UWA - Paper Application Form PDF

International Student
Coursework Application Form
This application form is for international coursework applications only. Please note that the preferred method of collecting
applications is online at www.uwa.edu.au/myapplication. Paper applications have a higher application fee and cannot be waived in
most instances. Please note that applications submitted via this form and not online may experience delays in processing of up to
one week. For more information please contact International Admissions.
Section A  Personal Details
Have you applied to The University If yes, please provide your previous
of Western Australia before? Yes No Student Identification or Reference Number:
NAME (as it appears in your passport)
Title (Mr/Miss/etc) Date of Birth (Day/Month/Year) / / Gender
Family name Given names
Section B  Contact details
AGENT DETAILS If you are applying through an agent, please ask the agent to provide the following details:
Agent name Agent stamp
HOME ADDRESS
Street address
State Country Postcode
Telephone Facsimile
Email
IMPORTANT: All applicants must provide a current email address to which all correspondence will be sent.
Please advise of any changes to contact details.
Section C  Citizenship
Country of birth Country of citizenship Passport number
Will you apply for/

do you have? Australian Student Visa Other visa type Visa class Visa Expiry / /
Where will you make

your visa application? Country City
 Australian citizens, Australian permanent residents or New Zealand citizens should not apply to the International Centre.
Please refer to www.studyat.uwa.edu.au/undergrad/australian/apply.
 You must provide a copy of your visa with your application.
Section D English language competency

All applicants must demonstrate an acceptable level of English language competency to gain admission to UWA.
Minimum acceptable scores are listed at: www.studyat.uwa.edu.au/undergraduate/requirements/english
HAVE YOU COMPLETED A TEST OF ENGLISH LANGUAGE COMPETENCY? (ATTACH EVIDENCE)
Yes. Test name (eg IELTS or TOEFL): Test Score
No. Please indicate which English language test you intend to sit, and when you plan to sit it (eg IELTS or TOEFL)
Test name Test date / /
HAVE YOU COMPLETED ANY TERTIARY STUDIES WHERE ENGLISH LANGUAGE WAS THE MEDIUM OF INSTRUCTION?
No Yes. Please specify:
PACKAGED ENGLISH LANGUAGE PROGRAMS
Do you wish to apply for a packaged program of English language training before the UWA degree course?
No Yes. Applicants requesting a packaged English language program must submit a current IELTS or TOEFL score.
CRICOS Provider Code: 00126G

Section E  Course Information
COMMENCEMENT
February Year July Year
COURSE SELECTION
1st course preference
Specialisation/major UWA Course code
2nd course preference
Specialisation/major UWA Course code
PACKAGED PROFESSIONAL POSTGRADUATE DEGREE (UNDERGRADUATE APPLICANTS ONLY)

If you are applying for an undergraduate degree and would like a packaged offer which includes a postgraduate professional degree (ie
Architecture, Engineering) following your bachelor’s degree, please indicate below. This includes applications from international school
leavers for Assured Entry places in Law.
Course preference UWA Course code
ELIGIBILITY FOR ADVANCED STANDING
If you have completed units similar to those in the course for which you are applying and believe you may be eligible for advanced
standing you can tell us here.
I believe I may be eligible for advanced standing.
Section F  Source of Funding

PROVIDE EVIDENCE OF YOUR SOURCE OF FINANCIAL SUPPORT WHILE UNDERTAKING THE PROPOSED STUDIES
I am a private I am fully sponsored I am fully sponsored I have applied/will apply for an external
student supported by my employer by my home scholarship (please specify and attach
by myself/family (attach evidence) government/university evidence)
(attach evidence) ___________________________________
Section G  Qualifications
Copies of qualifications grading scale/legend and transcripts must be certified by a UWA representative or other recognised
notary. Certified English translations must be provided for all qualifications and supporting documentation.
SECONDARY SCHOOL QUALIFICATIONS
Qualification Year obtained
Name and location of instiution
TERTIARY QUALIFICATIONS Please list all your tertiary qualifications.
Qualification Length of course Completed Yes No
Name and location of institution Year obtained/to be obtained
Qualification Length of course Completed Yes No
Name and location of institution Year obtained/to be obtained
PROFESSIONAL QUALIFICATIONS AND MEMBERSHIP
Please list any professional qualifications you have obtained, or evidence of membership with professional bodies.
Qualification Year obtained
Name and location of institution
WORK EXPERIENCE Please list any relevant work experience.
Employer Position Years of service
Employer Position Years of service

