CREATE IMMI ACCOUNT ONCE WITH TRANSACTION REFERENCE, PROCEED TO BOOK MEDICAL PAGE 1 TERMS & CONDITIONS. 128 Terms and Conditions Bow Terms and Conditions ow Piney siemens {Binnave road and gree tothe trms and conditions PAGE 2 — APPLICATION CONTEXT 28 Appcaton content cure ston © Ce cts he pcos ae eaten orentsston PHUPPINES : Leon sais Ccinan = seston ype le apc epi te v baci a hy Aud en ered eo COMD87 ier cantrtn of nana Dest scat rel Canematon Eien (CoE ay tne con fy Aa? a se Stee oo Acions © crceot Eas ate a ‘oar evidence of iniended ty ‘Does the applicant hol evidence othr iniondod study in Austra oer than CoE? Yes 8 No Note: Do nt ad a ete offer fra course hat has already been included nthe Gonfmation of ensiment section above, Adsng @ CoE anda ater of fer for te same courses unnecessary and may eb io delays in processing the applica. Eventon sector ‘Selec the education sector ofthe applicant's principal course. a Ecucation actor Higher Eveaton Sector -e Glosie of exucation provider |stheappican ppg forts ves dus to the closure of ter Australian exucton provider? Yee # OO ‘Commenueath funded etude 's the appcat receiving pata or ul uring under atainng scheme approved by the Commonwealth government of Australis? Dyes # NOPAGE 3 ~ PRIMARY APPLICANT Primary applicant Information: Entoring names incorrectly may result in denial of permission to board an aircraft to Austral, or result in delays in bordor processing on aval to Austral, oven the applicant has been grated a Visa Passport detats © nto the folowing dota as they appoar inte appleants personal passport Famiy name ° en ens ° & Sox © Famale # Male © Other Dato of its ia Passport number County of passport PHILIPPINES - PH = "Natonaity of passport holder PHIUPPINES- PHL . te of ete ia Date o ex io Pace of ssue/ suing euthoty [DFATUGUEGARAO {tis tronaly recommended that the passport be valid or at east sx meni.National identity card Does this applicant have a national identity card? ‘OYes ®No@ Place of birth @ Town / City Tuguegarao City State / Province Cagayan Country of birth PHILIPPINES |e Relationship status Relationship status Never Married » @ Other names / spellings Is this applicant currently, or have they ever been known by any other names? OYes ®No@ Cttizenship Is this applicant a citizen of the selected country of passport (PHILIPPINES)? © Yes ONo@ Is this applicant a citizen of any other country? OYes @No@ Other passports Does this applicant have other current passports? O Yes @No@ Other identity documents Does this applicant have other identity documents? @ Yes OND@ Family name eens (ations [Aad] Health examination Has this applicant undertaken a health examination for an Australian visa in the last 12 months? OYes ®No® o PAGE 4 ~ CRITICAL DATA CONFIRMATIONCeca data contrmation Allerton proves impotart othe processing ofthis application. ire formation incced ons page cate, may lato denial permission te Board 9 aerate Aus, even a visa hasbeen granted Contr that the folowing Information Is correct and that ts Inthe coret feds. Fonnity name a ‘Given amas ex ate of et ‘County fbr Passport number County of passport letne above formation corect? Yes ON@ PAGE 5 — ADDTL IDENTITY QUESTIONS 9125 -_ Additional identity questions Provide further details below, where available. Previous travel to Australia Has this applicant previously travelled to Australia or previously applied for a visa? ‘® Yes ONO Previous passports, ‘Does this applicant have previous passports that have been used to travel to Australia? OYes ON. (Grant number Does this applicant have an Australian visa grant number? @ Yes ONO@ Australian visa grant number (if known) PAGE 6 — Accompanying members of family unit (spouse and children only) 6125 ‘Accompanying members ofthe family unit Oo ‘Ae there any accompanying members ofthe family unit included inthis pplication? © Yes @No@ Page 8 ~ Contact Details,25 Contact details (County of residence Usual county of residence: je Department oftee “The applicant may be request tend an Australian Goverment ee fran nervew. Which she dsestoflce tothe eppleant'scuent locaton? omtce Pritppines, Mania