E: admissions@protea.edu.
au
W: www.protea.edu.au
P: 0390084537
A: Level 3, 398 Lonsdale St, Melbourne VIC 3000
International Student Application Form
Business Courses (BSB Package)
BSB50420 Diploma of Leadership and Management
BSB60420 Advanced Diploma of Leadership and Management
BSB80120 Graduate Diploma of Management (Learning)
BSB40920 Certificate IV in ro ect anagement ractice
BSB50820 Diploma of Project Management
BSB60720 Advanced Diploma of Program Management
IT Courses (ICT Package)
ICT50220 Diploma of Information Technology
ICT60220 Advanced Diploma of Information Technology
Community Services Courses (C C Package)
02 Certificate III in Individual Support
4 0 Certificate IV in Ageing Support
202 Diploma of Community Services
C c Courses (CPC Package)
CPC33020 Certificate III in Bricklaying and Blocklaying
CPC30220 Certificate III in Car entry
CPC30320 Certificate III in Concreting
CPC30 20 Certificate III in Painting and ecorating
CPC 0220 i lo a of B ilding and Con tr ction B ilding
II 0 20 d anced i lo a of Ci il Con tr ction e ign
E g Courses (ELICOS)
General English (Please specify the number of weeks……………)
English for Academic Purposes (Please specify the number of weeks……………)
Proposed Start Date End Date
Personal Details
Title: ☐Mr. ☐Mrs. ☐Ms. ☐Dr. ☐Other Gender: ☐Male ☐Female
Family name (as in passport): Given name(s):
Date of Birth (dd/mm/yy): Nationality (as per passport):
Contact Details in Home country
Address: Country: Post Code:
Telephone/ Mobile: Email:
Contact Details in Australia
Address: State: Post Code:
Telephone/ Mobile: Email:
Emergency Contact Details
Name: Phone Number:
Address: Relationship to Applicant:
Visa Information
Passport Number: Expiry Date:
Visa Type: Subclass: Expiry Date:
What type of visa will you be holding when you commence your studies?
Student Working Holiday Tourist
Other
Have you applied to become a permanent residence of Australia?
Yes No
If yes, date of application (dd/mm/yy):
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©PC V1.0 Oct 2023 Next Review Oct 2024 | CRICOS: 03415G | RTO: 41117 |ABN:81 153 958 082
E: admissions@protea.edu.au
W: www.protea.edu.au
P: 0390084537
A: Level 3, 398 Lonsdale St, Melbourne VIC 3000
USI Information (Unique Student Identifier)
USI Number:
If you do not have USI yet, please go to www.usi.gov.au to apply for it. If you are a new or continuing student
undertaking nationally recognised training, you need a USI in order to receive your qualification or statement of
attainment.
Language and Cultural Diversity
In which country were you born? ☐ Australia ☐ Other – Please specify: Kenya
Do you speak a language other than English at home? ☐No ☐Yes – Please specify: Swahili
How well do you speak English? ☐ Very well ☐ Well ☐ Not well ☐ Not at all
Are you of Aboriginal or Torres Strait Islander origin? ☐ No ☐Yes – Please specify:
Previous Education
Have you done your schooling? ☐ Yes ☐ No
Highest Qualification:
Name of Institute: Completed Year:
Disability
Do you have any of the following disabilities, impairments or long-term conditions? ☐Yes ☐No
If ‘Yes’, then please indicate the areas of disability, impairment or long-term condition:
☐ Hearing/Deaf ☐ Physical ☐ Intellectual ☐ Acquired Brain Impairment
☐ Mental Illness ☐ Vision ☐ Medical Condition ☐ Other
Employment
Of the following categories, which BEST describes your current employment status?
☐ Full-time employee ☐Part-time employee ☐Self-employed ☐Employer
☐ Employed in a family business ☐Unemployed - seeking work ☐Not employed - not seeking employment
Study Reason
Of the following categories, which BEST describes your main reason for undertaking this course?
