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1. UTS:INSEARC H and the University o Technology, Sydney (UTS)

1.1 All courses are oered by INSEARCH Limited; ABN 39 001 425 065(CRICOS provider code: 00859D) (UTS:INSEARCH). UTS:INSEARCH is a controlledentity o the University o Technology, Sydney. Students are enrolled as students o

UTS:INSEARCH and not o UTS.1.2 The UTS Foundation Studies program (CRICOS course code: 068815K (Accelerated)

and CRICOS course code: 068814M (Standard)) is a University o Technology, Sydney(UTS) (CRICOS provider code: 00099F) program, delivered by UTS:INSEARCH(CRICOS provider code: 00859D) on behal o UTS at its campus in Haymarket.

2. Student Privacy

2.1 UTS:INSEARCH acknowledges and respects the privacy o students. It is required underthe Privacy Act 1988 (Cth) to comply with the National Privacy Principles in respect othe collection, use and disclosure o personal inormation rom individuals.

2.2 UTS:INSEARCH collects personal inormation rom students or the purposes oprocessing applications and providing services to students. This inormation will bedisclosed to a third party (i authorised by the student in writing) and to UTS:INSEARCHand UTS where applicable.

17. IMPORTANT:

Please read the terms and conditions contained in your offer letter before you accept your offer.

14. CHECKLIST FOR APPLICANTS

Please attach the ollowing documents to this application:

Have you read the student academic handbook on www.insearch.edu.au?

Please note applications cannot be processed without a signature and ull applicantcontact details on this orm. I your application is successul we will send you a lettero oer (or a Provisional Oer letter i there are any outstanding entry requirements or

there is any outstanding documentation).

*Certifed copies o your fnal high school results

*Detailed resume (i you are a mature-age applicant)

*All certifed copies o your college, university transcript(i you have undertaken higher education studies)

*All certifed copies o your IELTS or TOEFL results (i required)

*All certifed translations o any documents that are not in English

Please pay in Australian dollars (AU$).

Payment to be made by bank cheque, bank drat or credit card (cash may be paid atthe UTS:INSEARCH Student Centre Ground Floor, 187 Thomas Street, Sydney).

Please make cheques payable to UTS:INSEARCH.

Personal cheques are not acceptable.

The signed Acceptance form must be forwarded with payment to UTS:INSEARCHwhen accepting an offer of a place.

16. ACCEPTANCE OF OFFERAND PAYMENT

I understand that this application orm, together with the oer or provisional oerletter provided to me as a result o this application, orms a written agreement withUTS:INSEARCH. The oer or provisional oer letter identifes the program or programsin which I am to be enrolled and includes any conditions that I need to meet prior to myenrolment. It also provides an itemised account o course ees that I need to pay and theTerms and Conditions. By signing this application orm, returning the acceptance ormand paying the ees as detailed on the oer letter or provisional oer letter provided byUTS:INSEARCH, I am confrming my acceptance o the Terms and Conditions as well asany other conditions set out in the oer or provisional oer letter, the student handbook,prospectus and any other inormation provided by UTS:INSEARCH. In particular, Iacknowledge agreeing to the Terms and Conditions relating to Cancellation and Reundsand Transer o Fees to other institutions. I authorise UTS:INSEARCH to have access tothe Visa Entitlement Verifcation Online (VEVO) system to check my visa details.

Student Signature Date / /

Print Name

For students under the age o 18, a parent or guardian signature is required.

Signature Date / /

Print Name

Day Month Year

Day Month Year

12. AGREEMENT

15. HOW TO APPLYFORWARD YOUR APPLICATION TO:

Postal AddressUTS:INSEARCH Student AdmissionsUTS:INSEARCHPO Box K1085 HaymarketNSW 1240 Australia

[T] +61 2 9218 8666[F] +61 2 9281 9875[E] Registrar@insearch.edu.au

www.insearch.edu.au

Street Address (in person)UTS:INSEARCH Student CentreUTS:INSEARCHGround Floor, 187 Thomas StreetSydney NSW 2000

UTS:INSEARCH CRICOS provider code: 00859D

UTS CRICOS provider code: 00099F

INSEARCH Limited is a controlled entity o and pathwayprovider to the University o Technology, Sydney.

Company ABN: 39 001 425 065

866intlv3_

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A student who is not a citizen o Australia or an Australian permanent residentor a citizen o New Zealand; and

I you are applying or an UTS:INSEARCH English course, UTS Foundation Studiesprogram, and/or UTS:INSEARCH diploma course.

