STUDY ABROAD APPLICATION FORM
FOR INCOMING STUDENTS TO VICTORIA UNIVERSITY
1. personal details
TITLE: MR X MISS MS MRS OTHER GENDER: X MALE FEMALE
Family Name (as stated in passport): GARDUÑO POSADAS
GIVEN NAME(S): José Manuel
MOBILE / CELL: +52 547827292
EMAIL 1: A0136836@itesm.mx
EMAIL 2:
gardunomanuel270@gmail.com
Country of Birth:
Mexico DATE OF BIRTH: 2 7 / 0 2 / 2 0 0 2
COUNTRY OF CITIZENSHIP:
Mexico
Do you have a disability for which additional assistance is required? Yes X No (If yes, please attach a separate document outlining the disability)
2. ADDRESs FOR CORRESPONDENCE
number and street: Ermita #1527 Col. San José La Pililta
SUBURB / TOWN: STATE
Metepec / PROVINCE: Estado de Mexico
country: postcode
Mexico / zip code: 52149
3. CURRENT STUDIES IN YOUR HOME COUNTRY
INSTITUTION: COUNTRY:
Tecnologico de Monterrey CSF Mexico
DEGREE PROGRAM: MAJOR
Bachelor Business Administration FIELD OF STUDY: Business
4. DURATION OF PROGRAM X One semester TWO SEMESTERS
INTENDED COMMENCEMENT DATE: Semester 1 (Feb -June) X Semester 2 (July - novemBER) 2 0 2 3 Year
5. UNIT PREFERENCE
List your preferred units of study. Visit vu.edu.au/courses for information about degree programs. Visit vu.edu.au/units/search for information about individual units.
• Please check the prerequisites of nominated units.
• Unit codes and names must be written in full.
• Select at least 6 preferences to ensure you have enough available units while studying at VU
• Select a maximum of 2 campuses
Preferences unit name unit code campus commencing semester and year
Example: International Marketing BHO3373 City Flinders Semester 1, 2015
1st Preference
2nd Preference
3rd Preference
4th Preference
5th Preference
6th Preference
7th Preference
Are you planning on studying a Study Abroad Certificate? Yes No
If yes, what is the name of the certificate?
Study Abroad Application Form v1.3 Page 1 of 2
CRICOS Provider No. 00124K
6. ENGLISH LANGUAGE PROFICIENCY
If English is not your current language of tuition then you must provide documentary evidence of your English language proficiency to meet Victoria University’s English language requirements.
• IS English your first language? Yes No
• have you sat an IELTS or toefl test? Yes No (If yes, please attach)
• DO YOU HAVE Other documentation (e.g. daad, letter of recommendation) Yes No (If yes, please attach)
• will you study English at Victoria University prior to commencing your exchange? Yes No
7. declaration
I JOSE MANUEL GARDUÑO POSADAS (Applicant’s full name in BLOCK LETTERS)
d eclare that the information and supporting documentation provided is true and complete. I acknowledge that Victoria University reserves the right at any stage to vary or reverse any
decision regarding admission or enrolment made on the basis of incorrect or incomplete information;
understand and accept that I must abide by all terms and conditions of my visa;
am able to make appropriate arrangements to fund my studies;
am fully responsible for my educational and living expenses (excluding tuition fees) while studying at Victoria University;
agree to advise the University within seven days if any subsequent changes to my residential address;
authorise Victoria University to obtain further relevant documentation if necessary;
authorise the University to provide the Commonwealth, State agencies and approved Victoria University’s representatives information about my address and details of enrolment;
understand that any school-aged dependants accompanying me to Australia will be required to pay full fees if they are enrolled in a school in Australia; and have read, understood and
accept the above conditions.
Please tick here to acknowledge the declaration:
X DATE: 2 3 / 0 3/ 2 0 2 3
8. APPLICATION CHECKLIST (INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED)
I have:
X completed all sections of this application.
X acknowledged and dated the declaration.
X attached certified copies of academic transcripts and award certificates and, where appropriate, certified English translation of academic record.
X attached copies of English language test scores and other supporting English language documentation as requested.
X provided a copy of my passport photo ID page.
Please e-mail your application & supporting documents to the relevant international advisor in your home institution/Agent
9. ENDORSEMENT OF HOME INSTITUTION AND/or agent
InternaTIONAl advisor/Agent: (name)
Name of agency (If applicable):
Agent’s e-mail (If applicable):
i have checked the student’s documents and support their application for study abroad: Date: / /
INSTRUCTIONS FOR HOME INSTITUTION OR AGENT
To SUBMIT THIS FORM Please email it WITH SUPPORTING DOCUMENTS TO: educationabroad@vu.edu.au
(original documentation by post is not required from Victoria University partner institutions and agents)
Study Abroad Application Form v1.3 Page 2 of 2
CRICOS Provider No. 00124K
