申请表 ----AB表格 / ENROLMENT FORM - FORM AB 请用英文回答以下所有问题 / Please answer all questions in English 代理资料 / AGENT INFORMATION 代理名字 / Agent Name 学生资料 / STUDENT INFORMATION 姓名* / Name* 出生日期* / Date of Birth* 出生国家* / Country of Birth*--- 出生省份* / Province/State of Birth*--- 出生城市* / City/Town of Birth* 性别* / Gender*男女 婚姻状况* / Relationship Status*已婚分居异离未婚 护照号码* / Passport Number* 护照签发国家* / Country of Passport*BangladeshCambodiaChinaColombiaFijiHong KongIndiaIranJapanNepalSamoaTaiwanVietnamOther Country 我想报读的课程* / Course I would like to do*我想读英语 / I would like to study English 是否 只能用英语回答School of BusinessSchool of HospitalitySchool of CookerySchool of Community ServicesSchool of SportsSchool of Information TechnologySchool of MassageSchool of AviationSchool of Building, Construction and EngineeringSchool of TourismSchool of LogisticsSchool of FashionSchool of Hairdressing and BeautySchool of Nursing 学生地址 / STUDENT ADDRESS 国家* / Country*BangladeshCambodiaChinaColombiaFijiHong KongIndiaIranJapanNepalSamoaTaiwanVietnamOther Country 省份* / Province/State*--- 街道名字与门牌号码* / Street Number and Street Name* 区域名称* / Suburb* 邮编* / Postcode* 电话号码 / PHONE NUMBER 请包括国家代码和地区代码 / Please include country code and area code 家庭电话* / Home* 手机号码* / Mobile* 单位电话号码* / Work* EMERGENCY CONTACT PERSON 姓名* / Name* 关系* / Relationship* 手机号码* / Mobile Number* 英语程度 / ENGLISH LEVEL 你的英语口语程度? / How well do you speak English?非常好好不好一点都不懂 健康 / HEALTH 你有没有残疾或者长期病患？/ Do you have a disability or long term medical condition?是否 假如有, 是什么? / If yes, what is it? 签证历史 / VISA HISTORY 有否到过澳大利亚? / Have you travelled to Australia before?是否 要是有，什么时候和旅游的目的? / If yes, when and why did you travel? 有没有拿过其他国家的签证？/ Have you held a visa to another country?是否 要是有，是哪一个国家的签证？/ If Yes, Which Ones? 有否在其他国家学习过？/ Have you studied in another country? 是否 要是有，是哪一个国家的签证？ / If Yes, Which ones? 你有没有父母或者兄弟姊妹在澳大利亚？/ Do you have any brothers, sisters or parents in Australia? 是否 要是有，他们拿的是什么签证? / If Yes, who are they and what is their Visa Status? 你有否被澳大利亚拒签过? / Have you been refused a Visa to Australia before?是否 要是有，是什么签证给拒签和为什么给拒签了? / If yes, what type of visa was refused and when was it refused? 你有否被其他国家拒签过? / Have you been refused a Visa to any other country before?是否 要是有，是什么签证给拒签和为什么给拒签了? / If yes, what type of visa was refused and when was it refused? 中学学历 / SCHOOL 最高学历* / What is the highest completed school level.*高中三高中二高中一初中三初中三以下从来没有读过书 哪一年中学毕业* / What date did you complete school?* 学校名字?* / Name of School?* 国家* / Country*BangladeshCambodiaChinaColombiaFijiHong KongIndiaIranJapanNepalSamoaTaiwanVietnamOther Country 省份* / State/Province*--- 请详细列出所有高中以上学历 / PLEASE LIST ALL QUALIFICATIONS COMPLETED AFTER YOU COMPLETED SCHOOL 学历名称 / Name of Qualification 开始日期 / Start Date 完成日期 / Finish Date 院校名称 / Name of College 国家 / Country --- --- --- --- 请详细列出毕业后的所有工作历史 / PLEASE LIST YOUR EMPLOYMENT HISTORY SINCE YOU FINISHED SCHOOL 职位 / Position Title 开始日期 / Start Date 完成日期 / Finish Date 每月工资多少 / Monthly Salary 单位名称 / Business Name 单位地址 / Business Address 单位电话号码 / Business Phone No 经理名字 / Manager Name 经理联系电话号码 / Manager Contact Number 家庭成员资料 / FAMILY DETAILS 请列出你丈夫、妻子、儿子、女儿的详细资料 / Please list your Husband / Wife, Sons and Daughters. 关系 / Relationship 姓 / Surname 名 / First Name 出生日期 / Birth Date 出生城市 / Town of Birth 出生省份 / Province/State of Birth 护照号码 / Passport 身份证号码 / National ID Card 丈夫妻子 是否 是否 儿子女儿 是否 是否 儿子女儿 是否 是否 儿子女儿 是否 是否 儿子女儿 是否 是否 儿子女儿 是否 是否 请列出你的兄弟姊妹的详细资料: / Please list all your Brothers and Sisters: 关系 / Relationship 姓 / Surname 名 / First Name 出生日期e / Birth Date 父 / Father 母 / Mother 兄、弟姊、妹 兄、弟姊、妹 兄、弟姊、妹 兄、弟姊、妹 财政状况 / FINANCIAL INFORMATION 有没有足够你在澳大利亚读书的存款？