INTERNATIONAL

STUDENT APPLICATION
FORM

1. Personal Details 3. English Proficiency*

Title: Mr Miss Mrs Ms What is your current English level?

Family name: Hernadez Vargas Beginner Elementary Pre intermediate

Given names: Lina Maria Intermediate Upper Intermediate Advanced

Gender: Male Female Indeterminate Have you completed any of the following tests?

Date of birth: 24 / 06 / 1994

IELTS: PTE:

First Language: Spanish CAE: Other:

Passport details:
Date specified on your test result:

Passport number: AU346449

Passport expiry date: 04 / 12 / 2027
Note*: only test results taken two years prior to commencement will be accepted.
Country of birth: Colombia Albright reserves the right to ask applicant to sit for an Internal English Test and
an LLN test (for VET enrolments) in order to issue a Letter of Offer.
City of birth Bucaramanga
Nationality
Colombia
USI number (for VET course students):
4. Visa Details

Yes, If you hold a current Australian visa:

Current location: onshore offshore

No, I authorize Albright to create on my behalf
(please fill USI Consent Form)
Type of visa: Student Working Visitor Other
No, I will create myself (please visit www.usi.gov.au )
Expiry Date: 22 / 03 / 2021
2. Contact Details If you do not hold a current Australian visa:

In Australia: Department of Home Affairs Office where your application

will be/has been lodged:
Street address: 6/96 Dover Street, Flemington
Town/City: Melbourne Student Currently holds a Bridging Visa

State: VIC Postcode: 3031

Date of application /intended application: 22 / 03 / 2021
Email: [email protected]
When did you first arrive in Australia: 23 / 10 / 2018
Phone Number: 481 784 024
Permanent address in your home country:

Calle 31 #25-17
5. Do you require Albright to organise
Street address:

Town/City: Bucaramanga Overseas Student Health Cover (OSHC)

State: Santander Postcode: 680002 Yes, I authorize Albright to organise OSHC on my behalf:

Country: Colombia Single Couple Family

Email: [email protected] No AHM from 23/10/2018 to 21/07/2023

Phone Number: (please provide the name, duration and expiry date of your OSHC)

Emergency contact details: Airport pick-up: No Yes (Please specify)

Contact full name Marta Rocha Arrival Date: / /

Relationship to you Friend

Arrival Time:

Mobile 404 261 700

Flight Number:
Email [email protected]

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 1

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by:
INTERNATIONAL
STUDENT APPLICATION
FORM

Homestay No Yes (Please specify) What is the nature of your situation?

Number of weeks: Hearing Vision Mobility

Start date: / / Learning other (Please specify)

6. Previous Studies

Please provide evidence for any “Yes” answers

Have you previously studied in Australia? Yes No

Are you transferring from another education provider? Yes No 8. Credit Transfer (CT)/ Recognition of Prior
Did you complete your course? Yes No
Learning (RPL)

What is your highest completed Qualification in Australia? Do you want to apply for Credit Transfer?

No Yes
Name of school/Institution: Greystone College
Do you want to apply for Recognition of Prior Learning?
State/Country: VIC/Australia
No Yes
Name of qualification:
Diploma of Project Managment
Year completed:
2021 9. Genuine Temporary Entrant (GTE)
Total Number of years of
study: 1 year Are you aware of the Genuine Temporary Entrant (GTE)
requirements by the Department of Home Affairs?
Are you currently studying? No Yes (Please specify)
No Yes
Course Name:

Institute Name: 10. How did you learn about us?

State/Country:
Through my agent
Start Date: Potential End Date:
Agent Name: Guto Oliveira
Total Number of
years of study: Other (Please specify)

What is your highest completed Qualification from overseas? Agent Stamp:

Name of school/Institution: Universidad Industrial de Santander

State/Country: Colombia

Name of qualification:
Bachelor of IT Engineering
I authorize the above mentioned agent to receive
Year completed: 2018 information related to my enrolment and studies with
Albright Institute on my behalf.
Total Number of years of study: 4

7. Support Questions

Do you have a disability, impairment or permanent medical

condition that may affect your studies?

No (Please skip to the next section)

Yes (Please answer the questions below)

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 2

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by:
INTERNATIONAL
STUDENT APPLICATION
FORM

11. Program selection

English Courses (ELICOS) How will your studies be funded?

