Trison Business College - Enrolment Form

Enrolment Form

Surname/Family Name
First Name(s)		Other Name(s)
Address (Home Country)
Suburb/Town		State/Province
Country		Postcode/Zip Code
If you do not currently live at the above address, please state your current address
Telephone (home)*		(work)*
(mobile)		* please include international and area codes
Email Address
Date of Birth		Country of Birth
Gender		Passport Number

Name of course you are enrolling in
Course code
Will you be attending classes or studying via distance education?
If attending classes what is your preferred start date:

Have you completed an English Test?
If yes, please select the test that you have completed:
Test of English as a Foreign Language (TOEFL) International English Language Testing System (IELTS) Other English Test, please specify What was your score on the test?

If you are applying for a Student Visa please list the Department of Immigration and Citizenship office where you will be applying for your Student Visa. (A list of offices is available at http://www.diac.gov.au/contacts/overseas/index.htm if you are not sure which office to select.)

If you are enrolling in a distance education course containing a computer unit, please list the computer software (and version number) you will be using.

Do you consider yourself to have a permanent or significant disability?
What is the highest level of education that you have achieved?
What year did you achieve this level?
How did you hear about Trison Business College?
What is your reason for studying?

If you are an agent submitting this application on behalf of a student please provide your details below.
Agent contact name:
Agent organisation:
Agent address:
Agent telephone:
Agent email address:

Total cost of course(s):
Method of payment:
If you are paying by credit card please complete the details below. Note that this is not a secure site. If you prefer you can submit these details by fax (+61 8 8410 6135) or email the details to Credit Card Number: Cardholder Name: Expiry Date: If you are not paying your course fees now please provide details about when and how you will make payment. Please note that you must pay a minimum of AUD$100.00 before this enrolment will be processed..
The information provided by you on this form may be used by, or on behalf of, the State or Federal Government for the purpose of conducting surveys or for statistical purposes. By completing and lodging this form you will be deemed to consent to that use. By submitting this enrolment you acknowledge that you have read and understood Trison Business College's policies relating to refunds, grievances, recognition of prior learning, grading and assessment.

CRICOS Provider No: 02359G
Level 1, 32 Grenfell Street Adelaide SA 5000