STUDENT APPLICATION FORMPERSONAL INFORMATION (SAME AS PASSPORT)PASSPORT

Given Name:
Family Name:
Date of Birth:
Gender:Nationality:
City & Country of Birth:
Passport Number:
Expiry Date:

DD / MM / YYYY☐ Male☐ Female

CONTACT DETAILS IN HOME COUNTRY

DD / MM / YYYY

CONTACT DETAILS IN AUSTRALIA (if applicable)

Country:
Contact Number:
Email Address:

Postcode:State:
Contact Number:
Email Address:

Postcode:

ENGLISH PROFICIENCY TEST (i.e IELTS, PTE)

PATHWAY TO FURTHER STUDY

Have you taken any English Proficiency Test before?
☐ Yes (please specify)☐ No
Type of test:
Score:Date:

Are you planning to take further studies?
☐ Yes (please specify)☐ NoInstitute Name:
Intended Course:
Intended Intake Date:

VISA & OSHCEMERGENCY CONTACT INFORMATION☐ Student☐ Working Holiday ☐ Visitor☐ Other (please specify):
Onshore? ☐Offshore? ☐Student Visa applicants must have Overseas Student Health Cover
Do you need SMART English Melbourne to organize OSHC?

Contact Name:
Relationship:
Contact Number:
AGENT DETAILSAre you using an agent?

☐ Yes (please specify)☐ No, I will organise OSHC myself

Agency Name:☐ Couple

Contact Email:Visa Type:Type:☐ Single

Start Date:

DD / MM / YY

☐ Family

End Date:

DD / MM / YY

☐ Yes (please specify)☐ No

Consultant Name:ENGLISH COURSES AND OTHER PROGRAMS*General English

CRICOS 097448K

Mor / Eve
Mor / Eve

Study Weeks: Min 2 weeks

IELTS Preparation

CRICOS 109128A

Study Weeks: Min 2 weeks

Intake Date: DD / MM / YYYY
Intake Date: DD / MM / YYYY

English for Academic Purposes

CRICOS 097449J

Study Weeks: 5w / 10w

Intake Date: DD / MM / YYYY

Cambridge FCE Preparation

CRICOS 109124E

Study Weeks: 10 to 12 weeks

Intake Date: DD / MM / YYYY

Hotel Internship + General English

Study Weeks: 4w / 8w / 12w

Intake Date: DD / MM / YYYY

Professional Internship + General English

Study Weeks: 4w / 8w / 12w

Intake Date: DD / MM / YYYY

Au Pair/Demi Pair Program + General English

Study Weeks: 4w / 8w / 12w

Intake Date: DD / MM / YYYY

Global Camp (Minimum 10 students)

Study Weeks: 4w / 8w / 12w

Intake Date: DD / MM / YYYY

*Please check the availability of Evening Classes prior to submitting the application.
SMART English Melbourne is closed for two weeks over the Christmas/New Year period. The college is also closed on all National and State Public Holidays including: Australia Day, Labour Day, Good Friday,
Easter Monday, ANZAC Day, Queen’s Birthday, Melbourne Cup.* *A full week’s tuition is payable in weeks comprising public holidays, no refunds or discounts will be offered due to shortened weeks. All
enrolments over the Christmas period will gain a week’s holiday for the period the College is closed.

TUITION FEESENROLMENT & OTHER FEESGeneral English$320 / week

2 - 52 weeks

Enrolment Fee$200 (Non-refundable)

IELTS Preparation$320 / week

2 - 24 weeks

Textbook & Materials$80 per Level / Course

EAP$320 / week

5 or 10 weeks

Internship Programs Only

TBC

CAE / FCE

$320 / week

10 to 12 weeks

Au Pair/Demi Pair Program Only

TBC

If you course is more than 25 weeks, you wish to pay your tuition fee before course commencement: ☐ Only 50% ☐ More than50%EXTRA/ SPECIAL SUPPORT NEEDS
Do you need extra support/ have a disability, impairment or long- term condition that may impact your studies?
☐ Yes (please specify):☐ No

If you require assistance, please contact: +61 3 7002 144

SMART English Melbourne
Level 2, 310 King St, Melbourne, VIC 3000, Australia | P: (+61) 3 7002 1544 | E: info@sem.edu.auWindsor College Pty Ltd t/a SMART English Melbourne | CRICOS Code 03560K | ABN 93 602 498 055