All applicants or UTS Foundation Studies or UTS:INSEARCH diploma courses mustsupply the ollowing documents with their application:

Certifed copies* o your high school results or other academic transcripts includingcollege and university transcripts (i you have undertaken higher education studies)

Detailed resume (i you are a mature-age applicant) A certifed* translation o any document that is not in English Certifed* copy o your IELTS or TOEFL results (where applicable) I you have changed your name, ofcial documents confrming this must be included Certifed* copies must be accompanied by an English translation.

*A certifed copy is a photocopy signed by an authorised ofcer to acknowledge thatthey have sighted the original copy and it matches the original document exactly.

Authorised ofcers are:

UTS:INSEARCH Student Centre Sta Sta rom the institution that issued the documents A Justice o the Peace or Public Notary Sta rom an Australian Embassy, Consulate or Education Centre Sta rom an approved UTS:INSEARCH education representative ofce

You cannot certiy your own documents, even i you belong to one o the categories listedabove.

How should the authorised ofcer certiy each document?

On the document the certiying ofcer must print I certify this to be a true copyof the document shown and reported to me as the original.They must write theirname, address, contact telephone number, proession/occupation or organisation. Thecertiying ofcer must date and sign the document copy and include the ofcial stampor seal o the certiying ofcers organisation on the copy, i the organisation has such astamp.

2013 INTERNATIONAL APPLICATION FORM

GENERAL INFORMATIONAll felds must be completed in order or this application to proceed or assessment

Please print clearly in BLOCK LETTERS. Please tick boxes where appropriate

**Please check the UTS website or up-to-date semester dates.

ENGLISH LANGUAGE COURSES START DATES 2012/2013#

TERM START2012Term 10 12 Nov

2013

Term 1 31 Dec 2012

Term 2 4 Feb 2013

Term 3 11 Mar 2013

Term 4 15 Apr 2013

Term 5 20 May 2013

Term 6 24 June 2013

Term 7 29 July 2013

Term 8 2 Sept 2013

Term 9 7 Oct 2013

Term 10 11 Nov 2013

UTS FOUNDATION STUDIES AND DIPLOMA SEMESTER START DATES FOR 2013#INTAKE START 2 SEMESTER PROGRAM 3 SEMESTER PROGRAM

ACCELERATED FINISH STANDARD FINISHFeb 2013 5 Feb 2013 20 Sept 2013 24 Jan 2014June 2013 3 June 2013 24 Jan 2014 23 May 2014

Oct 2013 30 Sept 2013 23 May 2014 19 Sept 2014

UTS COURSES 2013**SEMESTER START FINISHOrientation or international students 11 Feb 22 FebSemester 1 25 Feb 28 JuneOrientation or international students 22 July 26 July

Semester 2 29 July 29 Nov

UTS COURSES 2014**SEMESTER START FINISHOrientation or international students 17 Feb 28 FebSemester 1 3 Mar 4 JulyOrientation or international students 21 July 25 JulySemester 2 28 July 28 Nov

2. COURSE START DATES

To qualiy, students must apply or the UTS:INSEARCH academic package program including English where necessary, and pay or all English (where applicable) and the frstsemester tuition ee o the UTS Foundation Studies program prior to the commencement o the English language course and/or the UTS Foundation Studies program.The international student processing ee o AU$250 is only payable once when an international student applies to UTS:INSEARCH or the frst time and is non-reundable.The above diploma ees are based on no subject ailures. Any diploma subject that needs to be undertaken a second time will require payment o the relevant subject ee.

3. COURSE FEES 2013

1. WHO MUST USE THIS APPLICATION

INTERNATIONAL APPLICATION FORM

TuitionFees(AU$)

English CoursesX U TS Fo un da tion St ud ie s U TS :I NS EA RC H D ip lo ma pr ogra ms^( Standard - 3 Semesters and Accelerated - 2 Semesters)

Discount on package

General English (GE) Academic English

(AE) IELTS Preparation

Standard(3 Semester)

Accelerated(2 Semester)

Diploma o: Communication

(Public Relations)

Diploma o: Business Design (Visual Communication) Engineering Inormation Technology Science

^UTS:INSEARCH Academic packageis comprised o a UTS Foundationprogram and a UTS:INSEARCH diplomacourse but can also include a preliminaryEnglish course. Students undertaking aUTS:INSEARCH academic package willreceive a 5% discount o the total Englishtuition ees and a urther 5% discounto the frst 2 semesters o the Diplomacourse ees.

