Edu Connections

Free Consulting Request Form

Please complete this form. One of our staff will contact you as soon as possible.

Intent of Application

Your applying for *

I want to study in an Australian university

I want to study in a TAFE or a College in Australia

I want to study English in Australia

Details of Applicant

Family Name
(as stated in passport) *

Given Name *
(as stated in passport)

Nationality *

Date of Birth *
Please write in dd/mm/yy format

Country of Birth *

Gender *

Male Female Other

Phone *

Email *

(inclusive of country code, for example 61 8 6117 4088 | 61 is the country code, 8 is the area code, and the rest is the phone number)

Home & Postal Address

Address in Home Country

Street Address

Apt, Suite, Bldg. (optional)

City

State / Province / Region

Country

DECLARATION

By submitting the form, I hereby certify that the information supplied on the form is correct and complete in every detail, and I understand that any inaccuracies or omissions may result in non-acceptance or cancellation of enrolment at any time. I hereby declare that I agree to the Condition of enrolment and acknowledge that any personal information I have provided is covered under the Privacy Policy. I understand that by submitting this declaration or by paying the course fees, I have accepted the Conditions of Enrolment.

I declare and agree with my declaration

Submit

Free Consulting

Free Consulting Request Form

Intent of Application

Details of Applicant

Home & Postal Address

SNS