INTERNATIONAL APPLICATION

UNDERGRADUATE AND POSTGRADUATE STUDIES

DO NOT complete this form if you are a citizen of Australia or New Zealand or Permanent Resident of Australia.

•• Please complete all sections and print neatly in BLOCK LETTERS. Incomplete applications will experience delays in application outcomes.
•• Include certified/notarised evidence of academic qualifications, English language proficiency and copy of passport.
•• Enclose a non-refundable A$55 ($50+10% GST) application fee (bankdraft made payable to Deakin University).
•• Return this form and attachments to your representative or send to:
Deakin International, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125 Australia
Email: [email protected]

I am applying for: Undergraduate study Postgraduate study

Are you a current or former Deakin University student? No Yes If yes, please provide student ID

PERSONAL DETAILS (AS SHOWN IN PASSPORT) – PLEASE PROVIDE CERTIFIED COPY OF PASSPORT

Title Mr Mrs Ms Miss Mx Dr Other: Gender Male Female Unspecified

Family name Given name(s) JASHANPREET SINGH

Country of citizenship INDIA Country of birth INDIA
Country of residence
Date of birth / / (Where you currently live)
INDIA

Will you be bringing your family to Australia while studying at Deakin University? Yes No
If yes, please state how many

PERMANENT ADDRESS IN HOME COUNTRY

Address VILL KAKARWAL PO & TEHSIL DHURI

Country INDIA Postcode 148024

Email [email protected]
Telephone ( ) Mobile (91) - 7347645347
AGENT DETAILS (IF APPLICABLE) OR ADDRESS FOR CORRESPONDENCE (ONLY IF DIFFERENT FROM ADDRESS IN HOME COUNTRY)
Agency Name (if applicable)

Address Same As Above

Country Postcode

Email

Telephone ( ) Mobile ( )

CITIZENSHIP INFORMATION

Are you a citizen or permanent resident of Australia or New Zealand? Yes No

Do you currently hold any type of Australian visa? Yes No

If yes, please provide Visa Type (e.g. student) Visa Expiry Date / /

Have you been refused a visa to any country? Yes No (If yes, please attach evidence)

Have you been issued a protection visa in any country to date? Yes No (If yes, please attach evidence)

Deakin University CRICOS Provider Code: 00113B PAGE 1 OF 3

APPLICANT NAME:
COURSE PREFERENCES
Indicate your preferred course of study and campus including course codes, course titles and major sequences (where applicable). When indicating campuses, use
the following abbreviations: B=Melbourne Burwood Campus, WP=Geelong Waurn Ponds Campus, WF=Geelong Waterfront Campus, WB=Warrnambool Campus.
Please note, not all courses are available at all campuses. Due to quota restrictions, places may not be available in some courses on certain campuses.

Course Code Course Title Major Sequence Campus Start Date

Example A726 Master of Arts International Studies B Trimester 1, 2018

1st Preference S751 Master of Engineering Professional Melbour

2nd Preference

I have provided/will provide any additional application documentation (e.g. folio, personal statements) as outlined in the course description section of
Deakin’s Course Guide for International Students

If your application is unsuccessful, would you be interested in receiving information about Deakin pathway courses conducted by Deakin College?
Yes No
Trimester dates
See the Deakin website for trimester dates: http://www.deakin.edu.au/courses/key-dates
For information on Medical School semester dates, census dates and other details, see http://www.deakin.edu.au/courses/key-dates.

ENGLISH LANGUAGE PROFICIENCY

You must provide documentary evidence of your English language proficiency to meet Deakin’s English language requirements.

Please tick appropriate boxes 1) I have sat the following: IELTS TOEFL DUELI CPE CAE PTE OET test.
Please attach results .

2) Provide other documentary evidence No Yes Please attach results.

(Refer to English language requirements webpage for more information:
http://www.deakin.edu.au/courses/how-to-apply/international-students)

Are you currently studying? No Yes

Name of course/award Institution Country/State Date results are expected

/ /

PREVIOUS EDUCATION
Provide details of all secondary/tertiary studies undertaken (attach certified/notarised copies of results).

Years enrolled Full time or Successfully

Name of course/award Institution Country/State
(e.g.. 2009-2012) part time completed?

