PART F HOW I FOUND OUT ABOUT THE UNIVERSITY
To be co mp le te d by al l ap pl ic an ts
We would be grateful if you could let us know how you found
out about the University.
Please tick one box only.
Visiting University of Melbourne staff member
Graduate/s of the University of Melbourne
Advertisement in newspaper/magazine
University of Melbourne representative
Family/friends
University of Melbourne web site
Other web site
IDP Education Australia Country:
An education exhibition Country:
Interview program Country:
Australian Diplomatic Mission
University careers advisor/University lecturer
Hawthorn English Language Centre
ICC seminar/counselling session
Other
PART G CHECKLIST
I have included original or certified* copies of the
following documents** with my application:
Yes
No I have checked to see that I meet the
minimum entry requirements
Yes
No Evidence of English language proficiency
(see part E for details)
Yes
No Certified copies of academic transcripts
with an explanation of the grading system
Final year of high school. If you are
currently studying please forward your final
results as soon as they are available.
Year preceding final year of high school
All results of tertiary studies
Yes
No If currently studying, details of subjects being undertaken
Yes
No A certified translation of academic records
if the original is not in English
Yes
No An assessment fee paid by:
Bank cheque
Money order
Credit card
Page 3 of 4
PART I DECLARATION AND SIGNATURE
1. I declare that the information provided by me is true and complete in every particular, including a complete record of all academic results I have achieved
at any university or tertiary institution attended.
2. I understand that at the time of enrolment I will be required to supply originals of all documents used to support this application.
3. I acknowledge that the University of Melbourne reserves the right to reverse or vary any decision regarding admission made on the basis of incomplete
or false information.
4. I declare that I will be able to abide by the University’s policy on admission, fees payments and fees refunds.
5. I understand that the University of Melbourne reserves the right to inform other tertiary institutions if any of the material presented
to support my application is found to be false.
6. I acknowledge that all documents submitted become the property of the University of Melbourne and will not be returned.
7. I understand that the personal information that I have provided may be released to Australian Commonwealth and State agencies
under the Education Services for Overseas Students (ESOS) Act 2000.
Signature: Day:
Month:
Year:
PLEASE RETURN THIS FORM TO:
The General Manager
International Admissions, International Centre
The University of Melbourne, Victoria 3010 Australia
Telephone: (+61 3) 8344 4505
Facsimile: (+61 3) 9347 9062
For further information:
General information page: www.unimelb.edu.au
Email enquiries and frequently asked questions:
http://unimelb.custhelp.com
PART J ASSESSMENT FEE
I attach a bank cheque for AUD$100 made
payable to the University of Melbourne
Please charge AUD$100 to my credit card
Visa
Mastercard
Card Number:
Card Holder Name:
Card Expiry Date: Month:
Year:
Card Holder Signature:
The University of Melbourne has a statutory obligation to comply
with the Information Privacy Act (VIC) 2000 and the Health
Records Act (VIC) 2001 in its treatment of personal and health
information regarding students.
The University collects information about a student for a
number of purposes. The main purposes are to enable proper
administration of an individual’s course of study, to assist the
University to organise programs for the health and welfare of
students and to foster alumni relations and promote University
activities. Information is also collected under Commonwealth
or State Government legislation for the purposes of reporting
annually to these governments and for the administration of, but
not limited to, the Higher Education Loan Programme (HELP) and
the Youth Allowance (Austudy and Abstudy). Information may
also be collected to facilitate internal planning.
The University holds personal information on computer and
paper based records. It takes all reasonable steps to ensure that
the information it holds is accurate and complete and that it is
protected from misuse, loss, unauthorised access or disclosure.
Information concerning enrolled students is maintained by the
Student Administration section in the University’s Academic
Services Division. The University will not disclose personal
information about you without your permission or unless
permitted or required by law.
Examples of instances when personal information about you may
be disclosed are:
Y informing Centrelink of your enrolment details if you are in
receipt of payments;
Y releasing statistical information to the Department of
Education, Science and Training;
Y releasing statistical information to the Office of Training and
Tertiary Education;
Y releasing information to the Department of Immigration and
Multicultural Affairs
Y informing the Australian Taxation Office of your taxation
liabilities;
Y assisting the police with personal information about you if
you are alleged to have been involved in a criminal offence;
Y releasing your academic details to another tertiary institution
or tertiary admission centre if you apply to transfer studies;
and
Y publishing the names of graduates.
Access to and correction of your information are handled in
accordance with the Freedom of Information Act 1982. Data
obtained via the Enrolment Questionnaire that is reported to the
Commonwealth Government can be viewed (and, if necessary,
corrected) at http://sis.unimelb.edu.au.
The University’s Privacy Officer is the University Secretary,
Ms Janet White. The Privacy Officer’s website, contains the
University’s Privacy Policy and provides detailed information
about the contact details, complaints procedures and other
aspects of the University’s privacy regime.
If you have an enquiry about your privacy rights in relation to
the collection of information from students, please contact the
University’s Privacy Officer.
PART H UNIVERSITY OF MELBOURNE PRIVACY STATEMENT
* A certified copy is a photocopy of the original document with the signature and official stamp
of an appropriate authority (eg. solicitor, principal, doctor, police officer) indicating that they have
sighted the original. A photocopy or fax of a certified copy is not acceptable.
** Please note that all documents remain the property of the University of Melbourne.