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CME Online Application Form

Please complete this form so that Macquarie University and, if necessary, the Sydney Institute of Business and Technology, can process your application for enrolment. Other users of the information provided by you might include the Department of Immigration and Citizenship and Medibank Private. Failure to provide this information may prevent us from processing your application.

Personal details
*Title: (eg. Mr, Mrs)	Mr Miss Mrs Ms Please select an item.
*Family name:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Given name:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Date of birth: (dd/mm/yyyy)	A value is required.dd/mm/yyyy
*Gender:	Male Female Please make a selection.
*Nationality:
Passport number:
What type of current Australian visa do you have? Please make a selection.	None Student Visitor Working Holiday
Visa expires: (dd/mm/yyyy)	dd/mm/yyyy
*Current address: (please do not enter your agent's address)	A value is required.Address required
Phone number:
Mobile number:
Fax number:
*Email address:	A value is required.Required
Are you are using an education agent or education institution to help you with your application?	Yes No Please make a selection.
Your agent company, or your institution's name: Agent's/institution's country: Contact person: Contact phone number:
Program registration
*Which program do you wish to enrol in?	General English Study Skills English Preparation (SSEPP) Direct Entry English (DEEP) Direct Entry English - Fast Track (DEFT) Business Preparation (BPP) Business Preparation for Finance (BPPF) Accounting Preparation (APP) English for Business and IT (EBIT) Translating and Interpreting Prep (TIPP) Academic English Academic Writing Introductory Academic Please select an item. Please note: Some programs have entry requirements.
*How many weeks would you like to study for?	5 weeks 7 weeks (DEFT only) 10 weeks 15 weeks 20 weeks 25 weeks 30 weeks 35 weeks 40 weeks 45 weeks 50 weeks Please select an item.   Other:
(dd/mm/yyyy)	*Start date: dd/mm/yyyyA value is required. Finish date:
What are your future study plans in Australia?	Macquaire University SIBT No plans
*Have you applied to Macquarie University or SIBT?	Yes    No Please make a selection.
Please fax (+61-2-98508129) or email (elp_admissions@nceltr.mq.edu.au) your offer letter from Macquarie University or SIBT to CME.
*Have you completed an IELTS or TOEFL test?	Yes No Please make a selection.

IELTS scores:	Listening Reading Writing Speaking Overall
Date of IELTS test: (dd/mm/yyyy)
IELTS TRF:
TOEFL score:
TWE or Essay Writing:
Date of TOEFL test: (dd/mm/yyyy)
Please fax (+61-2-98508129) or email (elp_admissions@nceltr.mq.edu.au) your IELTS or TOEFL results to CME.

How did you hear about CME?	Agent CME Website Other Website Advertisement Macquarie University Other
If other, please specify:
Payment details
Methods of payment will be outlined in the acceptance advice which will be sent to you by email.
Declaration
I have read and understood, and accept CME's Policies and Procedures. I understand that my details may be required by the Department of Immigration, Multicultural and Indigenous Affairs as stated in the National Code of Practice and the ESOS Act 2000. You must agree to the CME Policies and Procedures to continue. Please check this box if you agree to abide by CME's Policies and Procedures.