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Student Application Form / Version 1.3_ Feb 2023
Approved by CEO

STUDENT APPLICATION FORM
ACCOMMODATION INFORMATION
If you wish to apply for accommodation, you will be able to apply
online using the link below:Student.com
https://www.student.com/au/melbourne
OZiHouse Village City / OZiHouse Homestay

AIRPORT TRANSFER(If Yes) Flight No:
Tullamarine Airport
Avalon Airport

Arrival Time & Date: DD / MM / YYYY
$150 (One Way / Zone 1 Drop-off)Extra $30 (One Way / Zone 1 Drop-off)

http://www.ozihouse.com
Together co-living
https://togethercoliving.com/
Atirahttps://atira.com/short-stays/

Extra Overnight Rate

Extra $30 (10 pm to 6 am arrival)

Extra Luggage*

Extra $30

Do you require Airport pickup?

Yes☐No☐*Any extra luggage apart from allowed 25 KG with 2 pieces
Refund Policy: The applicant is not entitled to any refund in case of;●Cancellation of the airport transfer service within 1 week prior to thearrival.
N/B: Bookings will not be made until payment and flight details are received,

APPLICATION CHECKLIST (*if applicable)
Application form☐

Copy of passport☐

Copy of VISA☐

Proof of English proficiency Test ☐PAYMENT INFORMATIONBank Transfer Details

Account Name: Smart English Melbourne / Account No: BSB 063 90 ACC 1008 3685
Bank: Commonwealth Bank of Australia / SWIFT Code (for International Transfer): CTBAAU2S
In case of international transactions, please add $20 International Transfer Charges to avoid any short payments

Credit Card Payments

We accept Visa or MasterCard. A surcharge of 3.00% will be applicable to all credit card payment.

REFUNDS
SMART English Melbourne Refund policy is compliant with the principles defined in the ESOS
(Education Services for Overseas Students) Act 2000. These guidelines apply equally to all new
and re-enrolling students unless otherwise stated. Refund of fees will be granted in accordancewith the refund policy below.
FULL REFUND OF COURSE FEES
SMART English Melbourne will approve a full refund of course fees paid in advance if:a.
The application for a student visa is unsuccessful (SMART English Melbourne reserves theright to retain the lesser of the following amounts: a) 5% of the amount of course fees
(tuition and non-tuition fees) received by SMART English Melbourne in respect of thestudent; b) $500 as per the Letter of Offer and Acceptance Agreement). Fees paid inadvance will be refunded within 14 days.
PARTIAL REFUND
SMART English Melbourne will provide a partial refund of course fees paid in advance if:a.
The student formally withdraws (in writing) from a course more than six (6) weeks before
the course commencement date. Full course fees paid for the term will be refunded to thestudent, less $200.00 Enrolment Fee.
b.
The student formally withdraws (in writing) from a course between two (2) and six (6)weeks before the course commencement date. 70% of course fees will be refunded, less$200.00 Enrolment Fee.
c.
The student formally withdraws (in writing) from a course less than two (2) weeks before
the course commencement date. 25% of tuition fees will be refunded, less $200.00
Enrolment Fee.
d.
Partial refund after commencement at SMART English Melbourne MAY be given upon
discussion of extenuating circumstance with the CEO or approved representative.
NO FEE REFUND
SMART English Melbourne will not refund any fees if:a.
The student withdraws from the course during a study period or after the coursecommencement date.
b.
The student is not granted the extension of the student visa and the course hascommenced. Students are recommended not to enrol if they believe their visa may not beextended.
c.
The student applies and is granted approval by SMART English Melbourne to transfer toanother registered provider before completing six (6) months study of the principal course.
d.
SMART English Melbourne terminates the student’s enrolment as a result of misbehavior,
failure to comply with SMART English Melbourne policies, breach of student visa
conditions or unsatisfactory course progress or attendance.
COURSE DELIVERY CONTINUANCE
SMART English Melbourne guarantees to complete the course delivery and assessment once thestudent has commenced study in their chosen course. In the unlikely event that SMART English
Melbourne is unable to commence a course on the starting date outlined in the Letter of Offer andAcceptance Agreement or discontinues the delivery of a course before it is completed, thestudent will be offered a refund of all the paid tuition fee that has not been spent minus a $200
Enrolment Fee. The refund will be paid to the student within 14 days of the default date.
Alternatively, the student may be offered enrolment in an alternative course by SMART English
Melbourne at no extra cost to the student. The student has the right to choose whether thestudent would prefer a full refund of paid tuition fee that has not been spent, or to accept a placein another course. If the student chooses placement in another course, we will ask the student tosign a document to indicate that the student accepts the placement. If SMART English Melbourne
is unable to provide a refund or place the student in an alternative course, the Tuition Protection
Service (TPS) will assist the student in finding an alternative course or to get a refund of thestudent’s unspent tuition fees if a suitable alternative is not found.
REQUEST FOR REFUND
Students who wish to apply for a Refund of course fees in accordance to the Refund Policy are
required to complete the Refund Form available at reception or online.
CANCELLATION
For any cancellation following a deferment, SMART English Melbourne will consider the originalcourse start date to apply the refund policy.
PAYMENT OF REFUND
Eligibility for a refund will be assessed and if approved the refund will be remitted to thenominated bank accounts of the student or the nominated bank account of the student’s
immediate family

