Initial Application – Single Units

[[[["field30","equal_to","Other"]],[["show_fields","field28"]],"and"],[[["field28","equal_to","no"]],[["show_fields","field34,field31,field32,field35,field36,field37"]],"and"],[[["field38","equal_to","no"]],[["show_fields","field41,field39,field40"]],"and"],[[["field64","equal_to","married"]],[["show_fields","field65"]],"and"],[[["field72","equal_to","Yes"]],[["show_fields","field73"]],"and"],[[["field83","equal_to","Other"]],[["show_fields","field86"]],"and"],[[["field84","equal_to","Other"]],[["show_fields","field88"]],"and"],[[["field89","equal_to","yes"]],[["show_fields","field80"]],"and"]]
1 Personal details
2 Study Details
3 language & citizenship
4 Additional Details
Step 1: Personal Details
Title
Given Names
Surname
Preferred Name
Home Street Address
Suburb
State
Postcode
Mobile
Home
Work
Date of Birth
Name of Spouse
Church you Currently Attend
Step 2: Study Details
Student of the ACTAre you or have you been a student of the ACT?
ACT NumberPlease enter your ACT Number
Other Sponsoring CollegePlease enter the name of the college or tertiary institution you are currently studying with
Other CoursePlease enter the name of your course that is not listed above
Step 3: Language and Citizenship
CitizenshipPlease select your citizenship
Permanent ResidentAre you a Permanent Resident or hold another permanent visa?

Please enter your overseas address

Overseas Street
Overseas City
Overseas State
Overseas Postcode
Country
Is English Your First Language?Please select Yes or No
Primary LanguagePlease specify your primary language spoken at home
Step 4: Additional Details
DisabilityDo you consider yourself to have a permanent and significant disability?
Disability DetailsPlease provide details of your disability
0 /
Declaration
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