office use only anu staff member: university id number: signature: comments:

university representatives details:

anu cricos provider number: 00120c

intErnational UnDErGraDUatE stUDEnt application form

lodging Your application
by mail: admissions office the australian national university pauline griffin building (11) canberra act 0200 australia in person: student administration services pauline griffin building (11) ellery crescent, acton canberra act

closing Dates
for semester 1 (begins feb): 15 Nov for semester 2 (begins Jul): 15 Apr

Enquiries
t: +61 2 6125 5594 f: +61 2 6125 0751 e: admiss.app@anu.edu.au W: http://info.anu.edu.au/studyat

Who should use this form?

this form is for international undergraduate students only. if you are a citizen or permanent resident of australia, citizen of new Zealand, or the holder of an australian humanitarian visa, you must apply through uac - see www.uac.edu.au. if you are an international student who has completed an international baccalaureate in australia, an australian year 12 qualification or a new Zealand ncea level 3 qualification, you must apply through uac international - see www.uac.edu.au/international/index.html

1. program preferences
refer to the fee schedule in the international undergraduate supplement for the correct titles, cricos codes and second semester availability, or online at www.anu.edu.au/sas/fees/isf.pdf for more information. preference program name Example: Bachelor of Science 1. 2. 3. applicants to music programs must specify major/musical instrument: applicants to the bachelor of science and bachelor of arts programs should specify major (if known): Have you made an application to study foundation studies at anu college (cricos 01129g)? yes no program code (if known) cricos code Example: 000335K

Expected commencement Year and session:

Y starting in year: 2 Y 0 Y Y ( 4 tick one semester) semester 1 (february) semester 2 (July)

2. personal details
family name: given name: email: previous family name (if any): phone: day ( evening ( mailing address: state postcode country (if outside australia) ) ) mobile fax ( ) date of birth: title: male female D D M M Y Y

feb 2011

international student application form for undergraduate students

3. citizenship and residential status

country of citizenship: country of residence: are you the holder of a permanent humanitarian visa? yes no

4. Education
You must include certified transcripts in order to have your application processed.

High school/secondary Education/senior secondary Education

name of examination/award Example: GCE O Levels, CBSE, SACE name of institution Example: Taylors College, St Andrews Junior College Years attended from Y Y date of completion: D D M M Y Y to Y Y language of instruction

are you sitting for examinations this year? if yes, which examination:

yes

no

tertiary Education
Have you been enrolled at a tertiary body such as a polytechnic, university or other post-secondary institution? if yes, list below all tertiary courses you have enrolled in. name of examination/award Example: Diploma in Accounting name of institution Example: Singapore Polytechnic Years attended from to Y Y Y Y date of completion: yes D D M M Y Y yes language of instruction no

are you completing an award this year?

yes

no

Have you been excluded (not permitted to re-enrol) or are you liable for exclusion on academic or other grounds from any tertiary institution, faculty or program? (if yes, please attach details on a separate page)

no

status/advanced standing/credit transfer

if you have already completed some tertiary studies, do you wish to be considered for status? yes* no

*if yes, you must attach detailed syllabi (curricula) of completed subjects or your application for status cannot be completed.

5. English language proficiency

Were your previous qualifications conducted entirely in english? (evidence must be supplied.) *if no, have you completed, or are you enrolled to sit an english language proficiency test? test (toefl, including tWe [essay writing] or ielts) Date of test D D M M Y Y yes yes no* no

results (attach an original or certified copy of results)

are you applying to study an english program at anu college (cricos 01129g)?

M yes no if yes, when?

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international student application form for undergraduate students

6. Declaration and signature - all applicants to complete

i agree: to comply with the rules on admission and enrolment of the australian national university. to notify the admissions office immediately if there is any change to the information i have given on this application.

i understand that: the admissions office is not responsible for any documents submitted. all documents submitted become the property of the university. i must fully declare all studies undertaken in this application, whether complete or incomplete. the university may vary or cancel any decision it makes if the information i have give is incorrect, incomplete or misleading. the university has the right to not re-enrol me if i do not complete my studies satisfactorily in each year. the university may forward my details to cit or anu college if i am made a provisional offer. if any information is discovered to be untrue or misleading in any respect, i consent to the university collecting, storing and disclosing this information to the universities australia (ua) and ua member institutions, the australasian conference of tertiary admissions centres (actac), and any other relevant authority, and i understand that my enrolment and visa for study at anu may be cancelled. i authorise the university to obtain official records from any institution i have attended. i understand that anu may disclose the personal information i have given in this application to the department of education, employment and Workplace relations (deeWr) and that deeWr will collect and store my personal information for use in connection with the Higher education information management system (Heims). deeWr may also disclose the information to the australian taxation office (ato). i understand that i am responsible for payment of all tuition fees by the due dates and for my living expenses unless i have been awarded a scholarship or sponsorship, which covers these costs. i cannot ask the university or the australian government to assist with these costs. i understand that international students who are made an offer of admission will be required to provide passport details upon acceptance of an offer.

in case of emergency, please contact:

name: address (if different to your own): state cell phone: postcode country (if outside australia) email: relationship to you:

D applicants signature: date:

onlinE applications savEs timE, savEs monEY, makEs sEnsE

apply now at http://students.anu.edu.au/apply_online.asp

the advantages of on-line application include: saves you money. the on-line application fee is aUD$75.00. if you apply through an anu approved agent, the application fee is waived entirely. for more details about anu approved agents, go to: http://info.anu.edu.au/studyat/international_office/getting_in/agents saves you time. faster and more secure payment of application fee. you can pay the application fee by credit card through a secure on-line payment portal.

papEr applications
the paper application fee is aUD$100. please note if you are a current or previous student of the anu, you are not required to pay this application fee. to be eligible, please ensure you provide your student id number. bank draft/cheque of aud$100 attached note: please make cheques, money orders or bank drafts in australian dollars payable to the australian national university.

international student application form for undergraduate students

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applY onlinE saves money, maKes sense

anu accepts online applications for many undergraduate programs. the online application facility is designed to make the application process smoother and faster. submitting a complete application online is the fastest way to have your application processed. additionally, submitting your application online does not cost you as much. paper applications have a $100 non-refundable application fee. online applications only cost $75. if you apply online through an anu agent, the application fee will be waived entirely. to apply online go to: http://students.anu.edu.au/apply_online.asp to find an anu agent in your country go to: http://info.anu.edu.au/ studyat/international_office/getting_in/agents/index.asp

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international student application form for undergraduate students