Auzzie Internships english course enrolment

Internship Application Form: Click here>>
English Course Enrolment Form: Click here>>

English Course Enrolment Form Page

Please complete the Internship Application form below or
download the pdf format English Course Enrolment Form then post or fax it to us.

AUZZIE INTERNSHIPS & STUDY
PO Box 112
Rose Bay NSW 2030 Australia
or
Fax:61 2 9301 0999

ONLINE ENGLISH COURSE ENROLMENT FORM
FAMILY NAME:	GIVEN NAMES:
ADDRESS IN HOME COUNTRY:
ADDRESS in sydney: (if known)
gender: male female	date of birth:
nationality:	native language:
phone :	mobile:
passport number:	WHAT TYPE OF VISA DO YOU HAVE:
english level: Beginner Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced	Ielts / toefl / TOEIC score: (if applicable)

highest qualification received:
name of institution:
country:	year completed:

Fax:	email:

agent's name:	agent's phone number:

course selection:
general english full time part time weeks
preparation for ielts & Academic study do you wish to book the IELTS exam? yes no
cambridge exam preparation fce cae cpe
TOEIC intensive TOEIC topup do you wish to book the TOEIC exam? yes no
conversation english weeks
business english weeks do you wish to book the business certificate exam yes no
private tuition weeks
start date

do you require homestay accomodation? yes no if yes, please complete homestay application form

emergency contact details
(in australia)	(overseas)
name: telephone: email: address:	name: telephone: email: address:

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AUZZIE INTERNSHIPS & STUDY,
Rear Suite 4, 793-795 New South Head Road, Rose Bay NSW 2029 Australia
PO Box 112 Rose Bay NSW 2030 Australia
Phone: 61 2 9301 0900 Fax: 61 2 9301 0999 Mobile: 0419 628 168 E-mail: