student application form attach 2 passport … · b. by completing and submitting this student...

©Australian Institute of Business Pty Ltd 1 Version 19 – 03.11.15

Family/Surname

First Name (as in ID/Passport)

Unit/Street/City Postcode/State/ Country



Mobile Phone

Email Address

Gender: Male Female

Country Of Birth

Nationality (if multiple, list all)

High School Level: Year 12 (or equivalent) Year 11 or lower

Year when left high school:

Other Name(s) (as in ID/Passport)

First Name (as in ID/Passport)

Secondary Email Address

Date of Birth DD/MM/YYYY

Home Phone

Same as: Residential Address Postal Address

Same as: Residential Address Permanent Home Location

Age:

1. TEACHING CENTRE 2. MBA COURSE Please indicate the full name of the MBA course (“Course”) you wish to apply for Please indicate when you intend to commence the Course:

3. PERSONAL DETAILS Please tick one (or specify other): �Mr �Mrs �Miss �Ms Other: Residential Address Postal Address Permanent Home Location

4. ACADEMIC QUALIFICATIONS List your school leaving, tertiary qualifications and professional qualifications.

Qualification

(List from highest to lowest) Institution/Examining Body Language of Instruction Duration

(From Year To Year)

3.1 Please attach your certified copies* of parchments and your academic transcripts (as well as an explanation of the grading system). If originals are not in English, certified copies* of English translations are required (from a certified translator).

ATTACH 2 PASSPORT

SIZED PHOTOS HERE

STUDENT APPLICATION FORM MBA

Please indicate the full name of the Teaching Centre (“TC”) at which you wish to have our course delivered to you:

Date: Month: Year:

/ /


Office Phone

Please direct all emails to: Personal email: Office email:

Office Fax Office Email

Annual Income

Please also attach any other evidence of your eligibility for acceptance into the Course you have applied for (e.g. a letter of acceptance from a recognised University).

*When providing photocopies of any documents, ensure they are properly ‘certified’, each page having the following: • A statement saying “I, the undersigned, certify this document to be a true copy of the original”. • Under that statement, a person who is legally authorised to certify must sign: i.e. Lawyer, Justice of the Peace, Peace

Commissioner, Commissioner of Oaths, Notary Public, Judge, Magistrate, a member of the Australian Immigration Department, Australian Embassy or Consulate.

• The authorised person must include their official stamp/chop/seal. • The authorised person must include the date and their full name, signature and business contact telephone number.

5. EXEMPTIONS

You may be granted an exemption if you have completed subjects at an Australian equivalent Masters course (or similar) or otherwise satisfied the requirements of our credit transfer or recognition of prior learning policy. If you wish to apply for an exemption you must obtain an Application Form for Subject Exemption and submit it with this Application. A AUD$50 fee applies. Please tick one of the following:

I intend to apply for exemption from studying one or more subjects in the Course and attached is my Application Form for Subject Exemptions, or I do not intend to apply for any exemptions in the Course. I understand that if I later wish to apply for exemptions, I will not be granted any reduction in fees payable.

6. ENGLISH LANGUAGE PROFICIENCY

Please tick at least one of the following (although ticking two or more boxes may help borderline applications) and attach the required information.

English was the language of instruction in tertiary studies

Attach a certified copy* of your parchments and your academic transcripts (as well as an explanation of the grading system)

GCE 'O' or 'A' Level English or equivalent Attach test results

IELTS Academic Score (≥ 6.5) Attach test results

TOEFL Score (≥ 575) Attach test results

TOEFL iBT Score (≥ 91) Attach test results

TOEFL cBT Score (≥ 234) Attach test results

CPE Score (≥ 47) Attach test results

CAE Score (≥ 58) Attach test results

PTE Academic Score (≥ 58) Attach test results

Other Attach test results or relevant evidence

* Refer to pages 1-2 for definition of “certified copy”.

7. EMPLOYMENT

Please give details of your present position below. Please also attach a copy of your current resumé listing your previous positions. If you have managerial experience, please ensure that your resumé details this managerial experience and the number of persons that you are in charge of.

Generally, you should attach both a copy of the managerial experience form (MEF) showing relevant work experience and an organisational chart signed by your manager/superior.

If you were self-employed during the years you wish to claim as your relevant work experience, you must attach a copy of the report from the relevant government authority showing your status as director of your trading company, partner in a partnership or sole proprietor during those years.

