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Application Form

Please check one of the following:

First ApplicationChange of Course

Name and Contact Information

Student Number (if applicable)

Family Name

Given Name:

Preferred Name:

Correspondence Address:

Mobile:

E-mail:

Telephone

Country Code

Phone No

Applicant Address

E-mail:

Telephone

Country Code

Phone No

Date of Birth:

Sex:

MaleFemale

Country of Birth:

Nationality/Citizenship:

Proposed Program

Course Commencement Date:

Course:

Bachelor of Commerce - Course Code:

Bachelor of Computer Science - Course Code:

Bachelor of Design - Course Code:

Bachelor of Science (Biomedical Science) - Course Code:

Bachelor of Science (Cyber Security) - Course Code:

Bachelor of Science (Nursing Studies) - Course Code:

Bachelor of Commerce - Specialisation/1st Major

Bachelor of Commerce - Specialisation/2nd Major

Bachelor of Computer Science - Specialisation/1st Major

Bachelor of Computer Science - Specialisation/2nd Major

Bachelor of Design - Specialisation/1st Major

English Language Proficiency

What is the main language spoken in your home?

Please provide proof of competence in English Language. You must attach certified evidence to show that your English ability meets our requirements, e.g. IELTS or TOEFL; GCE O Level; Pearson Test of English (PTE).

Have you completed a degree or other tertiary qualification in English?

YesNo

English Language Certificate

Qualifications

Please attach copies of all academic records.

Please list all qualifications obtained starting from your final secondary year

Qualifications

Name of Institution

Name of Award

Course Duration

Years Attended From

Years Attended To

Completed

YesNo

Upload Documents

Declaration

I declare that the information provided by me in this application is true and correct. I acknowledge that Edith Cowan University reserves the right to make such enquiries as may be reasonably necessary to verify the information provided by me in this application including, with regard to my educational qualifications.I understand that providing false and misleading information to obtain admission and/or credit into a course is an offence.

I confirm

a. I have made my own enquiries as to the suitability of the course that I am seeking to be enrolled; and

b. That it is my sole responsibility to ensure that my enrolment is in accordance with the Admissions Enrolment and Academic Progress Rules of Edith Cowan University.

I acknowledge and agree that the information provided by me to Edith Cowan University may be provided to Commonwealth and State agencies when required by law.If I am admitted into a course with Edith Cowan University I agree to comply with the Statutes, By-laws, Rules and Regulations of Edith Cowan University.I acknowledge I have had the opportunity to peruse the Statutes, By-laws, Rules and Regulations of Edith Cowan University at www.ecu.edu.au/GPPS/governance_services/legislation.htmlI acknowledge that official communication by Edith Cowan University to me will be by electronic means unless alternative communication arrangements have been agreed by ECU.I agree to notify ECU of any changes to my residential addresses.

If you have concerns about any of the above items please contact ECU via email at info@ecu.edu.lk

Student Signature:

Date

ECU Online Application Form