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Student Application Form - Step 1 of 5

Application for enrolment form

Please note: This application for enrolment is to be completed in English.

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Family Name

Given Name

Second Name

Preferred First Name

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Gender

Male
Female

Religion

Islam
Other

More information please

Date of Birth

Intended Start Date

In which year are you seeking to enrol this student

Kindergarden
1
2
3
4
5
6
7
8
9
10
11
12

Does the student have a brother or sister enrolled at the school?

Yes
No

Please provide more details

Aboriginality

Is the student of Aboriginal or Torres Straight Islander origin?

No
Aboriginal
Torres Straight Islander
Both Aboriginal & Torres Straight Islander

Languages other than English. spoken at home.

Does the student speak a language other than English at home?

Yes
No

What is the main language spoken at home?

List other languages spoken at home

Student Citizenship

Country of Birth

Australia
Other

Please specify

Student's residency status:

Australian Citizen
Permanent Resident
New Zealand Citizen
Norfolk Islander
Temporary Visa Holder
Resident Determination

Visa holder, please provide the following:

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Visa sub class

Visa Expiry Date

Country of Issue

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Visa Number

Passport Number

Student Schooling

Not previously school age

Yes
No

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Name of last school

Address of last school

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Date of attendance

From

To

Father/Carer 1

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Full name *

First

Last

Relationship to student

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

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Mobile

Work Number

Home Number

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Country of birth

Religion

Islam
Other

More information

Occupation

Have not been in paid work for the last 12 months
Machine operator, hospitality staff, labourer or related worker
Tradesperson, clerks and skilled office, sales and service
Other business manager, art/media/sports person and associate professional
Senior management in large business organisation, government administration and defense qualified professionals
Retired
Other

More information please

What is your highest level of schooling completed

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Never attended school

What is your highest qualification completed?

No Non-School Qualification
Certificate I ti Iv (including trade certificate)
Advanced diploma/diploma
Bachelor degree or higher

Do you speak a language other than English at home?

Yes
No

What is the main language spoken at home?

What other languages do you speak?

Would an interpreter be required?

Yes
No

Mother/Carer 2

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Full name *

First

Last

Relationship to student

Address (copy)

Address Line 1

Address Line 2

City

State

Zip Code

Email (copy) *

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Country of birth (copy)

Religion (copy)

Islam
Other

More information (copy)

Occupation (copy)

Have not been in paid work for the last 12 months
Machine operator, hospitality staff, labourer or related worker
Tradesperson, clerks and skilled office, sales and service
Other business manager, art/media/sports person and associate professional
Senior management in large business organisation, government administration and defense qualified professionals
Retired
Other

More information please (copy)

What is your highest level of schooling completed (copy)

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Never attended school

What is your highest qualification completed? (copy)

No Non-School Qualification
Certificate I ti Iv (including trade certificate)
Advanced diploma/diploma
Bachelor degree or higher

Family contact details

Titles to be used for correspondence: (eg Mr and Mrs A Black, Ms Green)

Student primary residential address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Postal address

As above

Correspondence address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country







Address

14 Lachlan St, Young NSW 2594

Phone

Email

reception@nmc.nsw.edu.au

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Telephone

Email *

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