Current Employer Job Title

Employer Address (Unit, Street, City, State/Region, Country, ZIP Code)


8. FINANCIAL SUPPORT Please indicate your source of financial support:

I am fully sponsored by my employer (please attach written confirmation from your employer) I am a private student supported by myself / my family paying by:

Name of person or organisation paying fee (for invoice purposes)

Address of person or organisation paying fee (for invoice purposes)

Telephone Fax Mobile

9. REFEREES

Give the names and addresses of two referees (excluding family members) to comment confidentially on your professional and/or academic background.

Title (Prof, Dr, Mrs, etc) Name Job Title

Telephone No Email

Address

Title (Prof, Dr, Mrs, etc) Name Job Title

Telephone No Email

Address

10. EMERGENCY CONTACT

Title (Prof, Dr, Mrs, etc) Name

Telephone No Mobile

11. STATISTICAL INFORMATION

Please complete the following information which we are required to submit for statistical purposes:

(a) Are you of Australian Aboriginal or Torres Strait Islander descent?

Yes, of Aboriginal origin but not Torres Strait Islander origin

Yes, of Torres Strait Islander origin, but not Aboriginal

Yes, both Aboriginal and Torres Strait Islander Origin

Non indigenous – neither Aboriginal nor Torres Strait Islander origin

(b) What is the main language spoken at your home?

(c) Do you have work experience? �Yes �No (tick one)

If yes, please tick to indicate your industry background:

Business or Commerce Science or Engineering Information Technology Health

Public Sector Service Industries Small Business Other

(d) Do you have management experience? �Yes �No (tick one)

If yes, please summarise your most recent/significant management experience in the following table:

Management level Number of years Salary range

Senior �Middle � (tick one)

Senior �Middle � (tick one)


(e) What is the highest educational attainment of your parents/guardians?

Parent or Guardian 1 Parent or Guardian 2

Gender: □ Male □ Female

□ Male □ Female

Highest Educational

Attainment (please tick

one option):

□ Postgraduate qualification (e.g. Postgraduate Diploma, Masters or PhD)

□ Bachelor degree □ Other post school qualification (e.g. VET

certificate, Associate degree or Diploma) □ Completed Year 12 schooling or equivalent □ Did not complete Year 12 schooling or equivalent □ Completed Year 10 schooling or equivalent □ Did not complete Year 10 schooling or equivalent □ Do not know

□ Postgraduate qualification (e.g. Postgraduate Diploma, Masters or PhD)

□ Bachelor degree □ Other post school qualification (e.g. VET

certificate, Associate degree or Diploma) □ Completed Year 12 schooling or equivalent □ Did not complete Year 12 schooling or equivalent □ Completed Year 10 schooling or equivalent □ Did not complete Year 10 schooling or equivalent □ Do not know

12. SPECIAL NEEDS

Do you have a disability, impairment or long term condition which might affect your studies? No – proceed to question 13 Yes – proceed to questions below Please indicate the area(s) of impairment

□ Hearing □ Learning □ Mobility □ Vision □ Medical □ Other

Please indicate the details of any special needs you have that should be taken into account in your study programme (for example wheelchair access, large print materials, or reading, writing, or numeracy difficulties etc) and in order for AIB to assess your special needs, please attach the relevant medical documentation attesting to your requirements.

13. SURVEY How did you hear about Australian Institute of Business (“AIB”)?

Internet Search / Website Exhibition Information session Internet Advertising Referred – by whom? Radio Station – which station?

Newspaper – which paper? AIB Supporter (please state supporter)

14. CHECKLIST

Have you attached evidence of your identity: certified copy of a passport, driver’s license, national ID, birth certificate or marriage certificate?

Have you attached certified copies* of your relevant parchments and academic transcripts (as well as an explanation of grading system and English translation of the awards, if applicable)?

Have you attached any other evidence of your eligibility for acceptance into the Course you have applied for, if applicable? Have you attached certified copies* of your GCE ‘O’, ‘A’ Levels/TOEFL/IELTS or other results or evidence, if applicable? Have you attached a copy of your current resumé?


Have you attached a copy of your managerial experience form (MEF) showing relevant work experience and an authorised organisational chart signed by your manager/superior?

If you were self employed, have you attached a certified copy* of the report from the relevant government authority showing your status as company director, partner in a partnership or sole proprietor during those years of relevant work experience?

