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Access Language Centre, Sydney

72 Mary Street
Surry Hills, Sydney NSW
2010 Australia

Phone: +61 (2) 9281-6455
Fax: +61 (2) 9281-7455
Email: english@access.nsw.edu.au

Australian College of Business Pty. Ltd.
Trading as Access Language Centre Sydney

CRICOS Provider
No. 01738E
ABN 52 004 012 695

 

Access Language Centre, Sydney - Enrol Now

Print and fill out this form with all the relevant details.

1) Download the Enrolment Form.
Adobe PDF Reader required, download it here...

2) Print and fill out this form with all the relevant details.

3) Send it back to us by fax or email once completed.
Fax: +61 (02) 9281 7455 or Email: english@access.nsw.edu.au

4) We will then send you a Letter of Acceptance, Invoice and our bank account details.

5) When your payment is confirmed and if you are applying for a Student Visa, we will issue an Electronic Confirmation of Enrolment form (e-CoE).n

Dates & Fees

Please fill out the form.

1. Family name
2. Given name
3. Postal address in home country
4. FAX/ Telephone	- -
5. Address in Sydney (if known)
6. Nationality	Select Your Nationality Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Cocos Isles Colombia Comoros Congo Congo, The Democratic Rep Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Isles Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Isles Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Saint Vincent & Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Serbia Senegal Seychelles Sierra Leona Singapore Slovakia Slovenia Solomon Islands Somalia South Africa S Georgia & Sandwich Isles Spain Sri Lanka St. Helena St. Pierre & Miquelon Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States US Minor Outlying Isles Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Virgin Isles (British) Virgin Isles (U.S.) Wallis & Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Other
7. Visa type	Select Your Visa Type Tourist Visa Student Visa Working Holiday Visa Other
8. Date of Birth	/ Select Month January February March April May June July August September October November December / Select Year
9. Sex	Select Your Sex Male Female
10. Email
11. Your English level	Select Your English Level Beginner Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced
12. When would you like to start your course ?	; Select Start Date 27 May 2013 03 June 2013 10 June 2013 17 June 2013 24 June 2013 01 July 2013 08 July 2013 15 July 2013 22 July 2013 29 July 2013 05 August 2013 12 August 2013 19 August 2013 26 August 2013 02 September 2013 09 September 2013 16 September 2013 23 September 2013 30 September 2013 07 October 2013 14 October 2013 21 October 2013 28 October 2013 04 November 2013 11 November 2013 18 November 2013 25 November 2013 02 December 2013 09 December 2013 16 December 2013 23 December 2013 30 December 2013 06 January 2014 13 January 2014 20 January 2014 27 January 2014 03 February 2014 10 February 2014 17 February 2014 24 February 2014 03 March 2014 10 March 2014 17 March 2014 24 March 2014 31 March 2014 07 April 2014 14 April 2014 21 April 2014 28 April 2014 05 May 2014 12 May 2014 19 May 2014 26 May 2014 02 June 2014 09 June 2014 16 June 2014 23 June 2014 30 June 2014 07 July 2014 14 July 2014 21 July 2014 28 July 2014 04 August 2014 11 August 2014 18 August 2014 25 August 2014 01 September 2014 08 September 2014 15 September 2014 22 September 2014 29 September 2014 06 October 2014 13 October 2014 20 October 2014 27 October 2014 03 November 2014 10 November 2014 17 November 2014 24 November 2014 01 December 2014 08 December 2014 15 December 2014 22 December 2014 29 December 2014 05 January 2015 12 January 2015 19 January 2015 26 January 2015 02 February 2015 09 February 2015 16 February 2015 23 February 2015 02 March 2015 09 March 2015 16 March 2015 23 March 2015 30 March 2015 06 April 2015 13 April 2015 20 April 2015 27 April 2015 04 May 2015 11 May 2015 18 May 2015
General English How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) Academic English How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) Cambridge examinations FCE How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) CAE How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) IELTS Preparation How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) Business English How many weeks ? How many hours per week ? Select Your Course Type Super Intensive (25 hrs/week) Intensive (20 hrs/week) Work Expirience Programs DEMI PAIR   VOLUNTEER   WORK AND STUDY   INTERNSHIP How many weeks ? How many weeks ? From 4-6 weeks From 7-12 weeks From 13-24 weeks OCEANIA LINK How many weeks ? 14. Do you plan to attend a particular tertiary institution ? YES NO    15. Do you require a guardian with Access ? YES NO Contact name Date of Birth Contact details 16. Accommodation with Access ? YES NO Homestay Single room with meals Shared room bed & breakfast How many weeks ? Start date for accommodation ? / Select Month January February March April May June July August September October November December / Select Year 2008 2009 2010 Hostel Single room Shared room How many weeks ? Start date for accommodation ? / Select Month January February March April May June July August September October November December / Select Year 2008 2009 2010 17. Do you smoke ? YES NO Is it OK if other people smoke? YES NO 18. Are pets OK ? YES NO 19. Do you have any allergies or other health problems ? YES NO If "YES", please provide details 20. Are there any foods you do not eat ? 21. Any special requests ? 22. Do you require airport pick up ? YES NO   Select Your Pickup Type One way Return   Press [SEND] to submit this form or [RESET] to try again.

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COLLEGE HOUSE GROUP | Access Language Centre Sydney | Dominion English Schools | Sydney College of English

2010 (c) Access Language Centre Sydney
CRICOS Provider Code 01738E