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Domestic Student Application Form-Canberra Campus
Domestic Student Application Form-Canberra Campus
APPLICANT DETAILS
Have you previously studied at Wentworth Institute?
(Required)
No
Yes please fill WIN Student ID below)
WIN Student ID
(Required)
Title
(Required)
Mr
Mrs
Miss
Ms
Other
Other
Gender
(Required)
Male
Female
Non-binary/Other
Name
(Required)
Given Name(s)
Surname
Date of Birth
(Required)
DD slash MM slash YYYY
Nationality
(Required)
Email
(Required)
Phone Number
(Required)
Current Residential Address
(Required)
Street Address
Suburb
State
Postcode
IDENTIFICATION DETAILS
Are you an Australian Citizen?
(Required)
Yes
No (If you are not an Australian Citizen, please answer the following:)
Do you hold Permanent Residency?
(Required)
Yes (If yes, please provide a copy along with the following details:)
No
Visa Type
(Required)
Visa expiry Date
(Required)
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Do you have a USI (Unique Student Identifier) from the Australian Government?
(Required)
Yes (provide USI number below)
No
For more information visit www.usi.gov.au
USI Number
(Required)
PREFERRED COURSE COMMENCEMENT DATES
Year
(Required)
Intake Month
(Required)
March
July
November
COURSE SELECTION
Courses offered in Canberra Campus
(Required)
Diploma of Business
Bachelor of Business (Management)
Bachelor of Business (Human Resource Management)
Bachelor of Business (Information Systems)
Bachelor of Information Technology
Graduate Certificate in Business
Graduate Diploma in Business
Master of Business (Human Resource Management)
Master of Business (Information Systems)
Master of Business (Business Administration)
Master of Professional Accounting
Master of Information Technology
ADVANCED STANDING/CREDIT TRANSFER
Are you seeking to apply for Advanced Standing/ Credit transfer for previous studies?
(Required)
Yes
No
*Applicant must attach completed Application form of Advanced Standing and detailed syllabus or curriculum for Advanced Standing/ Credit to be assessed. This must include course content, assessment mode, contact hours, prescribes text, etc.
ENGLISH LANGUAGE PROFICIENCY
Is English your first language?
(Required)
Yes
No
If no, what is your first language?
PREVIOUS EDUCATION BACKGROUND AND QUALIFICATIONS
SECONDARY SCHOOL STUDIES
Final year completed
(Required)
Did you receive an ATAR?
(Required)
Yes
No
Name of school/ college
(Required)
State
(Required)
Date Completed
(Required)
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COMPLETED HIGHER EDUCATION UNIVERSITY / OTHER
Name of qualification
Name of Institution
State
Name of qualification
Name of Institution
State
Date Completed
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Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
1973
1972
1971
1970
1969
1968
1967
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1962
1961
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*Applicants must attach certified copies of all relevant academic certificates and transcripts. Certified copies must be stamped and signed by a JP or an approved WIN education agent, and the certifier’s stamp must include the certifier’s printed name, title/position, signature and date of notary.
WORK EXPERIENCE
List
Employer’s Name
Position
Duration
Add
Remove
*Applicants must attach certified copies of all relevant work references.
DISABILITY ASSISTANCE
Do you have a disability, impairment or long term medical condition which may affect your studies?
(Required)
Yes
No
please provide details
(Required)
APPLICATION CHECKLIST
To apply, submit following documentation to:
in
***********
@
*****
du.au
or in person: Level 1, 15 Moore Street Canberra ACT 2601 Australia
Untitled
(Required)
Completed, signed and dated Application Form
Passport or Birth Certificate
Original or Certified previous Academic documentation
Original or Other certified documents related to this application
STUDENT DECLARATION
(Required)
I agree to the following declarations
I declare the information I have supplied on this form is, to the best of my understanding and belief, complete and correct. I understand that giving false or incomplete information may lead to my application being refused or my enrolment cancelled. It is an offense to submit fraudulent documentation in support of my application. If fraudulent documentation is detected:
My application will be refused.
If an offer has been made it will be withdrawn.
Other relevant authorities (such as the NSW police) may also be notified.
I have read and understood the relevant course information on the WIN website (win.edu.au) and have sufficient information about the course to enrol.
I understand that student fees may increase, and I accept liability for all fees as explained on the WIN website. I agree to abide by the refund policy for domestic students on the WIN website.
I will notify WIN immediately if there is any change to the information I have provided in this application.
I have read and understood the conditions of enrolment available on the WIN website.
I understand that WIN may, by email, vary its conditions of enrolment to comply with any law or regulation, or amendment of any law or regulation, of the Commonwealth of Australia or the State of New South Wales.
I give permission for WIN to obtain official records from any education institution attended by me for the purpose of verifying the supporting documentation supplied in my application.
I understand that conditions concerning an offer of admission will be contained in my letter of offer from WIN, which I am required to read and sign.
PRIVACY STATEMENT
WIN is subject to the Privacy and Personal Information Act 1998 (NSW) and the Health Records and Information Privacy Act 2002 (NSW). WIN collects the information on the application form for the purpose of meeting its obligations under the Education Services for Overseas Students Act 2000, the Education Services for Overseas Students Regulations 2001, and the National Code of Practice for Registration Authorities and Providers of Education and Training for Students 2006 (National Code).
WIN also collects your personal information, and in some circumstances, information regarding your health, to assist in the assessment of your application and, if you are successful, offering you a course place and recording your assessment of that offer.
The other purposes of collection include corresponding with you for the purpose of administration matters, including any aspects of administration or enrolment, and complying with legislative requirements.
The information you provide in your application, any supporting documentation, and any letter of offer are recorded on our student information system and may be disclosed to the following organizations:
Department of Immigration and Border Protection
Department of Education, Employment and Workplace Relations
Agencies involved with the administration of the ESOS legislation
External education providers where disclosure is necessary to verify your previous educational qualifications that you provided with your application.
I authorize WIN to provide my personal information to the Australian Government's designated authorities, including my contact details and enrolment details.
Click to read the Refund and Re-Credit of FEE-HELP Policy and Procedure for Domestic Students
(Required)
I've read the refund and re-credit of fee-help policy
Click to read the
Refund and Re-Credit of FEE-HELP Policy and Procedure for Domestic Students
Find a Course
Study Area
Accounting
Business
Information Technology
Interactive Media
Study Level
Undergraduate Courses
Postgraduate Courses
Information
How to Apply
Course Guide
Current Students
Academic Calendars and Timetables
Timetables
Academic Calendars
FAQ on Census Date
Student Support
Student Services
Student Complaints and Appeals
More Information
Forms
Policy and Procedures
Safety and Wellbeing
Student Handbook
Future Students
How to Apply
Admission Criteria
Domestic Student
International Student
Course Fees
Domestic Student – Course Fees and Fee-Help
International Student – Course Fees
Other Fees and Charges
Recognition of Prior Learning (RPL)
Credit and Recognition of Prior Learning (RPL) Policy and Procedure
Undergraduate Courses
About Us
About WIN
Welcome from the Dean
WIN History
WIN Community
WIN Team
Board of Directors
Academic Board
Staff Profile
WIN Campus
Locations
WIN Campus
WIN Library
Agents
Information for Agents
Agent List
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