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5. Educational qualifications
Please give details of all your secondary education and other post-secondary courses that you have attended or are currently studying. You must attach certified copies of your academic results, including English translations where necessary. QUT GMAT code is 1677. Original academic records or portfolios will not be returned. . Course Name of qualification or examination Attendance dates completed? Name of school or institution (eg SPM, STPM, GCE ‘O’ and ‘A’ level, BSc, etc) month/year to month/year yes/no
Do you intend to apply for exemptions (credit) on the basis of previous tertiary study? Yes Have you ever been excluded from previous tertiary study? If yes, please attach details. Yes If you have previously completed a degree course at QUT do you wish to be considered Yes for the QUT alumni scholarship for a subsequent QUT degree course?
No No
This scholarship offers a 20 per cent reduction in the first semester’s tuition fees. To be eligible applicants must not use an agent at any stage during the application process, full details are at www.international.qut.edu.au/apply/scholarships
6. English proficiency Please tick appropriate boxes
I have taken an:
IELTS (academic) test
TRF Test Report Form number
TOEFL test (QUT TOEFL code is 9778).
Registration number
I will take a test on:
/ day
/ month
year
You MAY be exempt from taking a formal test if your secondary or tertiary studies were conducted entirely in English and you have passed an English language or one or more Communication subjects. Please refer to English Language http://www.international.qut.edu.au/apply/entryrequirements/english.jsp for further information about the minimum level of English proficiency requirements for admission to QUT courses.
7. Employment details Some postgraduate courses, eg Master of Business Administration, require work experience for course admission. For QUT admission entry requirements refer to Studyfinder at www.studyfinder.qut.edu.au Provide certified/originals of dated work experience statements from employers or other appropriate evidence. Years Full-time/ ....... to ....... part-time Description of occupation and experience Employer
Applicants for ED26 and NS40 only: I certify that I have the necessary qualifications to be professionally registered in my home country as a teacher/nurse. If yes, provide certified evidence of registration.
Yes
No
8. Supporting statement / extra information You may wish to provide extra information to support your application. Also, if you have any disability that may affect your learning (eg vision, health, mobility) you should provide early advice so the University may assist you. Please attach additional information on a separate sheet.
9. Privacy statement The information collected on admission forms is used to determine whether you may be offered admission to the University. If you enrol as a student of QUT, the information you have provided on this admission form will be used to administer your enrolment, to offer other services to you and to provide statistical information to the Commonwealth Government as required by law. For full details of QUT’s practices regarding student information and privacy www. studentservices.qut.edu.au/info/contacts/QUT_u/privacy.jsp
10. Declaration (all applicants must sign) I agree to comply with the statutes and rules of Queensland University of Technology as far as they apply to me and as documented on the QUT website available at www.mopp.qut.edu.au/Appendix/. I further agree to comply with any policies or procedures of the University governing my conduct as a student and academic matters affecting my studies, including but not limited to, policies or procedures governing acceptable use of the University’s facilities. I declare that to the best of my knowledge the information supplied by me is true, correct and complete in every respect. I acknowledge that the submission of false, incorrect, incomplete or misleading information may result in cancellation of my enrolment or delays in processing. I acknowledge that I am responsible for the payment of all student fees and charges applying to my admission and study at QUT. QUT shall not be liable for any failure to provide services (including lectures, tutorials or examination results) or any teaching or other materials to students where such failure is due to circumstances beyond QUT’s control. Such circumstances include, but are not limited to, natural disasters, malicious damage, outbreak of pandemic disease, industrial action or strikes, acts of war or acts of God. I acknowledge that it is my responsibility to provide all necessary documentary evidence of qualifications or experience. I authorise QUT to verify such records through QualSearch or grant my consent for other educational institutions, admissions centres, government bodies or employers to disclose information about my qualifications and experience directly to QUT. I have read and understood the University’s admission procedures at http://www.international.qut.edu.au/apply/, admission requirements at http://www.international. qut.edu.au/apply/entry-requirements/, privacy statement, and the international tuition fee and refund policy and its conditions at www.studentservices.qut.edu.au/costs/ schedule/table_j/int_refund/. I am aware of the likely costs of my stay in Australia and I understand that neither QUT nor the Australian Government is obliged to help me if I require financial assistance. I understand that if I have children between the ages of 6 to 15 who will accompany me in Australia, I will be required to pay compulsory school fees. I understand that any information I provide to QUT may be made available to Commonwealth and State Government agencies, and to the Fund Manager of the ESOS Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code.
Applicant signature Parent / Guardian signature
Date day
/
month
/
year
(if applicant under 18)
If you are using the services of a formal QUT representative to process your application, all communication about your application will occur with that representative.
11. Payment of application fee Application fee TOTAL: AUD$55.00 To pay application fee visit http://qutpay.qut.edu.au and select ‘New International Student Payments’. Please quote your QUTPay transaction number
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(Transaction number can be found on transaction receipt)
Do NOT send cash or personal cheques to QUT. Page 2
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