CRICOS Provider Number: 00233E
International Application Form
InstructIons Agent’s stamp
(Please read before completing the application)
• Please print in BLOCK LETTERS.
• DO nOT use this form if you are applying for a research higher degree
eg PhD and/or if you are a citizen of Australia or New Zealand or hold an
Australian permanent residence visa.
• Please submit your application to Brisbane or Gold Coast.
Campus Application Address Campus Application Address
Mt Gravatt (Brisbane) International Office, Griffith University Gold Coast International Office, Griffith University
nathan (Brisbane) Nathan campus, Qld 4111 Australia Logan Gold Coast campus, Qld 4222 Australia
South Bank (Brisbane) Phone: +61 (0)7 373 57200 Phone: +61 (0)7 555 28819
Fax +61 (0)7 373 55280 Fax +61 (0)7 555 28978
1 Have you applied to Griffith before?
Yes No If yes please quote your Griffith ID No.
2 Personal details (as shown on your passport)
Mr Mrs Ms Miss Other: Date of Birth: | | Male Female
DD/MM/YYYY
Family Given
Name:
Choy Names:
Tsz Long
Citizenship: Hong Kong Country of birth: Hong Kong
Address for correspondence:
Number and street: Flat 4, 37/F, Block G, Sunshine City
City: Ma On Shan State: Post/zip code:
Country: Hong Kong Phone:
Permanent address in home country (if different to above)
Number and street:
Griffith How to Apply - www.griffith.edu.au/international/how-to-apply
City: State: Post/zip code:
Country: Phone:
3 Preferred degree program
Please provide 3 preferred degree program options in the table below, listing them in order of preference.
For degree information, including semester of entry and campus locations, go to www.griffith.edu.au/programs-courses. If you are not eligible for any of your listed
degree preferences you will be considered for a pathway program to Griffith via Queensland Institute of Business and Technology (QIBT) www.qibt.qld.edu.au
Program code Degree program name Major Campus Semester Year
1 Bachelor of Physiotherapy (Hons) Sem 1 2022
2 Bachelor of Physiotherapy Sem 1 2022
3
4 Educational background/qualifications
Please provide certified/notorised copies of academic transcripts/records for all courses undertaken to date. Do not send original documents.
Degree/award Institution Country Start Date Finish Date
e.g. HSC, Bachelor, Master e.g. Griffith University e.g. Australia i.e. month/year i.e. month/year
Bachelor of Physiotherapy (Honours) The University of South Australia Australia Mar 2018 Present
Bachelor of Engineering (Honours)
Degree in Electrical Engineering
The Hong Kong Polytechnic University Hong Kong Sep 2014 Jul 2017
HKDSE Beacon College (Mong Kok) Hong Kong Sep 2015 Jul 2014
5 credit for previous study
Do you wish to be considered for credit exemption on the basis of your prior tertiary study? Yes no
Please refer to our credit website www.griffith.edu.au/admissions/credit-transfer-articulation
If your previous qualification is not listed, please supply detailed course outlines in English.
6 Work experience (Complete only if admission requirement)
Provide any additional details on a separate sheet. Please attach statements and/or documentary evidence from employers.
Start date Finish date Full or part-time Job description Employers name
Sponsorship Details
7 English proficiency
Please tick ONE of the following (and attach a copy of results): I have taken or plan to take: ISPLR test
IELTS (Academic) test TRF (Test Report Form number) Test taken on | |
DD/MM/YYYY
TOFEL (Code 9619) TOEFL (Registration number) Test taken on | |
DD/MM/YYYY
OR My High School/Tertiary studies were taught and assessed entirely in English No Yes If YES provide documentary evidence.
Disability Information
8 Griffith English Language Institute (GELI) (Complete this section to apply for English)
Course Start date Length of Study Campus Homestay Airport pickup
e.g. Uniprep,DEP, EAP, General English e.g. month/year e.g. 20 weeks e.g. Nathan, Mt Gravatt, Gold Coast Yes /No Yes /No
www.griffith.edu.au/griffith-english-language-institute
Work Experiences
9 Request for disability support Do you need disability support? Yes No
If you have a disability which may affect your learning (e.g. vision, hearing impairment, health, mobility) please provide official supporting documentation (in English)
about the nature of your disability and any impact it will have for your education in Australia. This information must be provided with your application.
For information on documentation required and services see www.griffith.edu.au/ua/aa/ss/equity/
10 Financial support
If applicable:
Sufficient funds are needed for tuition fees and living expenses. Please indicate the source of your financial support.
a. I am self-financed/have family support b. I will be sponsored/on a scholarship
Sponsor/scholarship name:
11 Payment of application fee
English Documents
a. Credit card Expiry Date (Month/ Year) American Express Credit card #
Visa Master Card Credit card #
Name Signature
Choy Tsz Long
b. Bank cheque/Draft: Total AUD$50 Payable to Griffith University International Office. Personal cheques not accepted.
Award Certificates
12 Declaration and signature
I DECLARE THAT: • I understand that Griffith University will provide me with information updates
• the information I have supplied on this form is correct and complete following this application to study;
• I permit Griffith University to check my visa status on the DIAC VEVO facility
• the official academic records provided are a true record of my results
and obtain details (address/phone/email) from a registered Griffith University
• the signature below is mine (the applicant completing this form). Agent, if I have applied through that agent and not supplied the information
on this form;
I AGREE AND UNDERSTAND THAT:
• I am fully responsible for payment by the due date of all tuition and Overseas
Transcripts
• It is my responsibility to provide all necessary documentary evidence of my Student Health Cover (OSHC) fees while studying at Griffith University and will
qualifications and studies. If the information supplied in this application
abide by the applicable fee policy: www62.gu.edu.au/policylibrary.nsf/
changes I must notify the University. If any information given is incorrect or
incomplete the University may vary or cancel any decision made, including • Living expenses in Australia may be higher than in my own country and I am
cancelling my enrolment; responsible for and can meet these costs. If I have school-aged children who
accompany me, I will be required to pay compulsory school fees. Neither
CHECKLIST: I have attached:
• The University has a privacy policy at www.griffith.edu.au/privacy-plan Griffith University nor the Australian Government is obliged or required to
which I have read. It enables the University to check and/or obtain official help me if I need financial assistance;
records and results from my previous institutions, including verification by • The information provided by me may be available to Commonwealth and
QualSearch (QTAC). It enables the release of my details to, or obtain details state agencies and the ESOS Assurance Fund Manager, pursuant to the
from third parties in the usual course of University business e.g. Australian obligations under the ESOS Act 2000 and the National Code.
Government departments (DIAC, DEEWR), Worldcare Assist (OSHC Provider);
Signature 04/11/2021
Date
(APPLICANT ONLY, not agent, not sponsor)
Applicants under 18 years Date
(Parent/legal guardian signature)
Parent/legal guardian name
