COTUTELLE ADMISISON FORM /
PERSONAL DETAILS
You will need information from your passport (including your full name as it appears on your passport) to complete this section.
FAMILY NAME
GIVEN NAME
TITLE
GENDER
FULL NAME (AS IT APPEARS ON YOUR PASSPORT)
CITIZENSHIP
COUNTRY OF BIRTH
ADDRESS (HOME COUNTRY)
STREET / CITY
STATE / COUNTRY
POSTCODE
TELEPHONE NUMBER / MOBILE NUMBER
EMAIL ADDRESS
RESEARCH HIGHER DEGREE INFORMATION
In this section, please attach the following documents:
  1. A copy of your research proposal.

HAVE YOU INCLUDED A RESEARCH PROPOSAL WITH YOUR APPLICATION?
WHO IS YOUR PRINCIPALSUPERVISOR AT FLINDERS?
WHEN WILL YOU ARRIVE IN AUSTRALIA?
WHAT DATE WILL YOU COMMENCE YOUR STUDY AT FLINDERS?
WHAT DATE WILL YOU COMPLETE YOUR STUDY AT FLINDERS?
EDUCATIONAL BACKGROUND
In this section please attach the following documents:
1. Certified true copies of transcripts that show your completed courses (translated if necessary; and
2. Proof of your current enrolment in a PhD at your home institution.
COURSE TITLE / NAME OF INSTITUTION / LANGUAGE OF INSTRUCTION / START AND END DATE
(e.g, 2001-2005)
VISA DETAILS
In this section, please attach a copy of any visas that appear in your passport.
ARE YOU CURRENTLY IN AUSTRALIA?
IF YES, WHAT TYPE OF VISA DO YOU CURRENTLY HAVE? (e.g. student, visitor etc)
IF YES, AT WHICH INSTITUTION ARE YOU CURRENTLY STUDYING?
WHAT IS YOUR CURRENT VISA EXPIRY DATE?
WILL YOU BE APPLYING FOR A STUDENT VISA TO STUDY AT FLINDERS?
IF YES, PLEASE ANSWER THE FOLLWING:
  1. ARE YOU LODGING YOUR STUDENT VISA APPLICATION IN AUSTRALIA?
  2. IF YES, FROM WHICH STATE?

  1. ARE YOU LODGING YOU STUDENT VISA APPLICATION FROM OUTSIDE AUSTRALIA?
  2. IF YES, FROM WHICH COUNTRY?

ENGLISH LANGUAGE REQUIREMENTS
In this section, please attach any documentation showing your English Language test Results
IS ENGLISH YOUR FIRST LANGUAGE?
ARE YOU CURRENTLY WAITING FOR ENGLISH LANGUAGE RESULTS?
PLEASE COMPLETE THIS SECTION BY FILLING IN RELEVANT LANGUAGE TESTING RESULTS AND DATES
IELTS / OVERALL SCORE: SPEAKING: WRITING: READING: LISTENING: / TEST DATE / /
DD MM YY
TOEFL / OVERALL SCORE: TYPE OF TOEFL TEST: PBT iBT / TEST DATE / /
DD MM YY
TWE / OVERALL SCORE:
GCE ORDINARY LEVEL / YEAR
COMPLETED AUSTRALIAN YEAR 12 / YEAR
PREVIOUS TERTIARY STUDIES UNDERTAKEN IN AN ENGLISH SPEAKING COUNTRY
I WILL BE STUDYING AT AN APPROVED ENGLISH LANGUAGE PROVIDER (NOT ALL LANGUAGE PROVIDERS WILL BE ACCEPTED)
FOR MORE INFORMATION REGARDING APPROVED ENGLISH LANGUAGE PROVIDERS PLEASE SEE
DECLARATION
Before making this declaration, please refer to the University’s full set of policies at and the Refund Policy at
I AGREE:
  • To comply with the rules on admission and enrolment at Flinders University
  • To inform the International Office and Office of Graduate Research immediately if there is any change to the information I have given in this application
  • Should I subsequently decide to change agents I will notify my former agent and flinders university in writing of my decision
  • To allow Flinders University permission to check my Visa Entitlements via the Commonwealth Department of Immigration and Citizenship entitlement variations online

I UNDERSTAND THAT:
  • The University may obtain official records from any institution which I have previously been enrolled;
  • The University may vary or cancel any decision it makes if the information I have given is incorrect or incomplete;
  • The university need not re-enrol me if I do not complete my studies satisfactorily each year;
  • I am responsible for my living expenses whilst completing my Cotutelle at Flinders;
  • The University is unable to provide me with financial assistant is I experience financial difficulties during the course of my studies;
  • I have read and understood the conditions relating to International Students section of this Application Form;
  • I consent to the collection, storage and disclosure of information relating to record falsification or other irregular acts in accordance with the Australian Vice Chancellors’ Committee Procedures; and
  • I declare that the information given in this application is true and correct.

I agree with declaration statements above: / DATE
CHECKLIST
COMPLETED APPLICATION FORM, SIGNED AND DATED
A COPY OF YOUR RESEARCH PROPOSAL
ACADEMIC TRANSCRIPTS, INCLUDING GRADING SYSTEM (CERTIFIED TRUE COPIES)
TRANSLATIONS OF YOUR ACADEMIC QUALIFICATIONS (CERTIFIED TRUE COPIES)
ENGLISH LANGUAGE TEST RESULTS
A CERTIFIED PHOTOCOPY OF YOUR PASSPORT

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COTUTELLE ADMISISON FORM /

For further information please contact:

The Office of Graduate Research

Email:

Ph: (08) 8201 5893

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