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Applying to the University of Western Australia (UWA) How to apply Print this form and complete it. Send the completed form to Study Options, 83 Alma Road, Clifton, Bristol, BS8 2DP, with your supporting documents. Supporting documents required for undergraduate (bachelors) applications: 1. A photocopy of the personal details page of your passport 2. IF APPLYING BEFORE COMPLETION OF SCHOOL LEAVING QUALIFICATIONS (EG: A-LEVELS, IB, PRE-U DIPLOMA): Original certificates/evidence of GCSE and AS Level results (or equivalents) plus details of final predicted grades. Predicted grades must be official predictions, issued on school/college letterhead and signed by an appropriate person (head of careers, head of year etc). 3. IF APPLYING AFTER COMPLETION OF SCHOOL LEAVING QUALIFICATIONS (EG: A-LEVELS, IB, PRE-U DIPLOMA): Original certificates for GCSE and school- leaving qualifications. 4. A personal statement (please aim for a maximum of 400-500 words). This is not compulsory, but we strongly recommend that you include it. Application notes 1. If any further material or documents are required for your application, Study Options will be in touch to request these after we have received and checked your application. 2. All academic documents must be submitted as originals, we can’t accept photocopies. We’ll make certified copies to send with your application, and will return the originals by recorded delivery. To ensure their safe arrival, please send your documents to us by recorded delivery. 3. Please use this form to apply for undergraduate (bachelor) degrees at the University of Western Australia. Do not use this form if you are postgraduate student, or if you are a citizen or permanent resident of Australia or New Zealand. If you have any questions or problems making your application please contact a student advisor at Study Options on 020 7353 7200 or [email protected]

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Applying to the University of Western Australia (UWA) How to apply Print this form and complete it. Send the completed form to Study Options, 83 Alma Road, Clifton, Bristol, BS8 2DP, with your supporting documents. Supporting documents required for undergraduate (bachelors) applications:

1. A photocopy of the personal details page of your passport 2. IF APPLYING BEFORE COMPLETION OF SCHOOL LEAVING QUALIFICATIONS

(EG: A-LEVELS, IB, PRE-U DIPLOMA): Original certificates/evidence of GCSE and AS Level results (or equivalents) plus details of final predicted grades. Predicted grades must be official predictions, issued on school/college letterhead and signed by an appropriate person (head of careers, head of year etc).

3. IF APPLYING AFTER COMPLETION OF SCHOOL LEAVING QUALIFICATIONS (EG: A-LEVELS, IB, PRE-U DIPLOMA): Original certificates for GCSE and school-leaving qualifications.

4. A personal statement (please aim for a maximum of 400-500 words). This is not compulsory, but we strongly recommend that you include it.

Application notes

1. If any further material or documents are required for your application, Study Options will be in touch to request these after we have received and checked your application.

2. All academic documents must be submitted as originals, we can’t accept photocopies. We’ll make certified copies to send with your application, and will return the originals by recorded delivery. To ensure their safe arrival, please send your documents to us by recorded delivery.

3. Please use this form to apply for undergraduate (bachelor) degrees at the University of Western Australia. Do not use this form if you are postgraduate student, or if you are a citizen or permanent resident of Australia or New Zealand.

If you have any questions or problems making your application please contact a student advisor at Study Options on 020 7353 7200 or [email protected]

Undergraduate Application Form 2013-2014

Have you applied to The University of Western Australia before?

If yes, please provide your previous Student Identification or Reference Number:

UWA Course codeo�

COMMENCEMENT

COURSE SELECTION

No

February

Section A | Enrolment Information

Yes

Year July Year

1st course preference

Majorn

UWA Course codeo�

2nd course preference

Majorn�

Course preference

PACKAGED PROFESSIONAL POSTGRADUATE DEGREE

n�The intended major must be entered for all majors with prerequisite requirements listed.o�UWA Course codes are listed in the UWA International Undergraduate Prospectus 2013–14 or go to www.studyat.uwa.edu.au

If you would like a packaged offer which includes a postgraduate professional degree (ie Architecture, Engineering) following your bachelor’s degree, please indicate below. This includes applications from international school leavers for Assured Entry places in Law (see page 108).

UWA Course codeo

NAME (as it appears in your passport)

HOME ADDRESS

Title (Mr/Ms/etc)

Street address

Telephone

Section B | Personal details (please print clearly)

Date of Birth (Day/Month/Year) FemaleMale

Family name Given names

State Country Postcode

Facsimile

Email

IMPORTANT: All applicants must provide a current email address to which all correspondence will be sent. Please advise of any changes to contact details.

