Australia – Southern Cross

Student Enrollment Form Australia

"*" indicates required fields

Campus*

Bankstown

Personal Details

Family Name*

Given Name*

Date of Birth*

Gender*

Male

Female

Nationality*

Passport No

Visa

Student

Tourist

Working Holiday

Other

Visa Number

Contact Details

Overseas Address

Postcode

Overseas Phone

Australian Address

Suburb

Postcode

Email address*

Mobile Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Information/ Guardian Contact Information

Name*

Mobile Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Declaration*

• I have reviewed and understood all pre-enrolment information provided online at https://www.scsb.nsw.edu.au/
• I understand that the payment I provide applies to the course I have chosen, and I will be provided further information from SCSB
to finalise my enrolment;
• I acknowledge that providing false information and/or failing to disclose any information relevant to my application for enrolment
and /or failure to complete an application for enrolment form may result in the withdrawal of any offer;
• I understand that it is my responsibility to provide all relevant and required documentation as specified in the International Student
admission requirements;
• I can view current policies and procedures online at https://www.scsb.nsw.edu.au/ and I can contact SCSB to request a hard copy to
be sent to me;
• The fees related to the application are not the total fees. Payment of fees will be included in the student enrolment agreement once
my application has been accepted;
• I acknowledge I have read, understand, and agree to SCSB's student refund policy located online http://www.scsb.nsw.edu.au/wpcontent/uploads/2022/01/SCSB-International-Student-Tuition-Fee-and-Refund-Policy-v-2.2-January-2022.pdf.
• I understand that fees may be subject to change at any time, and I will be responsible for paying the amended amount;
• I understand that if SCSB rejects my application before providing a student enrolment agreement the application fee/ material fee
will not be refunded;
• I understand that satisfactory course progression and attendance is mandatory and failure to complete my course in the specified
time may result with disciplinary action involving the Department of Home Affairs (DHA);
• I will abide by the Rules and Regulations of SCSB;
• I understand that plagiarism of someone else’s work is against SCSB policy and if found to have occurred will result in disciplinary
action;
• I have the financial capacity to meet tuition fees, and agree to pay fees on or before the due date;
• SCSB is required, under section 19 of the ESOS Act to report to the Secretary of the Department of Education about changes to
student’s enrolment; and any breach by students of student visa conditions relating to attendance or course progress.
• I understand that I would need to undertake the Language Literacy and Numeracy (LLN) test to assess my LLN level for entry into
a VET course.

I declare that I have read the above terms and conditions and completely understand my obligations.

Full Name

Date

Signature(Write your email address as your signature)