GENUINE TEMPORARY ENTRANT (GTE) ASSESSMENT INTERNATIONAL ADMISSIONS

Evidentiary Level 2 - OFFSHORE LOCKED BAG 1797, PENRITH NSW 2751

apply@westernsydney.edu.au

Please answer all the questions, sign where required and submit the completed form and a Statement of Purpose
with your application to study at Western Sydney University

APPLICANT DETAILS
1. Given name(s)

2. Family name

3. What is your relationship status? (please attach evidence) Single Engaged Married/De Facto Divorced

4. If yes, will your spouse accompany you to Australia? No Yes

EMPLOYMENT DETAILS
1. What is your current employment status? Employed Self Employed Unemployed Student

2. Is there a gap in your work history? No Yes (if yes, please attach an explanation or documentary evidence
to explain the gap, e.g. the birth of a child, medical certificate etc.)

IMMIGRATION HISTORY
If there is evidence that you have provided, or caused to be provided, a bogus document or false or misleading information in relation to your student visa
application, you may be subjected to a provision which may preclude you from being granted another visa for a period of three (3) years

Do you have citizenship in more than one country? If YES, please provide evidence No Yes
Have you or your spouse previously applied for any type of visa to any country other than Australia?
No Yes
If YES, please provide copy of the visa grant letter, visa label, or a copy of the rejection decision record
Have you or your spouse had breached a condition of any visa for any country or have visa cancellation?
No Yes
If YES, please provide copy of the cancellation or non-compliance notice
Do you have any relatives (including a spouse, parents or children) currently living in Australia?
No Yes
If YES, please provide evidence and the city /town in which they live
Have you or any family members been removed or deported from any country? No Yes

FINANCIAL CAPACITY
How will you fund your studies in Australia?
SELF/FAMILY FUNDED

SCHOLARSHIP (Please provide one of the following):

1. A letter of support from Department of Foreign Affairs and Trade or Department of Defence if funded by
the Australian Government, or
2. A scholarship letter: the letter should state that the scholarship has been granted for the duration of the
program that the applicant has the letter of offer for and state what is to be covered by the scholarship.

Please note that you may be requested by DHA to provide the following as part of your student visa application:
1. Evidence of funds to cover travels, 12 months living, course fees and schooling costs for student and accompanying family
members (if applicable);
2. Evidence that you have genuine access to the funds while in Australia in addition to the above to finance the rest of your
stay in Australia.

In providing my personal information to the University, I understand that, other than as authorised by law, the University will only use this information for the purposes
for which it is being collected in accordance with the University’s functions and activities associated with my enrolment. In some instances, the University may need to
disclose information to any Government department which administers or has authority regarding education or immigration policy and law and any other Government
agencies (State, Territory or Federal, an affiliated entity of the University, or to third parties for the purposes of recovering unpaid University fees or other debts owed to
the University, and I consent to such disclosure. I also understand that all information will be collected, stored, accessed and disseminated or destroyed in accordance
with privacy, records management and other relevant laws, and the University’s policies.
Page 1 of 2 CRICOS Provider Code: 00917K 04/20
 APPLICANT DECLARATION
I DECLARE THAT:
• I have access to funds to cover the total tuition fees, living expenses, OSHC and other costs to study in Australia for me
and any accompanying family;
• I can provide evidence of all funds available to me to the Australian immigration authority and to Western Sydney
University if required
• I am not relying on part-time work to fund my study in Australia;
• All the information I have provided in this form is accurate and complete and is not false or misleading. I understand that
giving fraudulent, false, and misleading information is a serious offence under state and/or federal law in Australia.
• The signature on this form is my signature and has not been signed on my behalf by another person.
• I agree to advise Western Sydney University immediately if there is any change to the information I have provided.
• I understand that Western Sydney University has the right to vary or reverse any assessment made on the basis of
incorrect, incomplete, false or misleading information which I have provided.
• I grant the University permission to investigate the information I have provided in this document including forwarding
information to a third party for risk assessment.
• I have read the Student Visa Living Costs and Evidence of Funds section of the website of the Department of Immigration
and I confirm that I have sufficient funds to cover tuition fees, living costs and other expenses for myself and any
dependents for the duration of my stay in Australia.
• I am aware that I may not be able to transfer to another education provider easily once I arrive in Australia and that if I
change my education provider without being released my visa may be cancelled.
• I acknowledge that the information I provide to the University may be made available to Australian and State
Government agencies, pursuant to obligations under the ESOS Act 2000 and the National Code of Practice for
Registration Authorities and Providers of Education and Training to Overseas Students 2018.

"ˏ0$!ˏ,,(%*0ˏ%/ˏ1* !.ˏȆȎˏ5!./ˏ+"ˏ#!ȑˏ0$%/ˏ!(.0%+*ˏ)1/0ˏ!ˏ/%#*! ˏ5ˏ0$!ˏ,,(%*0Ȟ/ˏ,.!*0ˏ+.ˏ(!#(ˏ#1. %* Signature

of applicant

SIGN HERE Date D D / M M / Y Y Y Y

Name of applicant (please print)

FINANCIAL SPONSOR DECLARATION

I DECLARE THAT:
I am sponsoring my (relationship) known as (applicant’s names in full)
(applicant’s names in full) with full financial support during his/her stay

in Australia which includes the tuition fee of A$ (amount) per annum and living expenses of A$21,041 per annum.

Signature of sponsor
SIGN HERE Date D D / M M / Y Y Y Y

Name of sponsor (please print)

AGENT DECLARATION (if applicable)

BY SIGNING THIS FORM, I DECLARE THAT:
1. The aforementioned applicant has been screened and I believe meets the criteria of Genuine Temporary Entrant (GTE)
under the Australian Ministerial Direction 69;
2. The applicant has demonstrated that they have financial capacity to undertake the proposed study at Western Sydney
University;
3. The applicant has clear understanding of the academic, language and financial requirements of the course and studying
in Australia;
4. The applicant has researched and written a Statement of Purpose provided with this form;
5. I have verified the authenticity and validity of the documents provided with this application;
6. The assessment of financial capabilities and GTE will be provided as part of student visa application;
7. Student visa application outcome that results from this application will be recorded against the agency's KPI under the
contractual agreement with the University

Signature of agent
SIGN HERE Date D D / M M / Y Y Y Y

Name of agent (please print)

Page 2 of 2