Do you have any disabilities or chronic illnesses which will require special consideration to assist you while studying at UWA? YesNo

If yes, please attach all relevant documents to your application.

Student ID

Data entry

Tracking item

Email sent

FOR OFFICE USE ONLY AGENT DETAILS

If you are applying through an agent, please ask the agent to provide the following details:

Agent name Agent stamp

n�Australian citizens, Australian permanent residents or New Zealand citizens should not apply to the International Centre. Please refer to www.studyat.uwa.edu.au/undergrad/australian/apply

o�You must provide a copy of your visa with your application.

Section C | Citizenship

Country of birth Country of citizenshipn Passport number

Will you apply for/ do you have?

Visa Classo Visa Expiry

CountryWhere will you make your visa application? City

||

||Australian Student Visa Other visa type

Study Options

If your academic background is assessed by the University as not sufficient for direct entry, you may be eligible for a pathway program. If you would like your application to be forwarded to one of our pathway partners to be considered for a packaged offer (i.e. Foundation or Preparatory program + UWA degree) please indicate your preference below:

Please tick the appropriate box if you are undertaking an Australian secondary school qualification:

TERTIARY STUDY/HIGHER EDUCATION/POLYTECHNIC QUALIFICATIONS

WA

Section D | 4XDOL¿FDWLRQV

Please provide full details of any secondary school and tertiary qualifications you have completed or are completing. Copies of qualifications and transcripts must be certified by a UWA representative or other recognised notary.

AUSTRALIAN SECONDARY SCHOOL QUALIFICATIONS

ACT NT QLD SA TAS VIC NSW WAUPP

Examination/candidate number e.g. CCNo, SSABSA (you must provide this number)

Name of school attending

OVERSEAS SECONDARY SCHOOL QUALIFICATIONS

Qualification Year obtained

Name and location of institution

Qualification Year obtained

Name and location of institution

Qualification

Name and location of institution

Duration Yes NoCompleted Expected completion date

PACKAGED PATHWAY PROGRAM AND DEGREE STUDIES

The University of Western Australia Foundation Program (UWAFP)

The Western Australian Universities’ Preparatory Program (WAUPP) Canning College Murdoch College Tuart College

Section E | English language competency

All applicants must demonstrate an acceptable level of English language competency to gain admission to UWA. Approved tests or courses of English are listed at www.studyat.uwa.edu.au/undergrad/international/admission

Do you wish to apply for a packaged program of English language training before your UWA course?

Students studying an approved Australian foundation or preparatory program will be assessed on their final English examination results.

GCSE O-Level IELTS or TOEFL Score

Other, please specify

PACKAGED ENGLISH LANGUAGE PROGRAMS

Yes No

Applicants requesting a packaged English language program must submit a current IELTS or TOEFL score.

Qualification

Name and location of institution

Duration Yes NoCompleted Expected completion date

These three colleges teach the WAUPP – please indicate your preference:

OR

Undergraduate Application Form 2013-2014

ISAT number (if already registered)

Visa condition 8532 requires that students under 18 years of age maintain suitable accommodation, support and general welfare arrangements. The Department of Immigration and Citizenship (DIAC) permits students under 18 years of age to stay with a parent or suitable relative or, if this is not possible, in accommodation approved by their education provider. If you are under 18 years of age at the time you are applying for a student visa, you must follow the procedure at www.studyat.uwa.edu.au/undergrad/international/apply

Important note for students who will be under 18 years of age at the time of enrolment

Section F | Declaration and signature

I declare that the information I have provided with this application is true and complete. I understand that The University of Western Australia reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect or incomplete information. I authorise The University of Western Australia to obtain results/records from any relevant examining body or educational institution. By signing this form, I agree that I have read and understand all of the information on this application form.

Signature Date

Signature of parent/guardiann

n�Parent/guardian must sign if student is under 18 years of age.

Section G | Applications for Medicine and Dental Medicine Assured Entry Places only

Packaged offers can be made to students accepted under the Assured Entry Pathway for Medicine and Dental Medicine. All applicants must read the medicine and dentistry application guidelines on page 113 of the UWA Undergraduate Prospectus 2013–2014 for relevant admission information. Applications for Medicine and Dental Medicine must be submitted to the International Centre by 30 June 201 . Late applications will not be considered.

