Application/Enrolment Form

1. Complete all section using BLOCK LETTERS

2. Attach supporting documents, including certified copies of your passport and Academic Documents

Course Selection

Do you need Airport pickup? Yes No

Note: for updated fees and charges, refunds and cancellations please refer to our student handbook, website or contact to our reception at Building D, 60 Belfast Street, Broadmeadows VIC 3047

Personal Details

Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want us to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.

Overseas Health Cover

Do you have Overseas Health Cover (OSHC)? Yes No

If Yes, OSHC Provider:

If No, I require Single Cover Family Cover

Gender: Male Female

Are you currently studying in Australia?

Are you Transferring from another education provider in Australia?

Unique Student Identifier

Do you have a Unique Student Identifier (USI)?

If YES, please specify your USI

USI verified by Institute of Business and Management (Victoria):

From 1 January 2015, we can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device. Please note that if you would like to specify your gender as ‘other’ you will need to contact the USI Office for assistance

Contact Details

Residential Address (Home Country)

Address:
Country:
Phone:
Email:

Residential Address (Australia)

Building/Property Name
Flat/Unit Details
Street No
Street Name
Suburb
State / territory
Postcode
Mobile
Email:

Postal Address (if different from residential Address)

Building/Property Name
Flat/Unit Details
Street No
Street Name
Suburb
State / territory
Postcode
PO Box or roadside delivery box:

Preferred Contact Method

Emergency Contact in Australia or Home Country

Name
Phone
Relationship

English Language Proficiency

Previous Qualification Achieved

Most recent or current Qualifications

Attach documentation including certified copies of all academic records. A certified copy is a photocopy stamped and signed by a public notary. Academic records not in English must also be accompanied by a certified translated copy

Recognition of Prior Learning/ Credit Transfer

Reason for Study Which of the following best describes your reason for undertaking this course?

Special Needs

If yes, direct it to our administration Department who will assist you on the support option available to you

Employment

Which of the following best describes your current employment status?

Full-time Employee Part-time Employee Unemployed- seeking full time work Unemployed- seeking part time work Self-employed, not employing others Not employed, not looking for work Employed, unpaid worker in a family business Employer

Privacy Notice

Under the Data Provision Requirements 2012, Institute of Business and Management (Victoria) 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 enrolment form and your training activity data) may be used or disclosed by institute for statistical, regulatory and research purposes. Institute of Business and Management (Victoria) may disclose your personal information for these purposes to third parties, including:

• Employer – if you are enrolled in training paid by your employer;
• Commonwealth and State or Territory government departments and authorised agencies;
• NCVER;
• Organisations conducting student surveys; and
• 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).

Student Declaration and consent:

• I declare that the information I have provided to the best of my knowledge is true and correct.
• I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.
• I have read and understood Institute of Business and Management (Victoria)’s relevant policies and procedures and the terms and conditions of enrolment, fee payment, fee refunds, deferment, suspension or cancellation. I also understand that all pre-enrolment information can be requested by emailing info@ibm.vic.edu.au or calling 03 9478 3163.
• confirm that I am fully aware of the fees, cancellation and refund conditions and I agree to be a student at IBM (Victoria). I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my application may result in the cancellation of my enrolment.

Use of personal information:

I understand that Institute of Business and Management (Victoria) may distribute my personal details as indicated in the statement:
“Information is collected on this form and during your enrolment in order to meet our obligations under the ESOS Act and the National Code 2018; to ensure student compliance with the conditions of their visas and their obligations under Australian immigration laws generally. The authority to collect this information is contained in the Education Services for Overseas Students Act 2000, the Education Services for Overseas Students Regulations 2001 and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2018.

Information collected about you on this form and during your enrolment can be provided, in certain circumstances, to the Australian Government and designated authorities. In other instances, information collected on this form or during your Enrolment can be disclosed without your consent where authorized or required by law.”

Student name:

Student Signature

Date:

Application Checklist

Education Agent Details (If applicable)

Agent declaration: (Please click all the circles to indicate your agreement)
As the Education Agent of this student seeking to apply for enrolment at IBM (VIC), I confirm:

That I comply with the standards of the ESOS framework (including the Education Services for Overseas Students (ESOS) Act 2000 and the National Code of Practice for Providers of Education and Training to Overseas Students 2018.
That the information contained within this application form is accurate, and that the supporting documentation including, but not limited to the "certified copy" of the applicant's academic record is correct and has not been altered in any way.
That I understand Institute of Business and Management (Victoria) expects Education Agents to act ethically in dealings with the Overseas Students and their families.
That any Enrolment Fees paid to me by the student to support this application will be immediately transferred to Institute of Business and Management (Victoria) so that Institute can uphold its commitment to ESOS legislation with regards to enhancing the refund policy where appropriate.
That I understand Institute of Business and Management (Victoria) expects Education Agents to ensure that each student applying for entry to Institute of Business and Management (Victoria) is familiar with the information contained in: The Application Form, Overseas Student Pre-Enrolment Information and the student Handbook.
I confirm the student has signed this application form.
I have provided the student’s personal email address and residential address, as disclosed to me by the student

Agent Signature/ Stamp

If there is any file you want to upload for queries(IELTS/ VISA/PASSPORT) etc

Submit