Section H  Declaration and Signature

I declare that the information I have provided in connection with this application is true and complete. I understand that The University
of Western Australia reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect
or incomplete information. I authorise The University of Western Australia to obtain results/records from any relevant examining body
or educational institution. By signing this form, I agree that I have read and understand all the information provided on this application form.
Signature Date / /
Section I  Supporting Documentation
For your application to be processed, you must provide supporting documentation such as evidence of English language competency,
academic results, professional work experience, publications etc.
Section J  Application Processing Fee

A non-refundable application processing fee of $150 must be paid with each application form submitted. Payment must be made in Australian
dollars.
I have attached a bank draft or cheque for AUD$150.00 made payable to The University of Please charge AUD$150.00 to my
Western Australia. (You must write your name and date of birth on the back of the cheque.) credit card.
CREDIT CARD DETAILS
Mastercard Visa
Cardholder’s name
Card number Expiry date /

Amount AU $ 1 5 0 . 0 0
Signature
The application fee cannot be waived in most circumstances. A fee waiver code is not sufficient to waive a paper application fee.
Application fee waivers for paper applications can only be issued under the authority of the Associate Director, International
Admissions. Formal notification of an application fee waiver must be received prior to submission of this application, and must be
included alongside the application as supporting documentation.
Section K Application Submission
Submit your completed application directly to the University at www.ask.uwa.edu.au or to an authorised UWA overseas representative
www.studyat.uwa.edu.au/undergraduate/apply/agents.
International Admissions (M352)

Student Central
The University of Western Australia
35 Stirling Highway, Crawley, Perth
Western Australia 6009, Australia
Tel: +61 8 6488 3939
Once your application is received the International Admissions team will put your application on to the system. The application will not
be processed until the Application Fee has been charged successfully. Please note that applications submitted via this form
are not online may experience delays in processing of up to one week.
When your application is entered onto the system, an acknowledgement email will be sent to your representative and/or to your personal
email address if you applied directly.
Staff Use Only

Student ID:
Application entered onto UWAF1410 Application loaded through UWAJ0121
Application fee sent to finance for processing Application fee processed
Fee details redacted from application form Documents loaded onto GENF0150

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International Student

Coursework Application Form

NAME (as it appears in your passport)

Title (Mr/Miss/etc) Date of Birth (Day/Month/Year) / / Gender

Family name Given names

Section B  Contact details

Agent name Agent stamp

State Country Postcode

Will you apply for/

Where will you make

Section D English language competency

HAVE YOU COMPLETED A TEST OF ENGLISH LANGUAGE COMPETENCY? (ATTACH EVIDENCE)

Yes. Test name (eg IELTS or TOEFL): Test Score

Test name Test date / /

No Yes. Please specify:

PACKAGED ENGLISH LANGUAGE PROGRAMS

CRICOS Provider Code: 00126G

Section E  Course Information

February Year July Year

1st course preference

Specialisation/major UWA Course code

2nd course preference

Specialisation/major UWA Course code

PACKAGED PROFESSIONAL POSTGRADUATE DEGREE (UNDERGRADUATE APPLICANTS ONLY)

Course preference UWA Course code

ELIGIBILITY FOR ADVANCED STANDING

I believe I may be eligible for advanced standing.

Section F  Source of Funding

SECONDARY SCHOOL QUALIFICATIONS

Qualification Year obtained

Name and location of instiution

TERTIARY QUALIFICATIONS Please list all your tertiary qualifications.

Qualification Length of course Completed Yes No

Name and location of institution Year obtained/to be obtained

Qualification Length of course Completed Yes No

Name and location of institution Year obtained/to be obtained

PROFESSIONAL QUALIFICATIONS AND MEMBERSHIP

Qualification Year obtained

Name and location of institution

WORK EXPERIENCE Please list any relevant work experience.

Employer Position Years of service

Employer Position Years of service

Section H  Declaration and Signature

Section I  Supporting Documentation

Section J  Application Processing Fee

CREDIT CARD DETAILS

Card number Expiry date /

Section K Application Submission

International Admissions (M352)

Staff Use Only

Application entered onto UWAF1410 Application loaded through UWAJ0121

Application fee sent to finance for processing Application fee processed

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