Admission to undergraduate study

for international student application form

Murdoch International
Murdoch University
South St, Murdoch 6150
WESTERN AUSTRALIA
Tel: (61-8) 9360 6770
Fax: (61-8) 9310 5090
Email: internat@murdoch.edu.au

1. Personal Details
Have you studied at Murdoch University before?   Yes   No Murdoch Student No...................................................................................................

Title.....................Family Name.........................................................................................................................................................................................................

Given Names.........................................................................................................................Date of Birth dd/mm/yy ............/............/............ Sex   M  F

Country of Birth.....................................................................................................................Passport Number..................................................................................

Nationality (as indicated on passport).................................................................................................................................................................................................

Notification Address (any Offer of Admission will be sent to this address) Kaplan Singapore....................................................................................................................

......................................................................................................................................................................................................................................................

Telephone number (............)...........................................Mobile / Cell Number (............)..........................................Facsimile (............)...............................................

Email address...................................................................................................................................................................................................................................

Home Country Address......................................................................................................................................................................................................................

......................................................................................................................................................................................................................................................

Telephone number (............)........................................... Mobile / Cell Number (............)......................................... Facsimile (............)..............................................

2. Course Preference
I am applying for admission in trimester   One (January)   Two (May)   Three (September) Year 20.........................

Which undergraduate degree course are you applying for?

First preference.................................................................................................................................................................................................................................

Second preference............................................................................................................................................................................................................................

Note: please indicate if you wish to apply for a double major or double degree course e.g. Bachelor of Commerce/Computer Science.
Please do not use this application for honours degree, contact Murdoch International for the application forms.

3. English Proficiency
Please tick the appropriate box to indicate any English test you have completed within the last two years:

  TOEFL   IELTS   A/O level English   Others . ......................................................................................................................................

A certified copy of all results must be attached. Copies of transcripts must be certified by the issuing authority or by a University representative.

Do you wish to enrol in an English language course?   Yes   No

4. Education – provide details of all secondary/polytechnic/tertiary studies undertaken.

Applications will only be assessed if accompanied by certified copies of academic transcripts for all courses undertaken to date.

Course/award Institution Country Year started Year completed

e.g. HSC, A levels e.g. Taylors College e.g. Australia e.g. 1992 e.g. 1995

Secondary School

Junior College or
Pre-university

Polytechnic or
Tertiary
CRICOS Provider Code:00125J

Postgraduate

Others

Are you currently studying   No   Yes If yes, provide details below:

Name of course/award......................................................................................................................................................................................................................

Institution .......................................................... Country .......................................................... Date results expected .........../........../.......

If studying matriculation in Perth, please provide your SEA number.......................................................................................................................................................

5. Advanced Standing
Are you seeking advanced standing for studies completed at tertiary level?   Yes   No
If you wish to apply for advanced standing, you must also attach detailed syllabi of subjects you have successfully completed.
Applications for advanced standing cannot be fully assessed without this information.

6. Work Experience
Please list details of any work experience you have. Also include national service details if appropriate:

Employer ..........................................................................................Period of Employment................... to....................... Position held................................................

Employer ..........................................................................................Period of Employment................... to....................... Position held................................................

7. Equity and Disability

If you have a disability which means that you may require additional help at Murdoch University it is very important that you provide the following information.
This information will be kept confidential and will not affect your admission to the University.

Type of Disability: Vision Hearing Mobility Impairment Learning Psychiatric Other

Please attach a brief statement about what your needs will be

8. Resident and Family Status

Have you or any members of your family applied for Australian permanent resident status?   Yes   No

If yes, state date of application .........../.........../........... and date you expect permanent residency to be granted .........../.........../...........

Undergraduate studies applicants who receive their Australian Permanent Resident status prior to 30th May or 30th November will be required to apply through the Tertiary
Institutions Service Centre (TISC).

Will you be accompanied by your spouse and/children during your studies in Australia?   Yes   No

If yes, how many will be accompanying you and what relationship are they to you?................................................................................................................................

......................................................................................................................................................................................................................................................

Do you hold a Temporary Resident Visa   Yes   No or Business Visa   Yes   No or student Visa   Yes   No

If yes a copy of your visa must be attached to the application.

Check List
You MUST attach certified copies of award certificates and full academic transcripts, including keys to the grading system used. All documents must be in English; if not,
please include certified English translations.

Have you:   Completed the Application Form for Undergraduate study

  Attached certified copies of all matriculation qualifications
  Attached certified copies of all tertiary qualifications (if applicable)
  Attached certified copies of your English test score

Personal Information
  Please tick if you do not wish to have your personal information forwarded to Murdoch’s preferred providers for
consideration, if your application is unsuccessful. Where successful, a packaged offer will be issued.

Declaration and Agreement

I declare that the information provided on this form is true and complete in every detail.
I authorise Murdoch University to obtain further information about me from educational and other institutions which I have attended.
I acknowledge that Murdoch University reserves the right at any stage to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect
or incomplete information. I am aware of the conditions relating to my application and admission, and agree to pay all fees for which I am liable.

Signature:................................................................................................ Date: .........../.........../...........

The details you provide to Murdoch on this form will be stored by us, and used to process your application and assist in the provision of services to you if your application is successful. It will not be
used for any other purposes, unless you provide consent, or it is otherwise in accordance with Australian privacy laws.

To learn more about how Murdoch protects your privacy, please visit: www.murdoch.edu.au/admin/policies/privacy.html
 Asia Pacific Management Institute
Kaplan City Campus
51 Cuppage Road #02-01
Singapore 229469
Tel: (65) 6733 1877 Fax: (65) 6225 3605
Email: info@apmi.edu.sg
Website: www.apmi.edu.sg
BRN: 198600044N

Please tick: Part-time Full-time

Bachelor of Commerce with double majors in Tourism & Hospitality and Marketing Management
Bachelor of Arts with double majors in Psychology and Marketing Management
Bachelor of Environmental Management
Bachelor of Science in Information Technology with double majors in Business Information Systems and
Computer Science
Bachelor of Science in Information Technology with double majors in Game Technology and Computer Science

1. Additional Information
How did you learn about the program? (Please tick)

Newspapers: ……………………………………….. Information Talk

Brochure Other: ………………………………………………….

Internet

From our student: Name ……………………………... Intake No…………… Program ……………………….

2. Declaration
I hereby declare that the information that I have provided on this form is true and factual. I also consent to the release of academic results for each course to
APMI Kaplan on the condition that no mark or grade information is provided.

I agree to meet all financial obligations to APMI Kaplan in full and by the due date provided to me and understand that I will not be allowed to enroll or graduate
if I fail to do so.

I will comply with all conditions, rules and regulations of the university (as stated in http://www.murdoch.edu.au) and its representative APMI Kaplan (as stated in
http://www.apmi.edu.sg and program brochure/handbook).

Name: …………………………………... Signature: ……………………... Date: ………../………./………...

NRIC: …………………………………….