☐ To get a job ☐To develop my existing business
☐ To start my own business ☐To try for a different career
☐ To get a better job or promotion ☐It was a requirement of my job
☐ To get into another course of study ☐For personal interest or self-development
☐ Other reasons
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©PC V1.0 Oct 2023 Next Review Oct 2024 | CRICOS: 03415G | RTO: 41117 |ABN:81 153 958 082
E: admissions@protea.edu.au
W: www.protea.edu.au
P: 0390084537
A: Level 3, 398 Lonsdale St, Melbourne VIC 3000
RPL/Credit
Are you seeking recognition of prior learning (RPL) or course credit transfer? ☐Yes ☐No
If ‘Yes’, then please contact training manager for further details about the RPL/CT process
Transferring student information: (if applicable)
Are you transferring from another education provider in Australia? ☐ Yes ☐ No
If ‘Yes’, then have you completed the first 6 months of your principal course? ☐ Yes ☐ No
Name of Institute:
If you currently enrolled in another institute in Australia please provide release letter.
Education Agent Details
If you were referred by an Education Agent, please provide details below.
Agent Name/Business Name: As an approved agent of Protea College, I am also
certifying that I have verified all the original documents
of the student.
RK Education & Visa Services
Signature
Privacy Notice
Under the Data Provision Requirements 2012, Protea College Pty Ltd is required to collect personal
information about you and to disclose that personal information to the National Centre for Vocational
Education Research Ltd (NCVER). Your personal information (including the personal information
contained on this enrollment form and your training activity data) may be used or disclosed by Protea
College for statistical, regulatory and research purposes. Protea College may disclose your personal
information for these purposes to third parties. This practice is also required by the ESOS Act and the
ESOS National Code 2018. including:
- School: if you are a secondary student undertaking VET, including a school-based
apprenticeship or traineeship
- Employer: if you are enrolled in training paid by your employer
- Commonwealth and State or Territory government departments and authorized agencies
- NCVER
- Researchers
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
- Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET
Transcripts
- Facilitating statistics and research relating to education, including surveys
- Understanding how the VET market operates, for policy, workforce planning and consumer
information, and
- Administering VET, including program administration, regulation, monitoring and evaluation
You may receive an NCVER student survey which may be administered by an NCVER employee, agent
or third-party contractor. You may opt out of the survey at the time of being contacted. NCVER will
collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth),
the VET data policy and all NCVER policies and protocols (including those published on NCVER’s
website at www.ncver.edu.au).
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©PC V1.0 Oct 2023 Next Review Oct 2024 | CRICOS: 03415G | RTO: 41117 |ABN:81 153 958 082
E: admissions@protea.edu.au
W: www.protea.edu.au
P: 0390084537
A: Level 3, 398 Lonsdale St, Melbourne VIC 3000
Student Declaration and Consent
I , Declare that the information I have provided to the to the best of my
knowledge is true and correct. I further declare that I have gone through the following
policies and procedures available on www.protea.edu.au:
• Admissions Policy and Procedure
• Complaints and Appeals Policy and Procedure
• Course Progress Policy and Procedure
• Deferring, Suspending and Cancelling Overseas Student Enrolment Policy and
Procedure
• Refund Policy and Procedure (All refunds will be in accordance with the policy and refund
arrangements defined in Agreement)
• RPL and Credit Transfer Policy and Procedure
• Student Support Policy and Procedure
• Transfer Between Registered Providers Policy and Procedure
I Consent to the collection use and discloser of my personal information in accordance with
the Privacy Notice Above.
Applicant Name
Applicant Signature
Date...........................................
Document Checklist
☐ Passport bio-data pages
☐ IELTS (or other English Language test) Results (if applicable)
☐ Evidence of highest academic qualifications
☐ Copy of current Australian Visa (if applicable)
☐ OSHC Certificate (if applicable)
FOR OFFICE USE ONLY
DATE
Approved by: Signature:
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©PC V1.0 Oct 2023 Next Review Oct 2024 | CRICOS: 03415G | RTO: 41117 |ABN:81 153 958 082
