Online Enrolment Application

Student
Agent
Family name: *
Other names: *
Date of Birth: *    dd/mm/yyyy
Nationality: *
Mother Tongue: *
Gender: * Male        Female
Address: *
Post code: *
Country: *
Telephone: *
Email: *
Repeat Email: *
Passport number: *
(type "N/A" if not available)
Which type of visa will you apply for:
Visitor Visa
Working Holiday Visa
Student Visa
Other

General English

Start Date How many weeks?
Intensive General English
General English + Business English
Semi Intensive General English
Premium English

Intensive Cambridge Exam Preparation

FCE 10 weeks
FCE 12 weeks
 
CAE 10 weeks
CAE 12 weeks

Accelerated Cambridge Exam Preparation

FCE 6 weeks starting on June 30

English for Academic Purposes

Start Date How many weeks?
Intensive EAP
Premium EAP

IELTS Preparation

Start Date How many weeks?
Intensive IELTS Preparation
Premium IELTS Preparation
 
WTC (Working Holiday Visa only)
Internship

Further studies in Australia

Are you planning further academic studies in Australia after you have finished your program at ELC?
Yes     No

Choose your accommodation

Do you want ELC to arrange accommodation for you? Yes     No

Airport transfer

Would you like us to meet you at the airport and take you to your accommodation?        Yes     No
 
The student will pay by direct deposit
  Account name: English Language Company
  Swift Code: NATAAU3302S
  BSB: 082 057
  Account number: 557 665 886
  Bank Name: National Australia Bank
  Bank Address: 225 George St, Sydney, 2000 Australia

The student will pay by International bank cheque payable to English Language Company

The student will pay by Credit Card

The student will pay through the agent