT SOURCE DETAILS
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
s
SECTION 10 REFERRAL SOURCE DETAILS .
Where did you find out about GradSchool? (Please tick appropriate box and specify details)
University of Newcastle Website
Internet Search Engine Radio
Other Website Television
Newspaper
Other
SECTION 11 DECLARATION
� I understand that I must enrol in courses that comply with the requirements of the degree program to which I have been admitted.
� I authorise the University of Newcastle/GraduateSchool.com Pty Limited (GradSchool) to release information regarding my enrolment to Government agencies in accordance with legal requirements.
� I understand that failure to pay fees and charges owed to the University of Newcastle/GradSchool by the due date may result in my access to University of Newcastle/GradSchool.com.au services being restricted, the cancellation of my enrolment and/or action to recover any remaining debt
� I certify that all information and documentation supplied by me to the University of Newcastle/GradSchool is true, accurate and complete
� I consent to the collection, storage, and disclosure by the University of Newcastle/GradSchool, Universities Australia (UA) or any UA member institution of a record of any such information or any other irregular activity that may be considered to be untrue or misleading in any respect.
� I agree to comply with the rules, policies and by-laws of the University of Newcastle/GradSchool � I understand that agreement to all of these terms is a condition of my enrolment at the University of
Newcastle/GradSchool � I understand that the University of Newcastle/GradSchool is collecting the information in this form for the
purpose of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me
� I understand that the University of Newcastle/GradSchool will disclose this information to the Department of Education, Employment and Workplace Relations (DEEWR) for the above purposes and that DEEWR will store the information securely in the Higher Education Information Management System
� I accept that DEEWR may disclose the information to Australian Taxation Office (ATO), and that the University of Newcastle/GradSchool will not otherwise disclose the information without my consent unless required or authorised by law.
� In signing this form and enrolling at the University of Newcastle/GradSchool, you are agreeing to all of the above conditions.
Signed ___________________________________________________________ Date / /
Hong Kong:
Global Education Network (GEN)
Hong Kong Education Web (HKEW)
Hong Kong Overseas Centre
Raffles International College
Other Agent
Iran:
Mehravaran Institute of Technology
Middle East:
IGEC
Thailand:
International Education Group
Singapore:
Educational Link Consultants
Hui & Kuah P/L
PSB
Raffles International College
Word of Mouth
/ Magazine Reward Yourself Name:Scheme
Student No.:
UniversityofNewcastleWebsite
InternetSearchEngine
OtherWebsite
NewspaperIndustryPublication/MagazineRecruitmentEventWordofMouthRadioTelevisionOther
Are you associated with one of the following organisations? Yes No If YES, Please tick appropriate box:
PSB
RafflesInternationalCollege
StudyNow
OtherAgent
SECTION 12 APPLICATION CHECKLIST Tick the box as you complete each step:
Completed all sections of this application. Provided certified documentation of all relevant qualifications and awards, and certified copies of all academic transcripts. Please send a hard copy by post. Enclosed certified copies of your English language qualifications or details of English proficiency; and citizenship details if applicable. Included a copy of your current C.V. or resume. If applying for credit, completed the Credit Application form (http//www.gradschool.com.au) and provided certified documentation as outlined on the Credit Application Form. Made a copy of your application for your records.
Submit your application form (and supporting documentation) to: Mail: GradSchool
Services Building University of Newcastle CALLAGHAN NSW 2308 AUSTRALIA
FOR YOUR INFORMATION
Application Closing Dates Trimester 1: closed
Semester 1: 12 February 2010 Trimester 2: 7 May 2010
Semester 2: 9 July 2010 Trimester 3: 13 August 2010
Privacy and Confidentiality: The information gathered by GradSchool from your completed Application Form and during the period of your enrolment will only be used, in accordance with privacy legislation to assist the University to enable you to complete your program of study. It will not be disclosed to third parties without your consent unless the University is under a legal obligation to do so. Bodies such as Centrelink, the Department of Education, Science and Training, the Australian Taxation Office and the Department of Immigration, Multicultural and Indigenous Affairs are authorised to request specific types of information for their purposes. The University may also be required to provide information to law enforcement agencies if a subpoena or warrant is served on it, or if an application is made under the Freedom of Information Act.
What is a ‘Certified Document’? A certified document is a copy of the original that has been verified as a TRUE COPY of the original. Please ensure you post the true copy to us in hard copy format. This can be completed by a:
• Justice of the Peace • Bank Manager • School Principal • Post Office Manager • Notary Public • General Practitioner • Solicitor • Tertiary Institution Representative • Policeman • University of Newcastle representative or agent
Please ensure that the person states their position clearly and preferably provides contact details.
SECTION 1-3: APPLICANT DETAILS
Citizenship If you live in Australia:
If you were not born in Australia or New Zealand and have not previously been a student of the University of Newcastle, you must provide evidence of citizenship or permanent residency, including the date granted. Certified copies must be provided.
If you do not live in Australia:
If you were born outside of Australia or New Zealand, and reside overseas, you must provide an overseas home address.
SECTION 5-6: TERTIARY OR HIGHER EDUCATION STUDIES When declaring Tertiary and TAFE qualifications, please indicate whether you have completed your studies.
SECTION 12 APPLICATION CHECKLIST Please ensure that you have completed all items on the Application checklist.