Form

Enrolment Application Form

APP01

Personal Details Course Details

Family Name/Surname: VET has intakes in Jan, Feb, Apr, May, Jul, Aug, Sep & Nov. Please refer to CIBT website
for actual start dates

BSB30120 Certificate III in Business

Given Name:
(Duration: 52 Weeks CRICOS Course Code: 104835C)

BSB40520 Certificate IV in Leadership and Management

Date of Birth: (DD/MM/YYYY) (Duration: 52 Weeks CRICOS Course Code: 103954D)
/ /
BSB50420 Diploma of Leadership and Management
Nationality: (Duration: 65 Weeks CRICOS Course Code: 104182B)

BSB60420 Advanced Diploma of Leadership and Management

Passport Number: (Duration: 65 Weeks CRICOS Course Code: 104836B)

FNS40217 Certificate IV in Accounting and Bookkeeping

(Duration: 52 Weeks CRICOS Course Code: 097747K)
Sex: Male Female
FNS50217 Diploma of Accounting
Address: (Duration: 65 Weeks CRICOS Course Code: 097748J)

FNS60217 Advanced Diploma of Accounting

Suburb/Town: (Duration: 78 Weeks CRICOS Course Code: 097749G)
ICT50220 Diploma of Information Technology
(Duration: 65 Weeks CRICOS Course Code: 105210F)
State/Territory: Postcode:

ICT60220 Advanced Diploma of Information Technology

Email: (Duration: 52 Weeks CRICOS Course Code: 105211E)

BSB80120 Graduate Diploma of Management (Learning)

Mobile: (Duration: 52 Weeks CRICOS Course Code: 104837A)

BSB40820 Certificate IV in Marketing and Communication

(Duration: 52 Weeks CRICOS Course Code: 103531E)
Recognition of Prior Learning
Are you applying for RPL? BSB50620 Diploma of Marketing and Communication
(Duration: 78 Weeks CRICOS Course Code:103533C)
Yes No
BSB60520 Advanced Diploma of Marketing and Communication
If Yes you must fill RPL form
(Duration: 78 Weeks CRICOS Course Code:103532D)
If you have studied or are currently studying at another academic institution, you
may be eligible for credit/advanced standing. Please note: Applications for Credit
should be submitted at the time of application to the course.
VET Intakes
English Language Proficiency Jan Feb Apr May Jul
Please indicate which of the following tests you have taken and attach certified
documentary evidences of result
Aug Sep Nov Year
IELTS 5.5 (No band less than 5.0)
Campus Locations
General English- Upper Intermediate
NSW Campus (Sydney)
PTE 43 (No band less than 36) Sydney CBD Campus: Level 5, 303 Pitt St Sydney NSW 2000 & Level 11, 307 Pitt St Sydney NSW 2000
You will be informed about your class location during orientation.

TOEFL (Internet Based Test) 46 (No band less than 35) ACT Campus (Canberra)
Suite 1, level 4, 40 Cameron Avenue Belconnen ACT 2617
(Diploma of Leadership and Management, Advanced Diploma of Leadership and
Others (specify) Management, Graduate Diploma of Management (Learning), Diploma of Information
Technology, Advanced Diploma of Information Technology)

Enrolment Application Form v6.7 Page 1 of 4

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Enrolment Application Form
APP01

Additional Information for International Students Payment Details

Current visa type: Enrolment fee (non refundable) of $250

Course fee
Student Visa
Material fee ($50/term)
Tourist Visa

No Visa Yet (Offshore application) CIBT Bank Details

(Please mention Student Full Name as a reference for payment)
Other Visa
Account Name:
Embassy / Department of Home Affairs office where visa will be lodged Crown Institute of Business & Technology Trust Account
BSB: 032-099
Account Number: 432-853
Do you require CIBT to arrange OSHC for you: SWIFT Code: WPACAU2S
Yes No Bank Name: Westpac Banking Corporation

If yes, cover required for how long?

CIBT Bank Details (For Canberra Campus)
(Please mention Student Full Name as a reference for payment)
Do you require accommodation?
Yes No Account Name:
Crown Institute of Business and Technology Trust Account
If YES ,you must fill accommodation placement form
BSB: 032-099
Accommodation Placement fee $250
Account Number: 675-660
Do you require airport pickup? SWIFT Code: WPACAU2S
Yes No Bank Name: Westpac Banking Corporation

Please note Airport pick up fee is $165

Is the student married? Education Agent (if applicable)

Yes No Company Name of your Agent?
If yes, please state when:
Do they have any children?
Yes No Applicant’s Name
List the age(s):

Will the student's spouse join the student as a dependent? Signature

Yes No

Immigration History Date

Has the student applied for a student or any other visa to Australia / /
in the past?
Yes No

If yes, was it granted?