B. TECH MRS PTU BATHINDA INDIA 2018-2021 FULL TIM Yes No

DIPLOMA IN (ME) PSBTE & IT CHANDIGARH INDIA 2014- 2017 FULL TIM Yes No

10TH PSEB INDIA 2014 FULL TIM Yes No

Are you applying for recognition of prior learning (i.e. credit transfer or credit from previous study?) Yes No
If yes, provide relevant supporting documentation (e.g. subject outlines, course structure, etc).
For more information visit http://www.deakin.edu.au/courses/credit-for-prior-learning.

PAGE 2 OF 3
 APPLICANT NAME:

EMPLOYMENT HISTORY (IF APPLICABLE)

Please attach a more detailed statement if necessary.

Employer’s name From To Description of responsibilities

G & G AGRO WORKS 0 1 /8 21 0 3 /3 22 Maintains & improves quality result by

G & G AGRO WORKS 0 1 /4 22 2 0 / 12 23 compeleting quality assurance tests.
/ / (TILL DATE)
SPECIAL REQUIREMENTS

I have a medical condition or a disability that requires support while I am at Deakin, and have attached a separate statement explaining my needs.

I have provided/will provide any additional application documentation (e.g. folio, personal statements, etc.) as outlined in the course description in the
courses section.

FUNDING SOURCE
Please attach a more detailed statement if necessary.

Private Funding Self Loan Funding

Scholarship/Sponsorship Government Private institution

Other Please specify My parents are sponsoring Me.

PRIVACY STATEMENT
Deakin University is collecting your personal information for the primary purpose of assessing your application. The University will also use this information to register you in Deakin’s student management system, for
planning and quality assurance purposes and to notify you about further opportunities and activities of Deakin that may be of interest to you. Your personal information may be stored in ‘cloud’-based servers located in
Australia or overseas. Deakin may provide your personal information to relevant institutions and employers to verify your qualifications and may disclose your personal information to Australian government agencies,
including the Department of Immigration and Border Protection and the Department of Education and Training, where required by legislation or to support your visa application. Your personal information will also be
disclosed to your overseas student health cover provider and, if you are under 18 years of age, to the carer appointed for you. If an agent has assisted you with your application for admission or your visa application,
Deakin and the agent may share your personal information. You are not required to provide the information requested, however if the information is not provided, Deakin may not be able to assess your application.
Deakin manages personal information it holds, including requests by individuals for access to their personal information, in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001
(Vic). Deakin’s Privacy Policy may be viewed at the Deakin Policy Library – https://policy.deakin.edu.au/. For further information on privacy at Deakin please contact +61 3 5227 8524 or email [email protected].

DECLARATION AND AGREEMENT STATEMENT

I declare I am a Genuine Temporary Entrant (GTE)* and a genuine student and have read and understood conditions relating to these requirements.
1. *
For more information about GTE visit www.border.gov.au and enter 'Genuine Temporary Entrant' into the search box.
I am aware of the tuition and living costs of my stay in Australia and have financial capacity to meet such costs for the duration of my course. I will make
2.
timely payments of any fees or associated costs.
I have attached certified/notarised documentary evidence of all my academic studies and associated documentation (including studies not completed)
with its official explanation of the grading system in both original and English translated version. I grant approval to Deakin University to verify my
3.
academic documentation with my previous institutions. Failure to provide all information to Deakin will cause a delay in the assessment of my
application.
4. I have attached documentary evidence of English language qualifications when available.
5. I have attached employment history details (where applicable).

6. I have attached a certified copy of my passport (when available).

If sponsored by a government body or private organisation, I give Deakin University permission to provide this sponsor with information about my
7.
academic progress.
I declare that the information in this application and the supporting documentation is true and correct. I have read and understood the sections of the
International Course Guide relating to the courses I have selected, and the admission procedures, fees, refund policy and privacy policies. I acknowledge
8.
that the provision of incorrect information or documentation or the withholding of relevant information or documentation relating to this application
may result in Deakin University cancelling any offer of enrolment or actual enrolment.
I have read, understand and agree to the Declaration and Agreement Statement

Applicant’s signature: Date: 2 0 /1 2 /2 3

Parent/Guardian’s Signature: Date: / /

(for applicants under 18 years of age)

Please print, sign this form and email it to [email protected] or by post.

PAGE 3 OF 3