Sydney/Regional NSW Student/Visitor Application

Sydney Student

Personal Details

DD/MM/YYYY
E.g. Gluten free, coeliac, lactose intolerant, vegetarian/vegan, religious/cultural exclusions (no pork/beef)
Illnesses e.g. asthma, diabetes, epilepsy, heart disease or other. Allergies e.g. foods/pets

Course Details

DD/MM/YYYY

Accomodation and Travel

dd/mm/yyyy
dd/mm/yyyy
DD/MM/YYYY

Parent Contact Details – all of this is compulsory

Emergency Contact Details Person in Australia

Emergency Contact Overseas

Accept Terms

Student requests are seriously considered but it may be not be possible to meet all requests. Additional requests cannot be considered after placement confirmation or additional charges apply.

Insurance: This is a policy we recommend for travellers not on student visas:
www.educare-world.com

Please read the following terms and conditions

Australia’s Anti-Discrimination and Privacy Laws
Australia’s Anti-Discrimination Law
http://www.lawlink.nsw.gov.au/adb
and Privacy Law http://www.privacy.gov.au

Aussie Families Tariffs, Terms and Conditions
Sydney Student Tariffs, Terms and Conditions

Sydney UNSW Student Tariffs, Terms and Conditions

Payment Options

 Click here for a print version

1. TELEGRAPHIC TRANSFER payable to AUZZIE FAMILIES Homestay Care Pty Ltd No2 A/C (Bank details upon application)

2. BANK DRAFT Payable to AUZZIE FAMILIES Homestay Care Pty Ltd No 2 A/C

3. TELEPHONE61 2 9301 0900 and quote your credit card details MasterCard / Bankcard / Visa

4. DIRECT CREDIT CARD CHARGE fill out the authority below and return it to our address (Note a 4.5% surcharge applies to all credit card transactions. Please add this amount to your total payment.)
CARD NUMBER……………………………………………………………………………………
TYPE OF CARD MasterCard………BANKCARD……..VISA……………….

SIGNATURE……………………………….

NAME ON CARD…………………………….
EXPIRY DATE…………………………….

AMOUNT $……………………………………

5. CHEQUE payable to AUZZIE FAMILIES Homestay Care Pty Ltd

Please print this page and fax to 61 2 9301 0999 or post to
AUZZIE FAMILIES Homestay Care Pty Ltd
PO Box 112 Rose Bay NSW 2029 Australia

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