20 Devira Street, Dandenong North, VIC 3175, Australia

Aus Asia +61 3 97957825 and +61 459 200 737

CONSULTANTS info@ausasiaconsultants.com.au
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Student Portfolio
Agent Name: …………….......................................... Intake: …………….......................................
Student Name: ……………....................................... Contact No: ……………...............................

E-mail ID: ……………………………………………... Date of Birth: …………………………….

Address: …………………………………………………………………………………………………….
University Preference
University Preference 1: ……………………………. Course Preference 1:………………………

University Preference 2: ……………………………... Course Preference 2:………………………...

English Requirement
IELTS PTE TOEFL OTHER :...................................................
Test Date:……………………Overall:…………..L:…………R:…………W:…………S:…………

Marital Status
Single Married Never Married Divorced Date of Marriage:…………
Education Background

Qualification Institution Month & Year of Completion GPA/Class

Work Experience

Name of Employer Start Date End Date Designation

Financial (Offshore students only)

Name of the Sponsor Relationship with Sponsor Mode of funds Amount

(Bank Loan/FD/Savings, etc.)

Declaration: I hereby declare that all above mentioned details are true and correct and I understand that I
am liable for any false declaration.
Student Signature:…………………………………. Date:…………………………….

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