member(s) that has been authorised by the student to be able to receive a refund in respect of theoverseas student identified in the written agreement, consistentwith the ESOS Act. SMART English Melbourne will provide the student with a statement detailingthe calculation of the refund. The refund will be processed within 14 days from the date thestudent’s refund application received by SMART English Melbourne.
PAYMENT PLAN REFUND ARRANGEMENT
If a student wishes to withdraw after course commencements, 25% of any remaining tuition fees
must be paid, unless otherwise arranged with the management team.
APPROVALSAll refunds must be assessed and approved by the Finance Manager. Special circumstances to theabove-mentioned cases may only occur at the discretion of SMART English Melbourne’s CEO orapproved representative or when there is ground for any other extenuating or compassionate
circumstances
PAYMENT OF FEES
A student can pay full fees if the student wishes to, but the student is not required to pay more than
50% of the total tuition fees up front for the course before the student commences the course that ismore than 25 weeks. SMART English Melbourne can require 100% of the total tuition fees for shortcourses of 25 weeks or less.
STUDENT GUIDELINES
SMART English Melbourne will:●Ensure that students may access SMART English Melbourne’s Complaints and Appeals
Process.
●
Pay refunds in Australian dollars only and refund onshore or offshore by telegraphic transfer.
●
Pay refunds within 14 days from the receipt of the Refund Form and any additional
documentation requested by SMART English Melbourne.
●This agreement and the availability of complaints and appeals processes does not
circumscribe the student’s rights to pursue any further action under Australia’s consumer
protection laws.
INFORMATION SHARING
Information is collected during enrolment in order to meet our training obligations under the ESOS Act
2000 and the National Code 2018 to comply with the conditions of students’ visa and their obligations
under Australian immigration laws. The authority to collect this information is contained in theEducation Services for Overseas Students Act 2000, the Education Services for Overseas Students
Regulations 2019 and the National Code of Practice for Registration Authorities and Providers ofEducation and Training to Overseas Students 2018.
Information collected on this document and throughout the enrolment may be provided, in certain
circumstances, to other Registered Providers, the Australian Government and designated authorities
and, if relevant, the TPS Administrator. This includes personal and contact details, course enrolment
details and charges. In other cases, information collected during the enrolment may be disclosed
without students’ consent where authorised or required by law or in the event of any suspected
breach of a student visa condition.
PRIVACY POLICY
I understand that my contact details may be used by SMART English Melbourne to communicate
information to me and photographs or video taken on SMART English Melbourne premises may be
used for marketing purposes. I agree to the Privacy Policy as outlined at www.sem.edu.au
STUDENT DECLARATION
I declare that the information I have supplied in this application and documentation supporting thisapplication is true and correct.

Applicant Signature

DD / MM / YYYY
DateParent or Guardian Signature

DD / MM / YYYY
Date

SMART English Melbourne
Level 2, 310 King St, Melbourne, VIC 3000, Australia | P: (+61) 3 7002 1544 | E: info@sem.edu.auWindsor College Pty Ltd t/a SMART English Melbourne | CRICOS Code 03560K | ABN 93 602 498 055

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Student Application Form / Version 1.3_ Feb 2023
Approved by CEO