Applicant Checklist for SSVF Processing To be completed by the applicant’s official agent representative of Inforum Education Australia and must be submitted with the application form. Applicants applying directly to Inforum Education Australia are required to have this form completed by an Inforum Education Australia staff member. Complete all sections and ensure that supporting (certified) documents, where required are attached.Applicant DetailsName* First Last Date of Birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleNationality*----------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweDependant DetailsDo you have any accompanying dependant(s)?*YesNoIf Yes, please complete the following questions.Name First Last Date of Birth Date Format: DD slash MM slash YYYY Nationality----------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweRelationship to applicantApplicants Genuine Temporary Entrant (GTE) DeclarationI acknowledge that I am intending to study in Australia as a genuine temporary entrant. The program(s) I have selected to commence will assist with my future career plans upon completion. I intend to travel to Australia with the purpose of study and have the language, education and financial ability to successfully undertake my planned studies in Australia.*YesNoI acknowledge that neither I, nor any of the dependants listed above, have ever been refused a visa to Australia or any other country. I nor the dependants listed above have had a visa cancelled or been removed or deported from Australia or any other country. (If you have, please provide full documentation from the relevant authorities. If you have gained entry to a country post refusal, please provide evidence.)*YesNoI understand that my visa will be rejected or cancelled by the Australian Department of Home Affairs (hereinafter referred to as “DoHA”), if it is found that documents supporting my application are fraudulent.*YesNoI understand that if Inforum Education Australia finds any information provided in my application to be false or misleading, any offer of admission as well as my student visa may be cancelled.*YesNoI understand that my visa application will be rejected if I do not pass DoHA’s health and character checks.*YesNoI understand that my visa will be rejected if DoHA is not satisfied that I am a genuine student.*YesNoI understand that my visa may be cancelled by DoHA if I do not abide by the conditions of my visa. The conditions included that I must remain enrolled in a registered program, update my contact details and maintain satisfactory attendance and program progression for each study period.*YesNoI understand my work rights while studying on a student visa within Australia and acknowledge that earnings from part-time work can only be used to supplement my living costs and must not be the primary source of income to pay tuition fees.*YesNoFinancial DeclarationI understand it is my obligation to maintain sufficient funds to pay Overseas Student Health Cover (OSHC), all tuition fees, associated study costs and all living and travel expenses (transport, food, utilities, rent, etc.) for myself and any dependants for the duration of stay in Australia.*YesNoI understand if I am unable to cover mine or my dependant’s tuition fees and/or living expenses whilst in Australia, Inforum Education will not cover these costs on my behalf and may cancel my enrolment and eCoE which will change my student visa status.*YesNoI understand that I (and any applicable dependants) will have access to sufficient funds to return to my country of residence or citizenship at the end of my studies if applicable.*YesNoI understand that Inforum Education Australia holds the right to request further documents in regards to my access to sufficient funds to cover my tuition and living costs. This evidence may include the following: savings statements, term deposits and educational loans.*YesNoI understand that if Inforum Education Australia is not satisfied with the financial evidence provided, they reserve the right to cancel my Offer, eCoE and/or visa.*YesNoSupporting DocumentsCertified Copy of Passport*Evidence of Financial Capability*GTE Statement*Academic certificate* Drop files here or Employment Certificate Drop files here or Other Supporting Documents Drop files here or Agent DeclarationDeclaration* I declare that I have assessed the applicant as a Genuine Temporary Entrant (GTE) and a Genuine Student as defined by the Australian Government Department of Border Protection. This applicant is genuine in making this application and has every intention of completing all programs listed in the application. I have made every effort to verify the authenticity and validity of the documents which form part of this application.Agency NameCounsellor’s Full NameDate* Date Format: DD slash MM slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
