Most education institutions provide airport pick up and homestay services to their new commencing students. Where these services are not offered by the institutions or students/parents prefer A+J STUDENT CARE SERVICES to make this arrangement for them, additional fee(s) will be charged.

Important notes:
[1]. Please submit this form at least 2 weeks before your confirmed arrival date.
[2]. Inform us immediately (in writing) of any changes.
[3]. In case of emergency, please contact Jessy KAKERISSA at 0419 319 633 (International: +61 419 319 633) or Aretha KAKERISSA at 0402 164 319 (International: +61 402 164 319)

*(denotes required field)

1. STUDENT DETAILS:

TITLE:(Mr/Miss) *

FAMILY NAME: *

GIVEN NAME(S):

eMAIL ADDRESS: *

DATE OF BIRTH: *

Age: *

NATIONALITY: *

2. SCHOOL INFORMATION:

School/University you will attend: (please state which campus) *

Course to be studied: (ELICOS, DIPLOMA, BACHELOR) *

3. ARRIVAL DETAILS:

Date of Travel: *

Date of Arrival *

Time of Arrival: *

01 02 03 04 05 06 07 08 09 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM

Flight Number: *

4. OTHER INFORMATION:

Is transport required from airport to homestay?: *

Yes No

How long do you require homestay accommodation?
(min. 4 weeks unless by prior arrangement): *

Any food allergy or dietary requirement?: *

Do You Smoke?: *

Yes No

Pet: *

Yes No Outside Don't Mind

Children: *

Yes No Don't Mind

Overseas Students: *

Yes No Don't Mind

Any other comments:

5. Declaration:

I declare that the information given in this application is true and correct.

Yes *

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