Yes No
If no, why not?

Enrolment Application Form v6.7 Page 2 of 4

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Enrolment Application Form
APP01

TERMS AND CONDITIONS OF ENROLMENT 8. Payment Bank:

Payments to CIBT should be made as follows:
1. Personal & Contact details: Account: Crown Institute of Business and Technology Pty Ltd Trust
A current address to which the notification of the result of an A/C
enrolment application can be sent should be provided with a Bank Name: Westpac Banking Corporation, North Sydney Branch
contact phone number and email address (if any). Student must Account Details: Branch No. 032-099 Account No: 432853
update their contact details (mobile number and email address) Reference: Use Student’s Full Name
with CIBT at least every six months or as soon as the details get
changed whichever comes first. 9. Cancellation & Refund policy:

2. Name change: All applications for refund of tuition fees and Overseas Student
Documentary evidence (legal declaration, marriage certificate, Health Cover (OSHC) fee must be made in writing and sent to the
etc.) must be provided if any official documents (such as a birth PEO of the College. Applications for refunds should include all
certificate) show a name which is different from the one that is relevant information to enable payment, such as bank name, bank
used on the application. account details, and address of bank and name of account holder.
Payment of refunds will be made in Australian dollars. CIBT will
3. Certified copies of original documents: accept no obligation for a refund until a payment is received into
Certified or attested copies of all official documents including the CIBT bank. All requests for refunds must be submitted in
transcripts and, academic certificates must be attached. The writing to the PEO of CIBT. Approved refunds will be paid to the
following people are eligible to certify copies: An authorised payee within 28 days of receipt of a written application and will
officer from the institution that originally issued the documents; include a statement explaining how the refund was calculated.
an Australian overseas diplomatic mission; an authorised CIBT Enrolment fee, material fee and accommodation placement fees
representative. Certified translations must be supplied if the are NOT refunded in all cases. Refund processing-administration
documents are not in English. fee of $200 applies to all refund applications. If the student visa is
rejected for an international student applying for enrolment from
4. English Language Proficiency: offshore, then all course fees will be refunded in full minus admin
Evidence of English language proficiency is required. Include an fee of $200. However, all documents together with an original
IELTS Test score or equivalent evidence of English language letter from the Australian Embassy or DHA office need to be
proficiency that is no more than 2 years old. If unable to provide provided to CIBT before the course commencement date. Where
an assessment of English language level with the application form, a student, after accepting an offer of a place, gives at least 28 days
students may be required to take an English Test before admission notice prior to his/her course commencement of their inability to
to CIBT. undertake the course, 70% of the course fees paid will be
refunded. Where a student after accepting an offer gives less than
5. Recognition of Prior Learning (RPL): 28 days notice prior to his/her course commencement of their
Students will be granted RPL against units listed under the course inability to undertake the course, 50% of the course fees paid will
they are enrolled in if they are able to provide sufficient evidence. be refunded. A student who withdraws from a course on or after
Students who have completed unit(s) at another recognised the scheduled commencement date will not be eligible for a
Australian institution or college may also apply for exemptions in refund of course fees. This agreement does not remove students’
unit(s). If the application is accepted, the student is granted an rights to take further action under Australian Consumer Protec-
exemption in that unit. This will reduce the duration (length) of tion Laws or other legal remedies. Students can appeal refund
study. decision through the CIBT’s complaints and appeals procedure.
The CIBT complaints and appeals procedure does not inhibit
6. Termination of studies/Transfer to another provider: your rights to pursue other legal remedies.
Application for termination of studies must be made in writing to
the compliance Manager two weeks prior to the completion As per section 47D of ESOS Act, refund for student default, CIBT
of the current term. Application will be processed if student is required to refund student in accordance with the written
have paid the current term fee. If a student has not maintained agreement within 4 weeks after receiving a written claim except
satisfactory attendance and /or curse progress up to the time of for visa refusal. However, if the visa refusal is due to false or
transfer or cancellation, the process of reporting the student misleading information about student identity, previous
to the DHA (Department of Home Affairs) will continue, even qualifications and experiences and other relevant information in
though the student is no longer officially enrolled with the CIBT support of student visa application in order to obtain migration,
as per standard 7 of the National code. there will be NO Refund.