/ Have you saved enough money for your studies in Australia?是否 假如有需没有人能帮助你出钱？/ Will someone else help you with money if you need it?是否 要是有，谁能帮助你出钱？/ If yes, who will help you with money if you need it?母父丈夫/妻子 到过国外的那些国家 / COUNTRIES VISITED 请例出过去10年到过的国家 / Please list ALL COUNTRIES you visited in the last 10 years. 达到日期 / Date Arrived 离开日期 / Date Departed 国家 / Country 到访理由 / Reason for Visit --- --- --- --- --- --- 个人性格 / CHARACTER 你有没有在被提诉中？/ Have you ever been charged with any offence that is awaiting legal action?是否 你有没有在任何国家犯过法？/ Have you ever been convicted of an offence in any country?是否 你有没有被拘捕过？/ Have you ever been the subject of an arrest warrant or Interpol notice?是否 你有没有性侵犯过小孩？/Have you ever been found guilty of a sexually based offence involving a child?是否 你有没有被登记为性侵犯者？/ Have you ever been named on a sex offender register?是否 你有没有参与过危害澳大利亚或其他国家的国家安全的活动？/ Have you ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?是否 有没有跟任何犯罪份子或集团有关系？/ Have you ever been associated with a person, group or organisation that has been or is involved in criminal conduct?是否 你有没有跟任何在澳大利亚或海外的暴力团体有关系？/ Have you ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia?是否 你有没有在军队、公安部门、情报机关等服役过？ / Have you ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?是否 你有没有接受过军训？/ Have you ever undergone any military/paramilitary training, been trained in weapons / explosives or in the manufacture of chemical/biological products?是否 你有没有参与过走私人口？/ Have you ever been involved in people smuggling?是否 你有没有给任何国家驱逐出境过？/ Have you ever been removed, deported or excluded from any country (including Australia)? 是否 你有没有在任何国家非法停留过？/ Have you ever overstayed a visa in any country (including Australia)?是否 你有没有欠澳大利亚政府或部门钱？/ Have you ever had any outstanding debts to the Australian Government or any public authority in Australia?是否 健康 / HEALTH 你有没有患过肺病？/ Have you ever had, or currently have, Tuberculosis? 是否 你有没有跟有肺病的人近距离接触过？/ Have you been in close contact with someone who has had Tuberculosis?是否 你有没有拍片后发现不正常过？/ Have you ever had a chest x-ray that shows something unusual?是否 你有没有患过精神病？/ Do you suffer, or have you ever suffered, from mental health problems?是否 你有没有被知会过你有艾滋病？/ Have you ever been told you are HIV positive?是否 你有没有在验血后乙、丙肝炎呈阳性？/ Have you ever had a positive Hepatitis B or Hepatitis C blood test?是否 你过去5年有没有患过癌症？/ Do you have or have you had cancer in the last 5 years?是否 你有没有高血糖或者糖尿病？/ Do you have high blood sugar / diabetes?是否 你有没有血液问题？/ Do you have a blood condition?是否 你有没有肝或者膀胱问题？/ Do you have bladder or kidney problems?是否 你有没有嗜酒或毒瘾？/ Are you, or have you ever been, addicted to drugs or alcohol?是否 你是否怀孕？/ Are you pregnant?是否 你是否在用处方药物？/ Are you taking any prescribed pills or medication?是否 你有没有体能或者智能上的残疾？/ Do you have a physical or intellectual disability?是否 你有没有先天性的血压或者心脏问题？/ Do you have heart problems, including high blood pressure or a heart condition that you were born with?是否 你有没有因为手术或者精神病而需要长时间住院过？/ Have you ever been admitted to hospital and/or received medical treatment for an extended period for any reason (including for a major operation or treatment of a psychiatric illness)? 是否 本表格提交后，我们的工作人员会联系你来完成报名手续 / AFTER YOU SUBMIT THE FORM ONE OF OUR FRIENDLY CONSULTANTS WILL CONTACT YOU TO COMPLETE ENROLLMENT 或者, 到我们当地的办事处 我们会为你完成一切报名手续