Hernandez Vargas
CRICOS Code Course Name Duration Start Date Study Location Self-funded
Private sponsor
096826G General English (Max 52 weeks) 1* 4 weeks 04/04/2022 Melbourne Home-Government
Other:
096828F EAP (English Academic Purposes) (Max 12 weeks)

096827G IELTS (Foundation) (Max 12 weeks)

Please be advised that Albright reserves
the right to ask for additional evidence of
096827G IELTS (Advanced) (Max 12 weeks)
financial capacity.

096829E PTE (Pearson Test of English - Academic) (Max 12 weeks)

1* Including Study Break: up to 4 weeks break for enrolments 24 week or less; up to 8 weeks break for enrolments 25 weeks or more. How do you want to pay your
tuition fees*?

VET Courses Pay in full

CRICOS Course First Start Study Pay Monthly
Course Name Duration
Code Code Intake Date Location Pay by Trimester
Pay by Semester
096470J PSP50916 Diploma of Interpreting (LOTE-English) Ongoing 24 weeks
* Note: If you are enrolling for English
096471G PSP60816 Advanced Diploma of Translating Ongoing 24 weeks Course(s) (ELICOS) instalment options only
apply when you enroll for more than 8
weeks and you are currently in Australia.
106174H BSB20120 Certificate II in Workplace Skills 30/08/2021 26 weeks

106173J BSB30120 Certificate III in Business 11/04/2022 52 weeks Study Break

(General English Only)
Certificate IV in Marketing and
097929D BSB42415 Ongoing 52 weeks
Communication No Yes

Certificate IV in Marketing and

106168F BSB40820 18/10/2021 52 weeks
Communication* Weeks

106169E BSB50120 Diploma of Business* 13/09/2021 52 weeks

096468C BSB51415 Diploma of Project Management Ongoing 52  Week

Class Timing Preference (ELICOS)

104077C BSB50820 Diploma of Project Management* 07/03/2022 52  Week
Morning Evening
098875E BSB51918 Diploma of Leadership and Management Ongoing 52  Week

104306F BSB50420 Diploma of Leadership and Management* 24/01/2022 52  Week

096467D BSB52415 Diploma of Marketing and Communication Ongoing 52  Week (Subject to availability. Albright does not
guarantee the time preferences will be met.)

106170A BSB50620 Diploma of Marketing and Communication* 18/10/2021 52  Week

Advanced Diploma of Leadership and

096466E BSB61015 Ongoing 52  Week
Management

Advanced Diploma of Leadership and

106171M BSB60420 24/01/2022 52  Week
Management*

098961G BSB61218 Advanced Diploma of Program Management Ongoing 52  Week

104459M BSB60720 Advanced Diploma of Program Management* 07/03/2022 52  Week

104 
106172K BSB80120 Graduate Diploma of Management (Learning)* 18/10/2021 Week

104 
106175G ICT60220 Advanced Diploma of Information Technology Ongoing Week

*Qualification superseded by the new BSB training package update v.7. Students can still apply any time throughout the year for the next intake start
date listed on albrightinstitute.edu.au/promotional_materials and they will be contacted by the student services department if they need to start
transitioning to the new BSB package. For further information visit our website: https://albrightinstitute.edu.au/bsb-training-package-update-v-7/

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 3

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by:
INTERNATIONAL
STUDENT APPLICATION
FORM

12. Student Declaration (Please tick)

I declare that I am aware of and understand my financial obligations relation to study in Australia and with Albright.
(https://www.homeaffairs.gov.au/trav/stud/more/student-visa-living-costs-and-evidence-of-funds)

I have read, understood and accept all the terms and conditions of enrolment including any information, policies and procedures and information that may be
found http://www.albrightinstitue.edu.au and/or are included in this form or other enrolment documents and agreements provided to me by Albright Institute and
acknowledge that failure to do so may result in the suspension or cancellation of my enrolment.

I understand that I am not required to pay more than 50% of my tuition fees before my studies commence, but that I may do so if I choose. By submitting this
application, I declare that all information and documentation provided in support of it is accurate and true.

I acknowledge that submission of false, incorrect, incomplete or misleading information may result in the delay
or cancellation of my enrolment.