2013 $475 per week $26,100 $19,750 $25,000 per diploma($3,571 per subject)

$25,000 per diploma($2,778 per subject)

2012 $465 per week

13. FOR AGENTS

I declare that the student:

Understands the Terms and Conditions in the brochure

Agrees to be bound by the terms and conditions stated on this form and relateddocuments

Agrees to be bound by all Rules and Regulations of UTS:INSEARCH. I declare that allinormation I have given in this application is true and correct.

Company Name Agents Name

Country City

Signature Date / /

Important Note: The information contained in this form is correct at time of printing. Changes to fees, dates andinformation may change at any time without notice. Please visit www.insearch.edu.au for the latest information.

All international students under the age o 18 must have a carer. The carer can be eitheran UTS:INSEARCH approved Homestay or a relative approved by the Department oImmigration and Citizenship (DIAC). All students are required to attend Orientation.Please note that i you miss the course commencement date you may not be able toaccess the English level o your frst choice.

UTS:INSEARCH closes on Australian public holidays and or two weeks at Christmas.There is a two week break between every semester o Academic courses. The abovecourse lengths indicate minimum duration. Applications or ull-time English courses areonly accepted or the ull fve week terms as per the published dates.

#UTS:INSEARCH courses will not run on Australian public holidays. For more inormationon UTS:INSEARCH dates and Australian public holidays please visit www.insearch.edu.au

2.3 UTS:INSEARCH has an obligation under Commonwealth and State legislation to provideinormation to certain government departments.

2.4 Provision o personal inormation is voluntary, but i it is not provided, UTS:INSEARCHmay be unable to process the students application.

2.5 Students have a right to access and alter their personal inormation.

2.6 Please direct any privacy enquiries you may have to:The Privacy Ofcer,INSEARCH Limited PO Box K1085,Haymarket NSW 1240[T] + 61 2 9218 8600[E] privacy@insearch.edu.au[W] www.insearch.edu.au

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Title *Dr *Mr *Mrs *Ms *Miss

Family Name

Given Names

Previous Name

(i dierent rom the name shown above you must attach CERTIFIED d ocumentary evidence)

Date o Birth / / Country o Birth

Citizenship Passport No.

Country o Issue

Are you a citizen or permanent resident o Australia? *Yes *No(Australian citizens, Australian permanent residentsand New Zealand citizens must complete the DomesticApplication Form)

Do you currently hold a student visa? *Yes *No

What type o visa are you applying or? *Tourist * Student *Other

Main language spoken at permanent home residence:

Do you have a disability, special need or medical condition that may require extra

support or specifc acilities or accommodation? *Yes *No

Provide details

Home Address Overseas (must be applicants address) (Mandatory)

Unit No. Street No.

Street Name Suburb

State Postcode Country

Telephone Number Overseas

Country Code Area Code Number

Mobile Number

Fax Number - Overseas

Country Code Area Code Number

Email (Mandatory) Address In Australia (i known)

Unit No. Street No.

Street Name Suburb

State Postcode Country

Telephone Number - in Australia

Country Code Area Code Number

Mobile Number

Fax Number - in Australia

Country Code Area Code Number

5. ENGLISH LANGUAGE COURSE SELECTION

The duration o your English course depends on your English level. All students withoutan ofcial English test result (e.g. IELTS) are tested on arrival at UTS:INSEARCH. This willdetermine the minimum length o English learning required.

*English + Diploma *English + UTS Foundation Studies

*English + UTS Foundation Studies + Diploma

*Academic English (AE) *General English (GE)

*AE5 * IELTS Preparation*

Starting Date / / Finishing Date / /

Finishing Term No. o weeks applied or

*Only available or students who have reached the entry level required.

Day Month Year Day Month Year

(CRICOS COURSE CODE: 032410F)

(CRICOS COURSE CODE:032410F)

(CRICOS COURSE CODE: 032422B)

(CRICOS COURSE CODE: 071293E)

7. ACADEMIC COURSE SELECTION DETAILS Select the program you would like to enrol in

*Accelerated *Standard(2 semester 8 months) (3 semester 12 months)

Please select a diploma pathway:

*Business (Accelerated - CRICOS COURSE CODE: 070300G / Standard -CRICOS COURSE CODE: 053606J)

*Communication (Public Relations)(Accelerated - CRICOS COURSE CODE: 070303E/ Standard -CRICOS COURSE CODE: 053609F)

*Design (Visual Communication)(Accelerated - CRICOS COURSE CODE: 070306B/ Standard -CRICOS COURSE CODE: 053608G)

*Engineering(Accelerated - CRICOS COURSE CODE: 070305C / Standard -CRICOS COURSE CODE: 070304D)

*Inormation Technology(Accelerated - CRICOS COURSE CODE: 070299G/ Standard -CRICOS COURSE CODE: 053604M)

*Science(Accelerated - CRICOS COURSE CODE: 070302F / Standard -CRICOS COURSE CODE: 070301G)

When do you want to start your diploma program?