E Rosiental adcross © Note that tect adress is requred. A post ofce address cannot be accepted as a residential adress. county = Aderess ° ‘Suburb /Toun Toguegatao State o Province CAGAYAN, _ Postal ede 3500 Contact telephone numbers @ Enter numbers only with no spaces. Home phone Business phone Mobile / Cell phone Email address Email address e Page 9 ~ Authorized Recipient (once this is saved, your counselor will receive an email to verify the account) ‘ahorsed recent owe sel aura arte arson cee wien ceapenenca on bhai ‘Tis auras the deta send te suhse son a ten sarespdence tha wok ‘Yes, argistored migration agent a ‘esa eal actor Byes an enccton spent This peson rte asthe auharsed ect @ ateaten agent contet tals Easeton agent Fay name owes Oars 10° Eduesion Ls Painstet, Om repair nen te ina pn sat at atin verano Novel Senate op hauler waive tere tte pane PAGE 10 Non-accompanying members of the family unit ~ COVERS SPOUSE OR CHILDERN OF APPLICANT sos Non-accompanying members ofthe family unit Det of members o tho fa nt ofthe applicant must be nue nis applaton wheter e ot he nono apply for @ suet i, ren-accompanying members ofthe amt Unt ras are net neludedin ths appeaton, thay wl ote ellie for grant ata Student visa ater cate oes the appican have ary members fhe famiy unit hat have nt already been ncued a an ‘Accompanying member the fay unt in his ‘xplaton? ves BN og PAGE 11 Other family members ~ PARENTS, SIBLINGS. v3 cea mar a Does ti lar hv any parr gsi il Ale? Wes NOO. PAGE 14 Genuine temporary entrant — input "Please see attached statement of purpose” - Toensure that Immigration reads your attached statementTransaction Reference Number TN} Genuine temporary entrant ‘student sa appar re requted to provice intorsion in suppor of ei application o demonstrate tha they meet the Geuine Temporary Enron etera. @ rc rs eee Hm es Be on PEN me wae Fy Place see atcha statement purpose. Page 15 - FUNDING FOR STAY 1825 Funaing for stay Do al apcansin hs application cori that ey each have sees osuilnt nso Support tems or tefl pod of te in Auste aed understand al rhe eidnceof ands may also be requested? Gre owe ‘Stow how each soplcantincaed in the apton wil stzpor hemselves n Ausala o meet hing, lon snd schoo cats, Slee any hare ‘Government schaaship anal supert Cer ergansatenschlarstip/ fancial suppot {Franc suppot trom 9 ua (oer franca support Fancal suppor fom an india Wine fund be proved by an invita other han the apocae? Ne ees > Relatnstip tothe aplart Parent -o Funda ype ‘Desc in fneneiinesuon © ate in Ausaindalars (le dois om Franca! situ {800 Unban. ne: Page 16 - OSHC a028 es o ‘oversaas Student Heath Cover ‘oes he applicant have Overss Student Hath Cover (OSHC)? Wes N® Was the Overseas Student Heth Cover (OSH) organised by the appcants education provider? ee" No Name of heats incur BUPA Ausalia ie Insurance poly number Date rom 01 un 2022 s Dateto 51 ug 2008, s Page 17 ~ Education Education Highest level of shooting {Give details ofthe appicant’ highest velo schooling competed utside Ausra ‘ighestevelofschocing completed Secondary schoo - Year 12. eatlon ve Course name ‘Acsoemic Trackin Humaites and Socal Selonea’s Sana Intra Country ofinstuton 5 Edueaton histo) asthe apart completed, ors curonty ened in any cher tudes or aning outsio Austaa? "Daa ON Ca Si purse name Bachelor Degree Bechelorot Arts 9 Diplomacy andinorations!— 26Aug—-28May Ea Daate (Omer Relatons Ee na) Hes the epoca revit sted in Auta? Yes #N@ Page 18 - Employment History1825 Employment Enployent sory ‘Give detas ofthe appcants employment and unemployment history since leaving scholobageluiversy. “Employment inluos al paid employment ef employmnt. family business employment work experince itrshps, unpaid employment ard ‘outer werk Unemployment inches al gepsin employment since lasing schoncolegetunvesy, mn Dat from Datato Susent 26409 2021 [a Future employment Has he apleart eon ores a job athe complain of thei couse? Yee = No Give details ofthe ype of employment he applicant wl be seeking at tbe completion of their course Place se attached statement of purpose Page 19 - Language Language Language = Language sity © Hos the appicant undertaken an Engshkanguage ast within the ast 24 mnths? fe Yee ONG English test detalis {ive deta ofthe highest Sconng English ost ver tho 24 month pore. Name of est vets ~ Dato of ost ie Test roorence number ° County whore ost was undertaken PHILIPPINES - Overal test sore ° ain ianguage sin iangusge Filipino +e ‘Stuy in English inguage © Has the apolar succesful comple atleast fve yous study (nthe Engich language) a Austra, Canada, New Zaslend, Repl of South ‘Nea, Republi of eland, Untied Kingdom andor United Sates of America? Ses # ND ‘nt Wo yor befor apting forthe Stade visa, has he applicant successtily completed he requtemns for @ Senor Secondary Cer of Eaucaton onda English in Asal)? Yes # No nto wo years fore aptying forthe Studer isa, has he applicant successtuly completed substantia companent ofa couse lang toa ualleaon ram te Austen Qualieatons Framework al Cerifcte Vor Tighe as alder of Student va (conducted in Engsh n usta)? Ses # NO Page 20~ Countries Visited + _ Indicate history of travel within the last 10 years; upload stamps/visas from passportmus Counties visited ave any ofthe aplcants vised any countries nthe pst 10 years? Inca: + Work or stay outside your usu county of esience 1 Hoideyalsue tps + ducnese { Mtary deptoymont 1 Mts book to your usual county of esidence I Wing anoy Yes # No® Page 21 — Visa History 2128 Visa history © Hashana pen eth pion hel ercreny ava staat ry cher cot? ‘Ove No Has ne applicant, a any person nuded nthe appleatn, ever been in Austral or any thr country end nat compl wh visa cndions ‘departed cutie ne authored period of ty? Os No as ne applicant, o any person inten this applleton, ever had an appilaton for ny rrr sis in Aust or nce county ese © hod isa earetag? ves no Page 22 — Health Declaration Health deciarations Inte ls fe years, has any applicant vised, red, outs ther country of passprt, for are han 3 cansecutve mnths? Do ntincude time sent industri Yes Bo ‘Does any spplcant intro enter a hospi or «heath care fei (nung nursing homes) when Auta? Cee No ‘Doss any applicant inten to wok as, rst o be a doctor, dent, usec paramedic dung hel stayin Ausra? Yes # Ne ‘ose any appcant intr to wok or be a traine ata child care centre (ncxing preschools and creches) wile in Aust? ves = No Has any secant + everhad, or cent have, uberodoss? + been in cose contact with amy mere that has atv ibereuoss? 1 everiad a chest tay which showed an abrormally? Yes # No During ter repose visio usta, does any appicant expec incur medical oss or equte treatment or medical flow up fr: + blood sore 1 het ise + epatts © oC andor iver disease 1 HIV nto, Ineing AIDS ‘ iesnay casas, noung dates 1 aa ness + pregnancy + Testor does tat hs requtes hospital adisson or oxygen therapy Somer? ves No ‘oes any applicant require assistance wih mit or care de toa medal condition? ‘oves Ne Page 23 - Character DeclarationCharacter declarations Ite apicant anes "Yee to any ofthe character declaration hey must ve al elevant des Fox combined applcatos. sae which appcant tne eration appl to. He mater rates ta rnin conven provide: + he cat and nature of he fence 1 fll ea fhe sentence 1 datos of ry pres of mprsonmont or oher detention Has any apleant ever boon charged with any offence thats curenty awating loge ten? ‘Ses (BN Hes ary applicant ever eon cance ofan farce in any court (nding any convicion which snow amaved rom fia racrds)? Ses #N Has any apleant over boon th subject ofa domestic olen ofa vtec oder, oF any ote der, buna o eau Fata ear authority for be personal protection of analhar pereon? yes NO Has any apteant over boon the subject ofan est wart o np note? Shes #8 Hos ary applicant ever beon found guilty oa cenualy based offence imvohing a chil (ncluing where no conviction was recorded)? Ses #NO. "Hos any applicant ever been acsuted of any offence onthe grounds of unscundhess of mind rinsanty? "Yes ® NO Hes anyappicant ever been found by a cour not tt pase? yes # Re Has any applicant ver been cect o inet ivaved in, or associated wth, ates which would represent aso rationa ecutyin ‘Asta any ober courty? Yes