Compleated Form
Compleated Form
application form
To obtain a PTV Tertiary Student ID you must be:
> studying full-time and on-campus at an Institution registered with the Victorian Department of Education
as shown in the PTV Register of Approved Courses in Tertiary Institutions; and
> an overseas exchange student, a citizen or permanent resident of Australia (Special Category Visa holders excluded),
students with refugee status; students studying as part of the Endeavour Leadership Scholarship or
Australia Awards Scholarship.
Unfortunately, you are not eligible for a PTV Tertiary Student ID if you are:
> enrolled in a Masters, Doctorate, or other postgraduate course; > enrolled in an apprenticeship course;
> an overseas full-fee paying student; > enrolled in an off-campus course; or
> enrolled in a tertiary course which is less than 10 weeks duration; > studying part-time.
Applicant details
First name
William
Last name
Shields
Address
Phone number
File Number
0478549891
Course name
Bachelor of Laws
Course start date (DD/MM/YYYY)
26/02/2024
Course duration
Please attach photos here
24 number of weeks in 2025
– Photos must be passport style and include head
Residential status (please select one) and shoulders. Institution ID photos or photos taken
using a smartphone against a white background may
Australian citizen/permanent resident be used
OR – Make sure they’re colour, in focus and identical
Overseas exchange student, student with a refugee status, – Don’t use sticky tape
a student holding an Australia Awards Scholarship or
or – Stamp the photos with your official stamp.
Endeavour Leadership Scholarship Stamp the top left hand corner, not over the face.
Student’s name (in CAPITAL LETTERS)
GLUE GLUE
PHOTO PHOTO
Max 36mm
Max 36mm
Min 32mm
Min 32mm
Name of signatory
Institution name
I agree to these terms and conditions and have read the privacy notice.
Signature of student