Have you attached a copy of your employer’s written confirmation agreeing to sponsor you, if necessary? Have you obtained the consent of two referees and included their contact details in this application form? Have you completed all relevant sections of this form? Have you attached a passport-sized photograph? Have you read all sections of this form and signed the Terms and Conditions in section 13 of this form? Have you read and signed the Consent Form attached to this form?* Refer to page 1-2 for definition of “certified copy”.

15. REFERRALS

Do you know of anyone who may be interested in doing an MBA or who has at some point considered doing an MBA?

16. TERMS AND CONDITIONS You acknowledge and agree as follows:

a. You will pay the non-refundable application fee directly (or via your teaching centre) to AIB when submitting this Student Application Form. AIB will not process this Student Application Form until this is done.

b. By completing and submitting this Student Application Form to AIB you are inviting AIB to offer you a place in the relevant Course which may be an MBA or Graduate Certificate in Management (GCM) Course. You agree that if AIB issues you with a letter of offer (which is entirely at AIB’s discretion) this will be an offer which is capable of your acceptance by enrolling (ie nominating and paying for) in any subjects with AIB by the cut off date.

c. A letter of acceptance/offer issued by the TC, an agent or any other party is not valid, and you shall immediately inform AIB if you have received such a letter.

d. Before enrolling, you agree to obtain a copy of the AIB Student Handbook and carefully read all sections. Also, before enrolling you agree to review AIB’s fees in the Course fees webpage (in the AIB website).

e. By enrolling, you are taken to have accepted the offer in the letter of offer and are deemed to have read, accepted and agreed to abide by the terms and conditions in this Student Application Form, the Course Information, and the rules and regulations in the AIB Student Handbook (as amended from time to time).

f. You shall pay all AIB fees directly to AIB (not to the TC to then pay to AIB, unless otherwise permitted in writing by AIB) as directed in the AIB website. You will also need to arrange payment of tuition fees directly to the TC, who will be delivering our Course to you – AIB is not responsible for any amounts paid to the TC. You acknowledge and agree that AIB’s fees may change from time to time and the new fees will apply to all students notwithstanding when they joined the Course.

g. Any amounts paid by you to AIB shall not be assignable or transferable towards the credit or benefit of another student or for any other matter (subject to the fees in credit policy detailed in the AIB Student Handbook).

h. AIB is not obliged to and will not refund to you any fees paid or caused to be paid to AIB or the TC in relation in the Course or otherwise. The TC may have a separate refund policy with you but this does not require AIB to refund any amounts paid or caused to have been paid by you.

i. Upon your first enrolment with AIB, you will be considered a distance learning examination student of AIB only for the purpose of sitting for the examinations for the enrolled subjects. On payment of the tuition fees to the TC, you will be considered a tuition student of the TC for the purpose of attending tutorials delivered by the TC.

j. You acknowledge that if you do not correctly enrol in (ie nominate and pay for) subjects by the relevant enrolment dates, you are not entitled to attend tutorials for those subjects or submit assignments or sit exams for those subjects. If you do submit assignments or sit exams when not correctly enrolled, AIB will not mark these papers and will discard them.

k. If you register to undertake the Course on a stage by stage basis namely the GCM, you acknowledge that you will automatically be admitted into the relevant MBA Course you applied for upon successful completion of all of the relevant assessment requirements for the GCM and upon the appropriate fees being paid up in full.

l. AIB reserves the right to modify, alter or withdraw any subjects or any Course and/or to make modifications to the Course delivery and tutorial or exam schedule or assessments without prior notice. Some students may be merged into different intakes or be moved from intake to intake, as approved by AIB, so class sizes may vary.

m. If at any time the TC is no longer permitted to deliver our Course, you will be notified of the alternative centre at which you can attend the tutorials on the Course subjects and sit for the examinations. If there is no alternative centre available, you may then be able register as an AIB pure distance learning/on-line student (upon appropriate payment being made to AIB) and sit for the examinations at a location that will be advised to you.

n. You declare that, to the best of your knowledge, the information provided by you in this Student Application Form (and all documentation attached to, accompanying or sent in relation to this Student Application Form) is true and complete in every particular. You acknowledge that

Name:

Name:

Name:

Phone/Mobile:

Phone/Mobile:

Phone/Mobile:


AIB may vary or reverse the decision regarding admission, enrolment or registration made on the basis of any misrepresentations or incorrect or incomplete information provided by you or any breach of the AIB Student Handbook, and you will not get credit for any subjects or assessments.

o. You consent to the TC and/or AIB making enquiries at any institution (including but not limited to Universities or colleges), business or to any persons to confirm the qualifications and/or work experience that you have obtained and any other details set out in the Student Application Form and you consent to the TC and/or AIB providing this Student Application Form to those institutions, businesses or persons as proof of your consent.

p. On completing all of the MBA Course requirements, you will be conferred with the award of Master of Business Administration by AIB. If you have completed the Course requirements for a specialised MBA, you will be conferred with the award for the relevant specialised MBA. Please note that if you exit the Course after only completing all of the requirements for the Graduate Certificate in Management, only the award of Graduate Certificate in Management will be conferred. Similarly, if you exit the Course after only completing all of the requirements of the Graduate Diploma in Management, only the award of Graduate Diploma in Management will be conferred. Conferral of any of the aforementioned awards is subject to payment of all outstanding fees. If you exit before being eligible for any award, you may obtain an Academic Transcript recording the subjects you have passed.

q. You accept that any breach of a term or condition in this Student Application Form, AIB’s rules and regulations, policies or of the Student Handbook (as amended from time to time) will render you liable to disciplinary action, expulsion or de-registration from AIB.

r. You undertake to obtain any relevant consent from the management of the organisation(s) on which you will base your assessments. s. You consent to the appropriate Australian authorities having access to your academic records as part of any audit of AIB in accordance with

relevant Australian legislation. t. You acknowledge that all materials provided to you during the Course (including distance learning materials) are subject to the AIB’s copyright

(unless otherwise specified in writing) and you must not photocopy or distribute the materials (including distance learning materials) to any persons or you will be in breach of copyright and you will be liable for serious penalties.

u. You agree that subject to AIB’s privacy policy, AIB may use or disclose your information for marketing or other purposes but only to the extent permitted by the relevant privacy legislation. In particular, you agree that you:

(i) have reviewed and accepted AIB’s privacy policy; (ii) consent to the acquisition of your personal information by AIB from a third party; (iii) consent to the disclosure of your personal information to third parties consistent with the provisions of the privacy policy; and (iv) consent to receiving marketing material from AIB unless you expressly unsubscribe.

v. You agree that AIB and any related entity is not responsible for any representations that the TC, any agent or any other party has made to you, either verbally or in writing, regarding the Course or AIB or its related entities.

w. You consent to the TC or any other party providing us with all materials provided to you by the TC, agents or similar parties. You also consent to the TC or any other party providing us with any agreements you have made with the TC, agents or any similar parties.

x. You have read, understood and agree to the terms and conditions in this Student Application Form. y. You agree to release AIB to the full extent permitted by law from any action, suit, claim, demand or damage if AIB is required to change its

rules or fees in order to comply with any legislation or requirements of Government or any accrediting or regulatory body. z. While AIB qualifications are accredited in Australia within the AQF and recognised in many other countries, you:

(i) acknowledge that the accrediting authorities and regulators of some countries may have different criteria and requirements for equivalent courses and qualifications or accreditation of educational organisations to criteria and requirements applied in Australia or by AIB;

(ii) agree that it is your responsibility to determine whether or not AIB qualifications will meet the requirements of and be recognised by any accrediting authority or regulator of any country outside of Australia; and

(iii) release AIB to the full extent permitted by law from any action, suit, claim, demand or damage arising from or related to AIB qualifications not meeting the requirements of or non-recognition by any accrediting authority or regulator of any country outside of Australia.

aa. You agree that the laws in force in South Australia govern your agreement with AIB and the parties submit to the exclusive jurisdiction of the Courts of South Australia and the Federal Court of Australia (Adelaide Registry).

Dated the _______ day of _____________________, 20___.

Signature of Student: __________________________ Signature of Witness (Local Office Agent): _____________________

Print full name: ______________________________ Print full name: ____________________________________________

Name of Organisation: ______________________________________

Email address: ____________________________________________ Affix company

seal/stamp/chop:

FOR AIB OFFICE USE ONLY

Please indicate the applicant’s residency status: � Australian citizen � New Zealand citizen or a diplomatic or consular representative of New Zealand, a member of the staff of such a representative or the

spouse or dependent relative of such a representative, excluding those with Australian citizenship. (Note: includes any such persons who have Permanent Resident status)

� Students/Applicants with permanent humanitarian visa � Students/Applicants with Permanent visa other than Permanent humanitarian visa


� Student/Applicant has a temporary entry permit or is a diplomat or a dependent of a diplomat (except New Zealand) and resides in Australia during the unit of study

� Not one of the above categories and student/applicant is residing outside Australia during the unit of study/time of application

Please summarise applicant’s basis for admission to the course by choosing one option: � A higher education course (Australian or overseas equivalent; complete or incomplete) � Other basis (a combination with work experience, or work experience entry only)


(PLEASE COMPLETE THIS SECTION BY HAND)

CONSENT FORM

Full name of student: _

Address of student:

I, the abovenamed student, have applied to undertake a course for which the tutorials will be delivered by the Teaching Centre. The awarding institution is the Australian Institute of Business.

