Application Form - Deakin College Indonesia

Name (as per your passport) *

First

Middle

Last

Date of birth *

Gender *

Nationality *

Are you an Australian permanent resident? *

Yes
No

Email address *

Mobile phone number *

Current address *

Have you previously studied at Deakin College Australia? *

Yes
No

Please provide your student ID number *

Latest academic qualifications *

Current/previous school name *

City/country *

Year completed *

Language of instruction *

Do you have any qualifications after high school? *

Yes
No

Name of qualification (e.g. degree, diploma) *

Name of school/institution *

City/country *

Year completed *

Language of instruction *

Will you be applying for exemptions (recognition of prior learning)? *

Yes
No

If so, please provide copies of relevant academic transcripts, unit outlines, and a completed exemption application form (or email dcjkt-admissions@deakin.edu.au).

Deakin College intake period *

Deakin College course *

University-level (Diploma) course *

Deakin University course

Deakin University campus location

Do you have special needs that may affect your studies? *

Yes
No

If so, please attach relevant information so that Deakin College can arrange assistance if possible.

English proficiency (please tick and attach documentary evidence where applicable) *

English is my first language
English was the language of instruction during my high school studies and I gained a satisfactory pass in final-year English
I have taken an IELTS or TOEFL test (attach results)
I have obtained a satisfactory mark or score in another examination acceptable to Deakin College
I would like to take the free Deakin College English test

Are you under 18 years of age? *

Yes
No

Parent's/guardian name *

First

Last

Relationship to applicant *

Mobile phone number *

Email *

Are you using an education agent? *

Yes
No

Education agent name *

Education agent address *

Counsellor's name

Counsellor's email address

Counsellor's phone number/WhatsApp

How did you first learn about Deakin College? *

If so, is your friend/relative a Deakin College student? *

Yes
No

Please specify *

File upload

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload your documents such as Academic Qualifications, English Qualification, copy of Passport. If you have difficulties uploading documents, please send it to dcjkt-admissions@deakin.edu.au

Check that you have attached

Certified copies of your academic qualifications
Evidence of your English language proficiency (if required)
A copy of your passport

Declaration (please tick all) *

I declare the information I have supplied on this form is, to the best of my understanding and belief, completed and correct. I understand that giving false or incomplete information may lead to my application being refused or my enrolment cancelled
I have read and understood the relevant course information in the Deakin College and Deakin University brochure and/or on the Deakin College and Deakin University website and I have sufficient information about Deakin College and Deakin University to enroll. I understand that the pathway may lead to future studies at Deakin University, subject to Deakin University’s entry requirements
I understand that if I have applied through an approved Deakin College/Deakin University agent, all correspondence relating to my application will be forwarded to that agent
I understand that Deakin College and Deakin University fees may increase
I accept liability for payment of all fees as explained in the Deakin College and Deakin University publications, and I agree to abide by the Deakin College and Deakin University refund policy