Birali Enrolment Application Form
ID:0 | 12/10/2024 |
Recipient: Guest
Originator: Guest
* Mandatory fields | 
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1
General

          Please lodge this form for each child that you wish to enrol and pay the enrolment application fee of AUD$110.00 per child (non-refundable).

Payments can be made into the following NAB account:       Name: Birali Steiner     BSB: 084 004       Account No: 302 714 893

or online using VISA or Mastercard here: https://www.payway.com.au/MakePayment?BillerCode=236729 (use Surname as reference please).

Please Note: Applications are placed on the waiting list once all required supporting documentation and information is supplied and the Application Fee payment is received.
2
Recipient Details

Full Name of person completing this application: *

Email Address of person completing this application: *
3
Enrolment to Commence

Term:
Year:


Class/Grade: *


4
Particulars of Student





Family Name: *

Middle Name/s:

First Name: *

Preferred First Name: *

Preferred Surname: *

Date of Birth: *

Present Age:
Gender: *

Does your child identify as: *

Nationality: *

Country & Place of Birth: *

Date of Arrival in Australia:

Please bring the original or a certified copy of your child's birth certificate to the interview when booked. If the child was born overseas, please bring the original or a certified copy of their passport to the interview as well.
5
Student Visa Details (if applicable):

Type:

Name of people child will be living with:

Relationship to Child:

Phone:

Address:

Postcode:
6
Sibling Details

Name:
Year of Birth:

Child Care/Kindy/School:
Lives with Child:

Name:
Year of Birth:

Child Care/Kindy/School:
Lives with Child:

Name:
Year of Birth:

Child Care/Kindy/School:
Lives with Child:
7
Parent / Guardian 1 Details

Currently Living with Student: *

Surname: *

First Name: *

Address: *

Suburb: *

Country: *