I authorise Teaching Centre and the Australian Institute of Business (or their authorised representatives) to make any inquiries they deem appropriate to any persons, institutions, colleges, Universities or the like to verify my previous work experience and/or qualifications.

I would be grateful if you, the recipient of this Consent Form, would promptly provide all the information and documentation that the Teaching Centre or the Australian Institute of Business (or their authorised representatives) request in order for them to verify my previous work experience and/or qualifications.

Signed:

(the abovenamed student) Dated:

Witness (signature): _

Full name:


COURSE INFORMATION Course content and duration Information on the Course and the subjects that comprise the Course is listed on the AIB Website. Students who have elective subjects, should check with their TC to ensure that, firstly their TC is offering these subjects and secondly that doing these subjects will allow them to graduate with their desired award within the desired timeframe. Also, students who have obtained exemptions should ensure that they are undertaking the correct subjects to allow them to graduate with the desired award within the desired timeframe. As stated in section 2.1(d) of the Student Handbook (SH), it is solely the student’s responsibility to ensure they undertake the correct subjects so that they will graduate with their desired award within the desired timeframe. If students require any further information, they should request further information from the TC. If you wish to complete the course within a certain timeframe (eg the MBA within 12 months) please ensure you obtain a customised timetable for the whole course from your TC before you start the course – the onus is on you. Students can take up to 3 years to complete the MBA Course, however a minimum number of subjects must be undertaken each year – refer to section 2.2(b) and (d) SH. The AIB MBA can be delivered on a monthly basis over as little as 12 months, but this is dependent on the TC’s timetable, subject availability and timing of public holidays. Also, students may have up to an extra 3 months to finish the final project. If students fail one or more exams, they may be entitled to re-sit or re-enrol, but certain conditions will apply. Failing subjects will increase the duration of their course - refer to the Student Handbook. Subjects and Courses are changed, added to, withdrawn or modified by AIB from time to time, so they may not always be available for students to undertake at a later date. Refer to section 1.2 SH for information regarding exemptions. Fees Information regarding the Course fees is listed in the Course Fees webpage on the Online Enrolment System (OES) (please note re-sit/re-examination fees also apply for medical or compassionate grounds). Students must review these fees before first enrolling, and thereafter review it from time to time. Please note, AIB may change its fees or introduce additional fees from time to time and these new/revised fees will apply to all students notwithstanding when they joined the Course. AIB does not provide any refunds for any fees paid. AIB has a fees in credit policy for any extra fees paid, or for certain withdrawn subjects, or fees paid after cut off dates etc – refer to section 2.5 SH for more information. All AIB fees must be paid directly to AIB via the Payment Methods spelt out in the AIB Website. Students will pay tuition fees directly to the TC, so students should clarify these fees with the TC before commencing the Course. This arrangement is directly between the students and the TC, regarding which AIB has no involvement or liability. The TC may have a separate refund policy with students (so students should clarify this with the TC before commencing any Course) but this does not require AIB to refund any amounts paid or caused to have been paid by any students. The fees paid do not include textbooks or any other costs. Other information • Extensions for assignments and projects (including project proposals, first draft and final copy) will normally not be granted except in

cases of severe illness or death in the family (for the avoidance of doubt, extensions for work reasons will not be granted). • Any personal queries can be addressed to students’ contact person at their Teaching Centre (or if not resolved then in the Feedback

to AIB page in the OES). The AIB Academic team will be monitoring students’ progress and TCs shall provide academic counselling should it become necessary. In the event any student has learning difficulties, AIB/TC may refer them to a learning specialist, at their cost.

• AIB has developed policies regarding access, equity, anti-discrimination and other issues. For further information, students should review the relevant policies on the AIB Website.

• If students have grievances about academic matters or non-academic matters, they should refer to the relevant policies on the AIB website.

Student to retain a copy

student application form attach 2 passport … · b. by completing and submitting this student...

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