*February 2013 intake * June 2013 intake *October 2013 intake

Preerred course at UTS

University course name

Major

CRICOS course Code

LEVEL OF CURRENT AND/OR YEARS STUDIED NAME OF SCHOOL, QUALIFICATION COUNTRY IN WHICH STUDY

COMPLETED HIGH SCHOOL COLLEGE OR INSTITUTIO N COMPLETED WAS UNDERTAKEN

8. ACADEMIC HISTORYFull education history required - Attach certiied photocopies o school, college, university certiicates

Will you be sitting or end o year examinations? Yes No I yes, when will the results be available?

10. OVERSEAS STUDENT HEALTH COVER

The Australian Government requires students on a student visa to have OverseasStudent Health Cover (OSHC) or the total duration o the student visa granted. OSHC isarranged by UTS:INSEARCH when students are enrolled, on arrival at UTS:INSEARCH.

Do you have OSHC? Yes No

I you currently hold OSHC through MEDIBANK, card number:

I require single cover amily cover

OSHC is a Department o Immigration and Citizenship (DIAC) requirement.

*Family includes the student, the spouse o the student and any dependant childreno the student up to 18 years o age who have been authorised to enter and remainwith the student and who are residing at the same place o residence as the student inAustralia.

OFFICE USE ONLY

Representatives Details

Diploma Program

Please tick which o the ollowing courses you have completed and provide thecorresponding scores you achieved or each section o that course:

* IELTS Overall: Listening: Reading: Writing: Speaking:

TRF (Test Report Form) no.

*TOEFL Overall: TWE/Essay:

*PTE (Academic) Overall: Listening: Readin g: Writing: Speaking:

Test date: / /

*Education conducted in English medium

Years: Place:

*Other (details)

6. ENGLISH LEVEL DETAILS

Day Month Year

4. PERSONAL INFORMATIONPlease complete all sections in BLUE

or BLACK INK using CAPITAL LETTERS.

Day Month Year

UTS Foundation Studies Program

*Accelerated (2 Semester - 8 months) * Standard (3 Semester - 12 months) (CRICOS COURSE CODE: 068815K) (CRICOS COURSE CODE: 068814M)

(UTS COURSE CODE: C30015) (UTS COURSE CODE: C30014)

9. ACCOMMODATION DETAILSAccommodation Fees

ITEM DESCRIPTION AU$ (2013)Homestay Booking Fee $250

Single $295 per weekTwin Share $265 per weekUnder 18 years o age Single $345 per weekUnder 18 years o age Twin Share $315 per week

Airport Welcome - $150

All accommodation fees are subject to change without notice. Accommodation booking fees are non-refundable and payable once only. Twin share accommodation is subject to availability. Homestay fees include two meals per day. Prices include GST where applicable. Homestay will be arranged for a minimum of ve weeks.

For urther inormation, please contact homestay@insearch.edu.au

Do you wish or UTS:INSEARCH to arrange homestay? Yes No

I yes Single Twin share

Do you require an airport welcome? Yes No

Do you smoke? Yes No

Would you preer Homestay with pets? Yes No

Would you preer Homestay with children? Yes No

Do you have any allergies? Yes No

I yes, please provide details

Do you have any special dietary requirements? Yes No

I yes, please provide details

INTERNATIONAL APPLICATION FORM INTERNATIONAL APPLICATION FORM

* School / College *Australian Education Centre *UTS

* Embassy / High Commission*Education Agent / Representative Ofce

* Friend / Relative *Exhibition

*Australian Network / Study English

*Advertisement. Please speciy:

*Other. Please speciy:

* Search Engine. Please speciy:

11. HOW DID YOU HEAR ABOUT UTS:INSEARCH?

*Arts and Social Sciences

*Business

*Design and Architecture

* Inormation Technology

When do you want to start your UTS Foundation Studies program?

*February 2013 intake * June 2013 intake *October 2013 intake

Please select a stream:

*Nursing and Health Sciences

*Physical Sciences (Including Engineering)