DEV .Net 4.0 VER
Online Application

Agents:

If you are an agent, you must log in first, before filling in this application form. Click here to log in.

Fill in the form below and press the 'Submit Application' button at the bottom of the page.

Please use only English characters when typing to complete the form.

Click here for help Note: An asterisk (*) means a required field
1. Personal Details
Family Name:*
Given Names:*
Middle Name:
English or Preferred Name (if any):
Gender:*
Date of Birth:* Day:    Month:     Year:
Country of Birth:*
Country of Citizenship:*
First Language:*
Passport Number:*
Passport Expiry:
Passport Country of Issue:
Place of Birth on Passport:
Student Email:*
Agent Email: (if applicable)
Are you an Australian or
New Zealand citizen:*
Have you applied for Australian Permanent Residency:*
Please indicate if you have any disability that may require extra services or special consideration, e.g. wheelchair, blindness etc*
2. Student Contact Details

This must be the student's overseas address.

Address line 1:* 100 chrs
Address line 2: 50 chrs
Suburb: 50 chrs
City / Province:* 50 chrs
State / Territory:* 20 chrs
Postal code: 10 chrs
Country:*
Home Telephone:* Numbers only please
Student Mobile:* Numbers only please
3. Scholarship
Do you have a Scholarship provider?*
4. Academic History
Provide below details of the highest level of studies attempted. You will need to upload certified copies of academic records to IES once you receive your username and password to login into MyFy. An official translation in English is also required if this documentation has been issued in another language.
   
Name of Studies/Exam:*
(eg Senior, HSC, GCE, SMU)
  
School:
Address:
School Country:
5. English Proficiency
Have you completed an IELTS or a TOEFL test in the last twelve months?*
   
Do you intend to sit for an IELTS or TOEFL test in the immediate future?*
6. Select Desired Program
Program:*
   
Which undergraduate program will you enter after you complete the Foundation course?
Undergrad Aim 1:*
Major (if required):
Undergrad Aim 2:
7. Select Subjects to Study
Please select the three subjects that you would like to study (these are additional to the compulsory Mathematics and Academic English for University Studies)

Please note that these can easily be changed after your enrolment has been processed.
Foundation Year Subject 1:* 
Foundation Year Subject 2:* 
Foundation Year Subject 3:* 
8. Parent / Guardian Information
9. Emergency Details
Please provide contact details for your doctor. In case of an emergency while studying in Australia, local doctors or a hospital or the Health Insurance Company may wish to contact your doctor.
 
Doctor's Name:
Doctor's Office Address:
Doctor's Office Telephone:
Doctor's Office Facsimile:
Doctor's Office eMail:
10. Agency Services
Are you using an Agent?*
11. University of Queensland Referral
Have you made a prior application to the University of Queensland for an Undergraduate Programme?*
12. Method of Referral
How did you find out about IES?*
13. Visa Requirements
Do you hold a current Australian Visa?*
14. Terms and Conditions
In order to submit this online application, please read the
Terms of Enrolment and the Declaration .
15. Submit your Application
I confirm that I have read and agree to the Online Application Declaration, Terms & Conditions.