Fill-up the form for the pre-assessment

Country *

Bangladesh
Philippines
Australia

Personal Details

Given Name *	Middle Name *	Family Name	Other Name

Email	Phone

Gender *

Male
Female
Indeterminate / Intersex / Unspecified

Country of Birth *	Nationality *

Street Address

Suburb	State	Post Code

Emergency Contact Name	Phone	Email

Emergency Contact Address

Relationship Status *

Single
Married

Family details

Partner’s Given Name	Partner’s Middle Name

Partner’s Family Name	Partner’s Other Name

Email	Phone

Sex Group

Sex Male Female Indeterminate / Intersex / Unspecified	Date of Birth

Country of Birth	Nationality	Street Address

Suburb	State	Post Code

Do you have any child(ren)?

Yes (complete the following table)
No

Children Details

	Given Name	Middle Name	Family Name	Date of Birth	Country of Birth	Nationality
1
1

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Is your family accompanying you?

Is your family accompanying you?	If “Yes”:
YesNo	Partner and Children Partner Only Children Only

Passport details

	Passport Holder Name	Passport Number	Place of Issue	Date of Issue	Expiry Date	Copy of Passport attached? png, jpg or pdf
1						File name: File size:
1						File name: File size:

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Visa details (Primary Applicant)

Did you ever hold any visa from any other country?

Yes (complete the table below)
No

	Country	Reason	Visa Title and Code/Subclass	Grant Date	Date of Expiry	Copy of visa attached?
1						File name: File size:
1						File name: File size:

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Did you breach any condition of the visa?	If “Yes” Condition Breached:
YesNo

Was any of the visa cancelled for any reason?	If “Yes” Reason:
YesNo

Did you apply for any visa for any other country?

Yes (complete the table below)
No

Copy of acknowledgement attached group

	Country	Application Date	Visa Title and Code/Subclass	Status of Application	Copy of acknowledgement attached
1				Awaiting Decision Withdrawn Refused	File name: File size:
1				Awaiting Decision Withdrawn Refused	File name: File size:

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If any of the application(s) were “Withdrawn” or “Refused”, state the reason

Visa details (Family Members)

Did you ever hold any visa from any other country?

Yes (complete the table below)
No

	Country	Reason	Visa Title and Code/Subclass	Grant Date	Date of Expiry	Copy of visa attached?
1						File name: File size:
1						File name: File size:

Add Row

Did your partner or child(s) breach any condition of the visa?	If “Yes” Condition Breached:
YesNo

Was any of the visa cancelled for any reason?	If “Yes” Reason:
YesNo

Did you apply for any visa for any other country?

Yes (complete the table below)
No

Copy of acknowledgement attached group

	Country	Application Date	Visa Title and Code/Subclass	Status of Application	Copy of acknowledgement attached
1				Awaiting Decision Withdrawn Refused	File name: File size:
1				Awaiting Decision Withdrawn Refused	File name: File size:

Add Row

If any of the application(s) were “Withdrawn” or “Refused”, state the reason

Education History

	Country *	Qualification Name *	Institution *	Campus *	Start Date *	Completion Date	Copy of transcript and certificate attached?
1							File name: File size:
1							File name: File size:

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Visa details (Siblings and Family)

	Country	Reason	Visa Title and Code/Subclass	Grant Date	Date of Expiry	Copy of visa attached?
1						File name: File size:
1						File name: File size:

Add Row

Did your parent or sibling breach any condition of the visa?	If “Yes” Condition Breached:
YesNo

Was any of the visa cancelled for any reason?	If “Yes” Reason:
YesNo

Did your parent(s) or sibling(s) apply for any visa for any other country?

Yes (complete the table below)
No

Copy of acknowledgement attached?

	Country	Application Date	Visa Title and Code/Subclass	Status of Application	Copy of acknowledgement attached?
1				Pending Withdrawn Refused	File name: File size:
1				Pending Withdrawn Refused	File name: File size:

Add Row

If any of the application(s) were “Withdrawn” or “Refused”, state the reason

Employment History

	Country *	Role *	Employer *	Employer’s Address *	Start Date *	End Date	Copy of reference letter attached?
1							File name: File size:
1							File name: File size:

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English Language Test Score

Country	Test Name	Test Date	Score	Copy of test result attached?
				File name: File size:

Financial Capacity

Do you have a sponsor to support you while studying in Australia?

Yes (complete the table below)
No

	Given Name	Family Name	Relationship	Sponsorship Amount	Type of Fund	Copy of evidence attached?
1					Bank Loan Savings	File name: File size:
1					Bank Loan Savings	File name: File size:

Add Row

Study Interest

What course are you interested to study in Australia? *

	Course Level *	Field *	Major / Specifications *	Institution *	Campus	Expected Start Date
1	Certificate I Certificate II Certificate III Diploma Advanced Diploma / Associate Degree Bachelor Degree / Graduate Certificate / Graduate Diploma Masters Degree Doctoral Degree
1	Certificate I Certificate II Certificate III Diploma Advanced Diploma / Associate Degree Bachelor Degree / Graduate Certificate / Graduate Diploma Masters Degree Doctoral Degree

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Character Declaration

Have you ever been removed, deported or excluded from any country (including Australia)?	If yes, please provide detail *
YesNo

Have you ever overstayed a visa in any country (including Australia)?	If yes, please provide detail *
YesNo

Have you ever been refused a visa for entry Australia or a country other than Australia?	If yes, please provide detail *
YesNo

Have you ever been convicted of a crime or offence?	If yes, please provide detail *
YesNo

Declaration

I declare that, I have understood the above-mentioned questions and all information I provided are true and authentic. I appoint 1-Career Pty Ltd t/a One Career as my education consultant and admission agent to process my application to the institute I have selected. I declare that the information and documents I provided to the agent for the purpose of application are all authentic and correct, also I declare that I will keep my agent updated about any changes timely. I authorise my agent One Career to verify the application documents including my onshore and offshore qualifications, English proficiency test result and other documentations. I am willing to be cooperative in providing any documents required by my agent for my application. I authorise One Career to provide my details to its partnered education providers and other affiliates, required to provide the services its offering. I acknowledge that any incorrect, misleading or fraudulent information or withholding of relevant information relating to my application at any stage will lead to refusal of my school application. I confirm that all relevant documents, including but not limited to, the application form, GTE form, acceptance form, payment form, financial declaration form and credit card authorisation, have been signed by myself or my parents if I am under 18.

Corporate Head Quarter

Dhaka Office

Philippines

Client Registration