INTERNATIONAL

STUDENT
DECLARATION
Agent Stamp

Applicants are required to sign this form if their agent has submitted the application electronically on their behalf using
the EAAMS admissions system. If a signed paper-based application form has been submitted, you do not need to
complete this form.

I, .
(Applicant’s full name in BLOCK LETTERS. If the applicant is under 18 years of age, the parent/guardian must complete this section)
⋅ declare that the information and supporting documentation provided is true and complete.
⋅ acknowledge that the information collected on this form will be used for the purpose of assessing my application to study at Victoria University.
⋅ have read and understand the description of course/s that I am applying for on the Victoria University website www.vu.edu.au
⋅ declare that any academic results submitted are a complete record of all results that I have obtained from every secondary or post-secondary institution I have
attended and acknowledge that failure to disclose my academic record may result in the University revoking an offer or terminating my studies at any stage.
⋅ authorise the University to seek verification of my academic and professional qualifications, work experience and other documentation provided to support my
application. I understand that the University reserves the right to inform other tertiary institutions and agencies if any of the material presented to support my
application is found to be false.
⋅ understand that the University reserves the right to not issue an offer or revoke an existing offer if it is unable to verify the authenticity of documentation
provided to support my application, or if material contained in my application is found to have been copied from other sources and is not my own work.
⋅ 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, incomplete or fraudulent information.
⋅ authorise Victoria University to obtain further relevant documentation to support my application, if necessary.
⋅ acknowledge that the University reserves the right to alter any course, subject, admission requirement or fee without notice.
⋅ declare that I am a Genuine Temporary Entrant and Genuine Student and that I have read and understood conditions relating to these requirements on the
Department of Immigration and Border Protection (DIBP) website: www.immi.gov.au
⋅ understand that the University may choose not to issue an Electronic Confirmation of Enrolment (eCoE) if the University, its agent or its nominee assesses that I
am unlikely to meet the Genuine Temporary Entrant requirements for a student visa, as required by DIBP.
⋅ understand and accept that I must abide by all terms and conditions of my visa.
⋅ authorise the University to access the Australian Immigration Visa Entitlements Verification Online (VEVO) system at any time to obtain information on my visa
status.
⋅ am aware of the tuition and living costs for my stay in Australia and have the financial capacity to meet such costs for the duration of my program. I am
responsible for making timely payments of any fees or associated costs and for funding my living costs.
⋅ have read, understood and agree to be bound by the University's refund policy and conditions. This policy is available upon request or at
www.vu.edu.au/courses/fees-assistance/refunds/international-refunds
⋅ agree to advise the University within seven days of any subsequent changes to my residential address in Australia.
⋅ acknowledge that the information I provide to the University may be made available to Australian and State Government agencies, pursuant to obligations
under the ESOS Act 2000 and the National Code 2007. I recognise that disclosure to Government agencies can include, but is not limited to, information
regarding breaches of a student visa condition, changes to my enrolment and/or for visa processing purposes.
⋅ acknowledge that as a public sector agency, VU abides by the Victorian Privacy and Data Protection Act 2014 and the information privacy principles it contains.
The University also complies with privacy obligations under the Commonwealth Privacy Act 1988. VU's Information Privacy Policy is available online at:
www.vu.edu.au/privacy
⋅ authorise the University to provide my address and details of enrolment to its approved registered agents, if I applied through one of Victoria University's
registered agents.
⋅ 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.
⋅ understand that any documentation I submit becomes property of Victoria University and will not be returned to me.
⋅ acknowledge that due to various government regulations related to the privacy of applicants, Victoria University cannot disclose information about me to any
third party such as parents, friends or relatives without my written consent.
⋅ declare that my signature is true and correct, and matches the signature in my passport.
⋅ have read, understood and accept the above conditions.

STUDENT SIGNATURE: X g Date: D D / M M / Y Y Y Y

International Student Application Declaration Version 4.0 FINAL Last revised 4 December 2014
Victoria University CRICOS Provider No 00124K (Melbourne); CRICOS Provider No. 02475D (Sydney)