13. Applicant Checklist. Please ensure you attach the following documents with your application.

Completed all sections of the International Student Application Form

Certified copy of personal details page of your passport

Certified copy of your English language qualification or provide details of your English proficiency

Certified copy of all academic qualifications, including secondary school studies

CoE document(s) for all courses enrolled - if you are currently studying in Australia

Certified official translation of any document not in English

14. Applicant Acknowledgement and Signature

Student full name:

Lina Maria Hernadez Vargas
Date:
Student signature*: 3 0 0 3 2 0 2 2
DAY MONTH YEAR

* If the student is below 18 years of age, this agreement must be signed by the student’s parent or legal guardian.

15. Parent or legal guardian’s details (If applicable)

Name:

Relation to student:

Contact Number:

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 4

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by:
INTERNATIONAL
STUDENT APPLICATION
FORM

Pre- Training Review (only if you are applying for VET courses)
Albright Institute uses the information provided in this section prior to making an offer to ensure the applicant is enrolled in the
most appropriate course to achieve their intended outcomes.

Do you have access to enough information to make an informed

decision about your enrolment.

Course Information including NO YES

Contents of your course

Entry requirements for the course

Duration of course

School locations

Delivery method of course

Course requirements (attendance, course progress)

How assessment is conducted

Any course requirements you must have access to (Computers, etc.)

Fees and charges that apply

Refund policy, Attendance policy, Complaints and Appeals Policy, Course progress Policy

Would you like to any further information? Please specify:

What is your reason to choose this course? Please choose the best option.

To get a job
To get skills for community/voluntary work
To develop or start my own business
To increase my self-esteem
To try for a different career
To assist me for further study
To get a better job or promotion
Other reason (please specify):
It is a requirement of my job

Please provide us with some brief details about your employment history

No YES – please provide details in next section

Full-time Part-time Casual

Briefly outline any relevant employment history you possess for the course you have chosen:

Please provide us with details of any relevant courses/qualifications

that you have completed.

Qualification Title

Did you complete the course?

Where did you study?

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 5

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by:
INTERNATIONAL
STUDENT APPLICATION
FORM

What do you think is the easiest and most effective way for you to learn? This will help us determine your learning style.

Textbooks that I can read and refer to in my own time; Practical application of skills and knowledge in a workplace or similar or watching videos:

Power Points explained to me during classes; Working through real examples such as a case study or scenario;

Pictures and diagrams; Other (please explain below):

Group discussions with others;

Conducting my own research;

Listening to the lectures/ trainers;

What additional support do you think you will need in order to complete this course successfully?

English language support Additional resources

Reading support Other (Please specify)

Writing support

One-on-one guidance

Digital capability
How do you plan to access computers and the internet? (please circle) At home Library Family and No access
friends

Do you use any of the following digital devices and if so how often? Computes Laptop Smartphone Tablet/ipad

Daily
Weekly
Monthly
Less than Monthly

Please tick any of the comments that apply to you:

I am confident in computer programming I am comfortable in researching on the internet and sending emails

I am comfortable in producing and saving documents and spreadsheets I am not comfortable with any technology

I am comfortable in watching videos (You tube etc.) and using social media

Declaration: I declare to the best of my knowledge that the information contained in this form is correct and complete. I acknowledge that the provision of incorrect informa-
tion or the withholding of relevant information relating to my academic record or work experience may result in the withdrawal by Albright of a place that may be offered and
that this withdrawal may take place at any stage during the course I undertake.

Applicant’s signature

Please Note: Unsigned forms will not be processed. Date:

DAY MONTH YEAR

FOR OFFICE USE ONLY

NO YES
Is the qualification suitable for the student?

The student is fully aware of the course training and assessment arrangements

The student is fully aware of their rights and obligations

Training and assessment strategy is suitable and based on the student’s learning needs and learning styles?

Have you identified any support requirement during the process? (If yes, please specify)

Staff name Signature Date

ANIT Australia Pty Ltd t/a Albright Institute of Business and Language | RTO: 45041 | CRICOS: 03553J | V 8.0 6

albrightinstitute.edu.au | Level 2, 341-345 Queen Street, Melbourne VIC 3000 | 1300 189 154 | Accredited by: