Online Registration Centre

 

REGISTER FOR GV NOOSA

* required
part 1: personal details
     
School / location *
     
First or given name *
Last or family name *
Gender *
Date of birth *
Country of nationality *
Country of birth/origin *
Passport number
Visa * Student  Visitor Working Holiday Other
Have you previously studied at GV? * Yes  No
part 2: address & contact information
Email address *
Instant Messaging ID/Name  
Instant Messaging Service/Provider  
Home telephone number * (including country and area code)
Mobile/alternate telephone number   (including country and area code)
Fax number   (including country and area code)
Home address, line 1 *
Home address, line 2
Home address, line 3
City or Town *
State, Province  
Postal or Zip Code
Country of residence *
If you are already living in Australia, please enter your full Australian address  
Phone number in Australia, if known  
     
part 3: next of kin & emergency contact information
First or given name *
Last or family name *
Relationship (parent, friend, etc.)  
Email address *
Home telephone number * (including country and area code)
Mobile/alternate telephone number   (including country and area code)
Full address including country *
part 4: english program
English program *
Start date (preferred) *
Number of weeks  
ESL/English level *
Comments or questions about the English program  
part 5 (a): accommodation
Choice of accommodation *
Accommodation start date * (dd / mm / yyyy)
Number of weeks *
Do you smoke? * Yes   No
Do you have any allergies? * Yes   No
If yes please explain  
Do you take any medications? * Yes   No
If yes please explain  
Do you have any special dietary requirements? * Yes   No
If yes please explain  
Do you have any particular hobby? * Yes   No
If yes please explain  
Can you live with pets? * Yes   No
Can you live with young children? * Yes   No
part 5 (b): care and supervision
All students under 18 years of age must have an adult carer in Australia. More information about this is available on the Australian government immigration website.
Do you need us to arrange a carer? * Yes   No
If no, you MUST provide the details of your own Carer:
Carer's first name  
Carer's last name  
Carer's email address  
Carer's home phone number  
Carer's work or mobile phone  
Relationship with student (friend, family member, etc.)  
part 6: airport transfers

Arrivals

    
Do you need airport pickup? * Yes   No
If yes please indicate  
Flight number   Arrival date
Origin   Arrival time

Departures

    
Do you need airport drop-off? * Yes   No
If yes please indicate  
Flight number   Departure date
Destination   Departure time
part 7: payment & legal information

Payment

    
How will you pay? *

Conditions of Enrolment & Refund Policy
I have read and agree to be bound by the General Conditions of Enrolment and the Cancellation and Refund Policy:   Yes

Travel & Medical Insurance
I will purchase medical insurance prior to starting any GV program and to cover all medical expenses or reimbursements during the program:   Yes

Other Information
How did you hear about GV? *
Please detail/explain  
If you are registering through an authorized GV agent, please name this agency  
Add your comments or questions  
     

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