Didasko | Single Unit Application

Personal Details

Legal name in Full (as shown on your Passport)

Title *

First Name(s) *

Surname *

Preferred Name (Optional)

ACT Number (if known)

USI (Unique Student Identifier) *

Gender *

Date of Birth *

Church you Currently Attend *

Contact Details

Term Address (address while studying)

No. & Street *

Suburb *

State *

Postcode *

Country *

Email Address *

Mobile *

Phone Number (Optional)

Emergency Contact

Name *

Phone Number *

Relationship *

Permanent/Secondary Home Address

Are you a student studying or intending to study on an overseas student visa? *

Yes

Do you have a different secondary or permanent address? *

Yes

No. & Street *

Suburb *

State *

Postcode *

Country *

Email Address *

Mobile *

Phone Number (Optional)

Study Details

Please describe your reasons for wanting to study with us *

Please Select your current Home College *

Please Select a Course from the Following List (select "Unsure" if unsure) *

Please Enter a Short Course Description (Put 'Unsure' if unsure) *

Intended Payment Method *

FEE-HELP loan

Upfront fees

Disability

Do you have a disability, impairment or a long-term medical condition which may impact your learning experience? *

Yes

I'd rather not say

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Signature of Applicant: Please Sign in the box below *
NB: only the applicant may sign this form - no proxy signatures will be accepted

Declaration *

I have notified my sponsoring college of my intention to study units at Christ College.

Single Unit Application

Personal Details

Personal Details

Legal name in Full (as shown on your Passport)

Contact Details

Term Address (address while studying)

Emergency Contact

Permanent/Secondary Home Address

Overseas students MUST fill in their HOME country details

Study Details

Study Details

Additional Details

Disability

Sign Here