Step 1 of 11 9% Please read carefully and fill in the form below carefully. SOL Edu will prepare your Student visa application based on the information provided in this form. **We suggest using English to write this form. 1.Personal Information Please choose your Education Counsellor*ChesterDanaOtherFirst Name*Last Name*Do you currently, or have ever been known by any other names?*YesNoPlease specify the name and the reason for the change*Gender*MaleFemaleOthersPlease specific your gender*Email* Enter Email Confirm Email Date of Birth* Place of Birth (City/Province/Country)*Nationality*Second Nationality (if suitable)National Identification NumberNational Identification Number Expiry Date Marital Status*SingleMarriedDe FactoDivorcedWidowedMarriage Date* Relationship Start Date* Partner Name* First Last Is your partner currently, or have ever been known by any other name?*YesNoPlease specify the name and the reason for the change*Partner Date of Birth* Partner's Nationality*Partner’s Second Nationality (if applicable) Do you have any dependent included in this visa application?*YesNoSecondary Applicant Name* First Last Does Secondary Applicant currently, or have ever been known by any other names?*YesNoPlease specify the name and the reason for the change*Secondary Applicant Gender*MaleFemaleOtherSecondary Applicant Date of Birth* Secondary Applicant Place of Birth (City/State/Country)*Secondary Applicant Nationality*Secondary Applicant Second Nationality (if suitable)Do you have any children included in this visa application?*YesNoPlease provide details*Child's NameChild's GenderChild's Date of BirthChild's NationalityChild's Second Nationality 2. Contact detailsAddress in Home Country* Street Address City Province Mobile Phone in Home Country*Address in Australia Street Address City State ZIP / Postal Code Mobile Phone in Australia 3. Family Members **We suggest using English to write this form.Father's information*First nameLast nameDate of Birth (DD/MM/YY)Usual country of residence Mother's information*First nameLast nameDate of Birth (DD/MM/YY)Usual country of residence Please choose other family members (if suitable)* Brothers & Sisters Children None Brothers and Sisters Personal Information*First nameLast nameGenderDate of BirthRelationship to youUsual country of residence Children Personal Information*First nameLast nameGenderDate of BirthRelationship to youUsual country of residence 4. Health check and OSHCHave you undertaken a health examination for an Australian visa in the last 12 months?*YesNoHAP ID*Have you already bought OSHC by yourself?YesNoSOL Edu has already arranged OSHC for me.Please choose your Insurance Company*BUPAMediBankNibAllianz Global Assistance OSHCOthersInsurance Number*Insurance Start Date* Insurance End Date* Don't worry, SOL Edu will help you arrange. 5. Education Background (Australia)Please List your Education history in AustraliaStart DateFinish DateInstitution NameAddress (city/postcode)Qualification 6. Education Background outside Australia (High school above)Please List your Education history outside Australia*Start DateFinish DateInstitution NameAddress (city/postcode)Qualification 7. Working Experience Work Experience (Please leave it blank if you don't have)EmployerStart date (month/year)End date (month/year)SupervisorAddress (city/postcode)PositionPhone 8. Visa History Record Have you ever been to any other countries in the last 10 years? (except Home Country and Australia)*YesNoIf yes, give details*CountryStart DateEnd DateTravel Reason Have you ever had any Australian visa?*YesNoIf yes, give details*Visa Start DateApplication LocationVisa Category Have you ever had a visa refusal or overstay in any country?*YesNoIf yes, give details* 9. English Language Proficiency In the last 24 months, did you take any English proficiency test?*IELTSTOEFLPTENoneIELTS Test Date* Test Score (Overall)*TRF Number*PTE Test Date* Test Score (Total)*Test Taker ID*TOEFL Test Date* Test Score (Total)*Registration ID*Did you study in any English-speaking countries for over 5 years?*YesNoHave you studied in Australia for over 2 years?*YesNo 10. More InformationDo you have a criminal record?*YesNoHave you ever been refused a visa or deported from any country?*YesNoDo you have a record of military service?*YesNoHave you been living in other countries for more than three months (except Australia and home country)?*YesNoPlease add details if YES to any questions.* 11. Please upload your documents Please upload the following documents according to the advice from your consultant. 1. Passport2.OSHC3. Form 9564. Declaration of Financial Capacity5.COE6. Birth Certificate7. Medical Letter8. Previous Australian Visa9. Passport Photo10. Certificate of highest degree (if you have not completed your degree, please provide the study certificate) Drop files here or 11. Transcript of highest degree (if you have not completed your degree, please provide the Current Transcript) Drop files here or 12. IELTS/TOEFL/PTE Certificate13. Form 1229 (if under 18) 12. Statement The following document is about the services which an Australian registered migration agent should provide to the client. According to the Australian regulation, when practicing visa application/migration service, iae edu net Brisbane is obliged to inform the client of the document. Code of Conduct https://www.mara.gov.au/media/553229/Code_of_Conduct_April_2017.pdf Consumer Guide https://www.mara.gov.au/media/152338/consumer_guide_english.pdf Migration Agent Yue Wei (Peter) MARN 1682800 I have already read the Code of Conduct and Consumer Guide* Yes, I agree I authorize SOL Edu to deal with my visa and I will provide the required documents in a timely manner.* Yes, I agree This iframe contains the logic required to handle Ajax powered Gravity Forms.