No Has any appicant ever been chargad with, or nde for: ganecie, war ces, crimes against human ore, slavery, o any oer cre hat ‘teenie of serous eration concen? Yes ® No Hes any appicant ever been associated with a person, goup or organisation that hasbeen ors involved in criminal conduc? ‘Yee #1 Has anyappicant ver been associated wit an organisaton engaged in olnce or engaged in acts of Volence (nlng war, insugene, edn ‘ighing, rons, protest ther overseas or Asta? ‘Sas # No Hos ny pecan ever seed amity ee pole ere, sae sensed reticence agen (cng sect plee? Has any appicant ever undergone ary mitaryfaramiliary Wining, been Wrinedin weapensorplosves rn the manufacture of chicaliologial products? Yes # No ss any appa ever been imslve in people smuggling or people raficking offences? "Yee # No ‘Has any appicant ever been rernove, departed or excuses tom any court (clung Ausra)? Nes ® No Hes ny pent ever resaya san ay ony fechsng stl? Has anyappicant ever nad any oustanding debis othe Austaian Government ny publ author in Australia? ‘ves # NO Page 24 — Student Declaral2408 ‘Student declarations Warning: {Giving fs o miseasing informations a sees ofence. ‘he applicants detore that they: ave rad and understood the infomation pravied on the website (a sttynaucai gov au) regarding Ining and staying in Australia, yes ON Have rao adoquteerangoment fr heath insurance forthe period of ther stay in Australia an acknowodge thy re requ to marin these ‘arangoments when Auta he elder of student isa, ‘ees © No Understang that a ctudent visa ia temporary visa and tat being granted a student sa wl not guranie hat toy wil be elle for he rant ota furor visa sayin Ausra, nding sked igri isa ‘yer oN Understanthati hey cannot ban ure vea they must depart Austria on beer he cease dae ofthe student via ‘eyes ONG ‘Acknowledge aligned a student vs, they ar required to understand ad ati by ts condtons Dyer One ‘Urcestand tht he 8534 visa contin I imposod onthe student vs, wil be neatad bythe cond code 8534 and bythe sor description [No Further Stay Thay ackrowtedge ha ts moans the 8524 condlion has been mposed on tharWsa and whe in Aust they wil oly be eed to the rat of ited vas including: + Acsbclss 486 (Temporary Graduste) visor 1 A siboass 300 (Stud! Guardar va Yes ON Understand thatthe eect f 8534 isa codon i that wl ot be possible to apply to remain in Australia beyond the date authersed onthe _studont vised thal hey wl bo requires to depart Australia ono bof ha ae, Yes ON ‘Understand tht he 8535 visa contin fimposad onthe sent vs, wil be nested bythe conn code 8538 and bythe shor dessipton ‘Nour Stay. They acknowl that he means ta he 6535 condion has bean imposed on fe aa and wen Ausra tay ley be nt tte rant iitod ise include: «+ Aather stdent via (eblass 00) in ckeurstance where the Cmmonwealth, or forgn govenmen (a he case requ), does na ppoee {hom fom obsning a fuhorvsato sayin Aust. 8 Yes O No Understand thatthe eet fhe 8535 visa condo is that wl not be posse to remain in Austaba beyond he date authorise onthe student ‘is, ures hey ar apling fra further student san ecustanoss whore the Commoner a foreign governor (as the case requres) (Goes nt oppose hem enderiakng eleven course est, and at hey wl be fequred a depart Ausvala ocr beat he authorised dale ‘Yo No Page 25 — DeclarationDeclarations Warning: ‘ving fs or misloatn ntrmaton is serous oor, ‘The applicants dete hat they: Nove endendunrston te nomaton pene tem ni sptaon jee No Have provided compete and covrect ifamaton n every detallon this fom, anon any atachments to we Yae © No Understand that if any raudulnt documento false or misleaig information has been provided wth hs appt, o if any ofthe appicais ai toatay te Minis of doy, te sppeaion maybe refused ae the pple) and ar menber oto Tami ut, may Become unable tobe granted a vse for a specied pared etme Yes © Ne Understand tht f documents or found tbe faufulet or fomaton tbe nae ater he grant a ia, the vis may subsaquenty be sinesied © Yes 0 No Undrstang tht this eppoton s approved, any eso nt Ilude nhs appcaton wl not have automate gt of ent to Austral ‘eae One Wit inform