Gravity Form2 – Southern Cross Institute

Financial Declaration Form(International Student Only)

Southern Cross Institute (SCI) wish to target Genuine temporary entrants (GTE) students under Simplified Student Visa Framework (SSVF) which is designed to make the process of applying for a Student visa simpler to navigate for business.

As part of the student visa requirements, you are required to show evidence of sufficient funds in order to support themselves and any dependents while studying in Australia. Please complete the following form, with all relevant supporting documentation, before a Confirmation of Enrolment (CoE) is issued and your application to study is approved.

Personal details

Preferred Title

Family Name

Given Name

Date of Birth

Citizenship

Phone Number

Dependents

Only complete this section if you will be coming to Australia with dependents (i.e., wife, husband, children). If you are not bringing any dependents, please move to section 3. Details of dependents joining you in Australia:

Family member / Name

Family member / Name 1

Relationship

Date of birth

Passport

Details of funding source

Who will be paying your fees and living expenses while you are studying in Australia at SCI? Please complete the declaration for each funding source as relevant in sections A - D of this form.

Note: you may need to complete more than one section if you will be funding your studies by a combination of sources.

Private sponsor (i.e. family member)

Bank loan

Self-funded

Corporate or Government scholarship

Section A - Private sponsor (i.e., family member)

Sponsor details

Family Name

First name

Date

Citizenship

Relationship to applicant

Passport number

Occupation

Employee

Business

Self Employed

If Employee information

Name of employer

Position Held

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employee Website

Employee Phone Number

Supervisor / Manager Name

Supervisor / Manage Phone No

If Business/Self-employed information

Business name

Position held

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Name of referee in Accounts or Finance section

Referee phone number

Referee email

Bank Loan

Bank Name

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Bank Manager

Phone number of bank manager

Total amount of loan

Date of disbursal of loan into your bank account

Payments

Is this the full amount? Yes / No (If you answered No, complete additional payment dates below)

Payment 1 Date

Amount

Payment 2 Date

Amount

Payment 3 Date

Amount

Payment 4 Date

Amount

Self-funded

To be eligible for this category (even for partial self-funding) you must have been in paid employment for a minimum of two years full-time and/or a business owner. Please provide relevant supporting evidence which may include a copy of bank statement or evidence of a fixed-term deposit. If your fixed term deposit is less than 3 months, please provide a source of fund. Complete all relevant sections that apply to you.

Full-time employment

Complete this section if you have been in paid full-time employment. If you have additional employers, show the details required below on your curriculum vitae (CV) / resume which must be attached.

Employee Name

Position Held

Length of employment

Employee Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employee Website

Supervisor / Manager Name

Supervisor / Manager phone

Supervisor / manager email

Current annual salary

Business Owner

Complete this section if you are the owner of a small or family business.

Business Name

Position Held

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Phone number

Name of referee in Accounts or Finance section

Referee phone number

Referee email

Corporate or Government scholarship

To be eligible for this category, the organisation must be approved as a sponsor by SCI and agree to pay fees directly to the Institute.

Name of sponsoring organisation

Name

Position

Phone number

Email address

Consent

I declare that the information provided in this application form is true and correct, and the academic records provided are a true record of me and my sponsors financial records. I understand giving false or misleading information is a serious offence under state and/or federal law in Australia

I authorise the Southern Cross Institute (‘SCI’) to obtain enrolment and academic information from any of my previous or current education providers.

I declare that the signature on this form is my signature and has not been signed on my behalf by another person, including my agent or sponsor. I agree to inform the institute immediately if there are any changes to the information that I have given in this application, or any change or likely change to my ability to remain financially bona fide.

I declare that I have accessed information regarding the costs related to studying at SCI available on the SCI (https://sci.edu.au/) and that I have accessed information regarding the costs associated with living in Australia for me and any dependents accompanying me, published by the Australian Government at www.studyinaustralia.gov.au/en/study-costs.

I consent to information collected about me on this form being disclosed if authorised or required by law and/or the Australian Government and/or designated authorities authorised by the SCI.

I understand that the SCI may vary or reverse any decision regarding admission or enrolment based on incorrect, incomplete or fraudulent information provided by me. I understand that all documents I submit with my application become the property of SCI and will not be returned

The information may be made available to Commonwealth and State agencies and the ESOS Assurance Fund Manager pursuant to obligations under the Education Services for Overseas Students Act 2000 and the National Code or other legislative requirements. Personal information will not be disclosed to third parties other than a SCI approved agent, partner or any organization who provides sponsorship to you for your studies without your consent unless required by law

I will notify SCI immediately if there is any change to the information I have given in this application.

Financial Declaration Form(International Student Only)

Personal details

Dependents

Details of funding source

Section A - Private sponsor (i.e., family member)

If Employee information

If Business/Self-employed information

Bank Loan

Payments

Self-funded

Full-time employment

Business Owner

Corporate or Government scholarship

International Breast Cancer Awareness Day

&