Online Application Form

MEGA Online Application Form

(* Required)

PERSONAL DETAILS:

First Name:	*
Last Name:	*
D.O.B.:	*(dd-mm-yyyy)
Gender:	Male
	Female
Are you an Australian Citizen/Permanent Resident:
	Yes
	No
Nationality:	*
Passport Number:	*
	If you are an Australian Citizen/Permanent Resident Please enter any ID card number.(e.g. Driver's Licence number)
Applying VISA:	From Home Country
	In Australia
VISA Type:

CONTACT DETAILS:

Street:
Suburb/Town/City:
State/Province:
Post Code:
Country:
Home/Office No.
Mobile No.
Email Address:	*
	An email will be sent to the email address above to confirm your application.

COURSE(S) OPTIONS:

Macquarie English	Courses:
	Start Date:	(dd-mm-yyyy)
		Start every Monday, please check calendar for details.
	Prefer Weeks:	At least 4 weeks
Macquarie Institute	Courses:
	Start Date:
Macquarie Grammar School	Courses:
	Start Date:

OTHER INFORMATION:

	OSHC
	Guardianship		Under 18 years only.
	Airport Pickup
	Homestay/Accommodation

SPECIAL ENQUIRES:

How did you hear about MEGA:	Friend or Family
	Agent
	Internet
	Newspaper/Magazine

I/we declare that all information provided with this application form is correct
and complete and that I/we have read and understood and agree to be bound by the
Terms and Conditions on this form and agree to be bound by them. These terms and
conditions together with any offer letter sent by MEGA in response to the application will,
constitute a written agreement between the parents (student if over 18 years) and
MEGA for the purpose of the ESOS Act 2000 and the National Code of Practice 2007.