the Osparmentin ring imac as they become auare ofa change in ccurstances (hud change of adess crf there any ‘range relating ointmation ey have proved nor wih is appleaton wh ts bing considred. ‘eYae one Have read the information contained in the Privacy Notice (Eom 1442) yes ON Understand tnt he department may cole, use and dslse the applicant's personal nfmaon(hduting biometric ifomation and other sansvevrraton a oud nthe Privacy Nobee (Ear 1842, Yes ON (ive consentto te cailecton of hr ngerprns an facal mage requ, te Yes ON Understand ta, quite to prove ha fgets and facil image, the appa Angers and facial mage and biographical infomation hel bythe Deparment maybe gen to usta aw enforce agendes fo eb en te applicant and determine egy fo grt of he "ten beng apped fo, nfrlaw enforcement prporse Yes ON ‘iv consont to Australian enforcement aporcesdsclosing the alan bometi biographical and criminal eco information othe Deparment help dent the appear, to deter eager rant oa visa ard fo lw enorcoment purposes. ‘eyes ON Civ consent othe Dapartment using he appcans omete, Begraphea and mal record oan obaind forthe puposes of he gration ct 1958 or he Ctzeneip at 2007 Yes ON ‘As an aplicant understand na f my visa coast be neo an do ntl anna isa fo remain n Asai a tha Une wi bean unit nonctzon Under he Maraton Ac! 1058 As such, Ll be expect o cepa fom Ausra, abe subject lo removal under he Negra At 1958, yes ON ‘usta vues ach aplcant whol 18 years rover has red, cr had explained to them, formation provide by the Ausralan Government on Australian society and vaes. nd agrees tothe stale values statement ‘yer oN Austaian vues satomont REVIEW PAGE - SUMMARY OF ALLINFORMATIONReview Page Please check thatthe intemation provide is correct ore yu continu. ‘Appleaion context Curent cation @ (Gv deta fhe appcants cent cation Ccuent eation PHILIPPINES Legal status cczan ‘pteation ype |sthe applet apphing for is vis because study in Ausra has boon deferred dus to COVID-197 Noo os he appicant hol a Confrmaton of Errcent (CoE er any intended course stud n Austala? Yer a DOCUMENTS UPLOAD 1. HEALTH INSURANCE travis drt @ 1 Recoived ‘Al documents Docent Typ0 Please select vate Descition Fe rares Flos | No fe chosen ‘© cortteto of Overseas Student Hesih Cover (OSHC) ‘Bupa_OSHC.Vrfeton Later 2. EVIDENCE OF IDENTITY = lenny Euan ot @ ‘Received ‘Add documents voamen omnes | QO Fie names. c= ye © Bith Cartiate ‘© Family Book/Mousehokd BooKlatFamly Compostton Evidence © Passport3. FORM 956A, = Form S808 Appointment orwithéava fan autarized repent @ 1 Received ‘Add documents Document Type Description Fle names Ca ‘© Form 956A Appointment or withdrawal ofan authorised recipient (Appointment) 4, GTE REQUIREMENT —SOP AND OTHER DOCS. pe ttt nd @ ‘a cant Doane Tipe (© Ont ieect) My Catetet Enon 202202 (Or tent Nl Gann © oner eet -Atet Step © onwresct-Faers bank ante © oner ise) Satrs bok stones © ome cy) Fathers bark sores© oer (spect - Sister's Bt Certcate {© oer (spect) - My high school diploma {© Oto (speci) - My Cortical of Envclmentin Australia {© oer (speci) - English isthe Mecium of Insttucton © tre (epee) - Fathers Bith Certtcate © Over (speci) -Fathors employmantcatfiate ‘© oer (spect) - Fathers 1D © ote (speci) - Fathers pay sips (© cote (epee - Financial Declaration © Other (pect) - My Grade 12 tanscipt © Ofer (spect - Father's income taxreturn (© Cer (spect) - My Transpo Records 2021-2072 {© tre (spec) - My IELTS Test Report Farm © coer sec) - Mars 10 © coer sec) - Stars 10 © coarsest) - Sites aor cectaraton e on ttm Gein Tong Ena (GE) POST VISA LODGING - _ Immi Acknowledgement email to be sent to counselor - Request for biometrics to be sent to counselor ("IMMI request to Provide Personal Identifiers) then book via VFS - Generate Referral Letter for Health Exam © Click Arrange Health Examinations, Save and Generate Referral Letter to get HAP IDa & e ou ssletsa soneasiaice sibel (A) ~tecet seo List of applications sonoy Listas [IF] neta ere N> Lestupasies 2A 702 Te Stud Ve 0 Dae sii 27 A 202 Esiried Staton tines este 1 Me eles msn e g. 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