iae.net.au - Registration

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User Name: Account Type:
Apply for a Computer Equipment Supplier Account: $75.00 / Quarter ($300 / Year)
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Private Question:
e.g.: What is your mother's maiden name?		 Answer to Question:
World Study
Student Type: National - Study in Country of Origin    International - Study Overseas
Have you previously studied overseas? Yes No
Referrer Email:
Contact Information
Salutation: First Name: Last Name:
Date of Birth: Click Here to Pick up a date Gender: M F Nationality
(as shown on passport):
Email*: Confirm Email:
(typo checking, don't copy-paste) 		Primary Phone:
Work Phone: Mobile Phone
(for sms updates): 		Fax:
Mailing Address:
Line 1: Line 2: City:
State/Province: Postal Code: Region/Country:
Street Address:
Check here   if same as the mailing address.
Line 1: Line 2: City:
State/Province: Postal Code: Country:
Additional Information
Average Semester Placements: Number of Offices:
Number of Employees: Referrer Type:
Registration Date: Click Here to Pick up a date Educator Type:
Study Preferences
Study Level Category of Study Country State
First
Preference:
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Second
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Third
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Fouth
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Preferred Study Commencement Date:
Preferred Length of Study: 1 to 10 weeks 10 to 50 weeks 1 to 5 years
Would you like to receive course updates? Yes No
Distance / Online Learning
Would you consider Distance or Online Learning? Yes No
Preferred Level of Accreditation No Accreditation Certificate of Participation
Accreditation, if yes please specify:
Certificate to Diploma Studies
Bachelor Degree
Post-Graduate Studies
Undergraduate & Graduate Profile Display for National & International Study and/or Work Sponsorship
Would you like to display your Academic & Professional Profile? Yes No
Visa / Finance / Insurance
Do you require specialised assistance with obtaining a Visa? Yes No
Do you require a study loan? Yes No Answer Later
Do you require travel insurance? Yes No
Do you require health insurance? Yes No
Do you require general insurance? Yes No
Academic Results & Professional Experience
Secondary School Results:
Course:
(eg. SSC, GCE, SAT)		 Year 10 Score: /100 Year 12 Score: /100
English Language Competency:
Certifications Score Year Completed
GCE 'O' Levels:
IELTS:
TOEFL:
Other:
Post Secondary Studies:
Year Enrolled Year Completed Institute Course Details
Relevant Employment History:
From (Yr) To (Yr) Employer Occupation details
Special Requests / Comments

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