7. Payment details: CIBT default: If CIBT is in default as set out in section 27(1) of the
The tuition fees and any other applicable fees that need to be paid ESOS Act 2000, CIBT will provide a refund to the student in
prior to enrolment and that apply throughout the course will be accordance with the ESOS Act and the regulations made under
outlined in the Letter of Offer which will be sent, if an application that Act. CIBT defaults if the course offered does not start on the
is successful, to the address supplied in the enrolment form. agreed starting day or the course stops being provided after the
start date and before it is completed (partial refunds applies) or

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 Form
Enrolment Application Form
APP01
TERMS AND CONDITIONS OF ENROLMENT 14. Access to student’s details:
Information provided by students is private and confidential.
the course is not provided fully to the student because CIBT has However, some information may be made available to Common-
had a sanction imposed partial refunds applies). If CIBT defaults wealth and State Government Agencies and the Fund Manager of
we pay a full refund if it is before commencement or partial the ESOS Assurance Fund, under the CIBT’s obligations under the
refund if it is after commencement to the student including ESOS Act and the National Code.
enrolment fee within 2 weeks after the default day.
15. Overseas Student Health (OSHC) Cover :
International students on a student visa must, as a condition of
Student default: A student defaults if the course offered by
their stay, prior to coming to Australia either be covered or have
CIBT started on the agreed starting day, but the student did not
paid for OSHC cover. For information regarding costs and the type
start the course on that day and has not previously withdrawn
of health cover, please visit the Medibank Private website at
from the course; or The student withdraws from the course either
https://www.medibank.com.au/overseas-health-insurance/oshc/
before or after the agreed starting day. If the student defaults,
Alternatively, the Institute can organise OSHC for students.
CIBT pays a refund to the student as follows: Default day
means the day on which the student withdraws from the
16. Student rights and responsibilities:
course. For student defaults cases, the student will be paid
Students must be aware of academic and attendance require-
any refund within four weeks after receiving a written
ments, code of behavior and other policies on discipline, access
claim. If a student has not commenced the course on the
and equity, occupational health and safety, privacy, welfare and
agreed starting day as entered on the confirmation of
guidance. Students can access, read and must comply with the
enrolment and CIBT will contact the student within 5 business
CIBT policies provided in the Student Handbook.
days and renegotiate the new starting date with the student and
no default notification is required. For other kinds of student
17. Declaration and signature:
defaults, such as non-payment of tuition fees, the 5 business
The application form must be signed and dated by the applicant in
days for notification do not start until the student has had the
person.
opportunity to access CIBT complaints and appeal and the
processes have been finalised confirming the default.
18. Indemnity declaration:
Once the default notification has been made CIBT is
By signing this declaration you agree that Crown Institute of
required to report the outcome of the default within 7 days of
Business and Technology, its teachers, employees, representatives
the end of the default obligation period, i.e. whether the
and agents shall not be liable for any damage to you (including
student accepted an offer of an alternative course or whether
death, bodily injury, disability, loss, damage to property) caused by
and what amount of refund was paid. The default
attendance at any premises owned/ leased, operated/ controlled
obligation period is 14 days for a provider default and 28
by Crown Institute of Business and Technology.
days for a student default.

10. Academic progress requirements: 19. Student Welfare and Support Services:
Admission, if granted, is subject to the continuous academic A range of services can be accessed by students through CIBT and
progress required of the student. Students need to perform well in applicants are encouraged to visit the CIBT website and/or obtain
a student Handbook prior to enrolment.
order to continue to be enrolled in the courses offered by the
Institute. Student visas issued by DHA require that students Visit www.cibt.nsw.edu.au for additional or to request a current
maintain satisfactory academic performance in each study period. Student Handbook
Student must pass at least 50% of the unit in each study period.
20. Student Declaration:
11. Attendance requirements: I declare that the information provided on the enrolment form is
There are strict attendance requirements for overseas students. current and accurate. I have read and understood and accepted
Student visas issued by DHA require holders to attend at least 20 the terms and conditions of enrolment and agree to be bound by
hours/week of classes and maintain a minimum of 80% attend- them.
ance at all times.
You must attach certified copy of main pages of current
passport, previous academic transcripts and a recent certificate
12. Assessment procedures:
of English proficiency along with this application.
Assessments are carried out for all the courses. The type of assess-
ments depends on the subject or course. Typically assessment can
include class activities, practical work, assignments, projects, case
Student Name:
studies, role playing exercises, presentation Candidates must
satisfactorily complete all the required assessments to the
required standard to gain a qualifica-tion.
Signature:
13. Student’s rights:
The terms and conditions of enrolment, as stated above, do not
remove the right of the student to take action under Australia’s Date:
consumer protection laws. Students may opt for third party
/ /
representation at any stages of dispute resolution.

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