ISAT (INTERNATIONAL STUDENT ADMISSIONS TEST)

You must sit the ISAT before 30 June 201 . Your application will not be considered if you take the ISAT after this date. If you have taken the ISAT before submitting this application, please provide your ISAT number below.

Test centre (e.g. Singapore, Perth)

Please indicate your preferred interview venue:

Please attach either your final or predicted academic results.

APPLICATION FEE FOR MEDICINE AND DENTISTRY

For Medicine and Dentistry applications a non-refundable application fee of AUD$150.00 must accompany this form. Applications will not be processed until payment of the fee is received. Payment must be made in Australian dollars. Cash will not be accepted.

I have attached a bank draft or cheque for AUD$150.00 made payable to The University of Western Australia. (You must write your name and date of birth on the back of the cheque.)

Please charge AUD$150.00 to my credit card. VisaMastercard

Cardholder’s name

Card number Expiry date |

Signature Amount AU $ 1 5 0 0 0.

Malaysia Singapore Perth

If you have not taken the ISAT at the time of submitting your application, you must provide the Medicine and Dentistry Faculty Admissions Office with your ISAT number as soon as you have taken the test. Please email this information to [email protected]

||

Date ||

INTERVIEW

ACADEMIC RESULTS

Undergraduate Application Form 2013-2014

UniPrint 96725CRICOS Provider Code: 00126G

Undergraduate Application Form 2013-2014

n�NOTE: these dates are intended as a guide only. You may require additional time to obtain your student visa. You are strongly advised to check the visa processing times for your country. Refer to www.immi.gov.au.

Application Checklist

Please ensure you complete this checklist as assessment will be delayed without full information. Check that you have:

completed all relevant sections

indicated your course preferences

attached original or certified copies of your qualifications and academic transcriptsn

attached an original or certified copy of your English language examination result (test score)n

signed the application form. (If you are under 18 years of age, have the application signed by your parent/guardian.)

n�IMPORTANT: Copies of qualifications and transcripts must be certified by a UWA representative or other recognised notary.

Students should forward this application form to:

International Admissions International Centre, M352 The University of Western Australia 35 Stirling Highway, Crawley Perth Western Australia 6009 Australia

Tel: +61 8 6488 3939 Fax: +61 8 9382 4071 Email: [email protected]

On completion of Undergraduate Application Form

Through an authorised UWA overseas representative. See www.studyat.uwa.edu.au/international/agents.

OR

Successful applicants will be sent an offer of place which must be signed and returned to the UWA International Centre, along with payment of the tuition deposit and visa length Overseas Student Health Cover.

All international students must obtain a Student Visa before travelling to Australia. Once payment has been received, a Confirmation of Enrolment (CoE) will be issued and this is the document required for processing your Student Visa application. Contact your nearest Australian Diplomatic Mission (Embassy, High Commission or Consulate General) or any of UWA’s overseas representatives.

Application Deadlinesn

1 December for February (Semester 1) commencement

1 June for July (Semester 2) commencement

30 June for Assured Pathway Medicine and Dental Medicine applicants (Semester 1 commencement only)

(Medicine and Dental Medicine applicants must read the application guidelines on page 113 of the UWA International Undergraduate Prospectus 2013–2014 for relevant admission information.)

Bachelor of Philosophy (Honours)31st of October for Bachelor of Philosophy (Honours) applications (Semester 1 commencement only)

x

STUDENT DECLARATION Name:

Date of birth:

Nationality:

Address:

Telephone number:

Email address:

Who will fund your tuition fees and living costs? Please give further details below:

• I declare that I have read and understand the information relating to the cost of living in

Australia at: https://www.homeaffairs.gov.au/Trav/Stud/More/Student-Visa-Living-Costs-and-Evidence-of-Funds and I have access to sufficient funds to cover all associated costs with my study, travel to and from Australia, living expenses for the duration of my studies for myself and my family members (if applicable) for the total period of my stay in Australia.

• I understand that the tuition fees do not include expenses such as textbooks, stationery and

additional program specific requirements.

• I understand that in the event that I have insufficient funds to cover all associated study and living costs, I will not seek assistance from the University or the Australian government.

• I understand that in the event that I have insufficient funds to cover all associated study and living costs, the University reserves the rights to terminate my enrolment and eCoE.

• I hereby certify that all the statements made on this declaration of finances are true and correct.

Student signature:

Name:

Date:

Please return this declaration with your application form(s)