Higher Education Enrolment Form 2019

All new and continuing domestic and international students have access to enrol online.
This form is primarily for Miscellaneous students.

SECTION 1 – STUDENT STATUS – All students must complete

• Ensure you nominate if you are a new student or a continuing student in this course.
h I am a new student in this course who has not previously studied at Charles Darwin University.
h I am a new student in this course who has previously studied at Charles Darwin University.
h I am a continuing student in this course.

SECTION 2 – PERSONAL DETAILS – All students must complete

• Provide your six-digit Student Number (new students will be issued with a Student Number as soon as this enrolment is processed).
• Ensure that you provide your Title, Surname, Given Name, Gender and Date of Birth (your Preferred Name and Former Surname are optional fields).
• EMAIL – your student email will be your six-digit student number with an “s” at the start (for example) [email protected].
• POSTAL ADDRESS – enter the address where you would like your correspondence sent and your preferred contact telephone number.
• HOME ADDRESS – enter your permanent Home Address. This address must not be a PO Box.
• EMERGENCY CONTACT DETAILS – enter the name of your emergency contact person, along with two telephone numbers on which they can be contacted.
• SEMESTER ADDRESS – Please provide an Australian street address if different from your Home Address. This address must not be a PO Box.

Student Number Are you a CDU staff member? h Yes h No

Title h Mr h Mrs h Ms h Miss h Dr Home Address – If different to your Postal Address

Surname Number & Street
Cannot be a PO Box
Given Names Suburb/Town

Preferred Name State & Post Code
Optional – NOT a Nickname

Gender h Female h Male h (Indeterminate/ Country
Intersex/Unspecified)

Date of Birth h Approx
dd/mm/yyyy

Email

Former Surname Are you an International Student? h Yes h No
If Applicable

Postal Address – All students must complete Emergency Contact – All students must complete
Number &
Street Contact Name
or PO Box
Contact Phone 1 ( )

Suburb/Town Contact Phone 2 ( )

State & Post Code Semester Address – If different to your Home Address

Country Number & Street
Cannot be a PO Box

Home Phone ( ) Suburb/Town

Work Phone ( ) State & Post Code

Mobile Phone Country

Office
of Student Administration and Equity Services Use Only Faculty/ALU Use Only
Date Received Date Processed Date Approved

Received By Processed By Approved By

Fee Category Student Status Pre-2010 2019 TRIM Number

STU
HEenrol2019 Updated November 2018 PAGE 1 of 4
 SECTION 3 – COURSE DETAILS – All students must complete
• Ensure that the Course and Location that you select are available. The University’s website has this information - www.cdu.edu.au/courses
CDU Course Code

Course Name

h Casuarina h Darwin Waterfront h Batchelor h Sydney

Location h Alice Springs h External h DPC Alice Springs h Melbourne

SECTION 4 – UNIT DETAILS – All students must complete

• You need to enrol for the whole year. This includes Semester 1 and/or 2 and any other Teaching Periods as listed on the table below.
• Ensure that the units you select are available in the Teaching Period, Location and Unit Mode you indicate on this form. The University’s website has
this information - www.cdu.edu.au/units
• International Students must enrol in a ‘full-time’ study load – this usually means 4 x 10 credit point units per semester.

Teaching Period Location Unit Mode

SS - Summer Semester SP1 - Study Period 1 CAS - Casuarina WFD - Darwin Waterfront I - Internal
S1 - Semester 1 SP2 - Study Period 2 ASP - Alice Springs DPC - Desert Peoples’ Centre E - External
S2 - Semester 2 SP3 - Study Period 3 BAT - Batchelor
S3 - Semester 3 SP4 - Study Period 4 For external units enter Ext as the location

Unit Code Period Location Mode Unit Name

Example: CUC100 S1 CAS I Academic Literacies
Unit Code Period Location Mode Unit Name

SECTION 5 – Australian Government Department of Education and Training

• If you are commencing as a Commonwealth supported student in 2019 then you must complete a Request for Commonwealth support and
HECS-HELP form. Please note that enrolments cannot be processed without the correct Department of Education and Training form.
• If you are continuing as a Commonwealth supported student in 2019 then you only need to complete a new form if you want to:
l change your payment option; or
l transfer to another course eg Bachelor of Arts to Bachelor of Science.
l Please note that enrolments cannot be processed without the correct Department of Education and Training form.
• If you are commencing as a fee-paying student (a non-Commonwealth supported student) in 2019 you only need to complete the Request for
FEE-HELP assistance form if you wish to access FEE-HELP.

h I am commencing as a Commonwealth supported student in 2019 and my completed Request for Commonwealth support
and HECS-HELP form is attached to this enrolment form.
h I am continuing as a Commonwealth supported student in 2019 and have either changed my payment option or
transferred to another course. My completed Request for Commonwealth support and HECS-HELP form is attached to this
enrolment form.
h I am commencing as a fee-paying student in 2019 and wish to access FEE-HELP. My completed Request for
FEE-HELP form is attached to this enrolment form.

SECTION 6 – ADDITIONAL INFORMATION

Your answers to the following questions will assist the University in providing you with appropriate educational and support services and advice.
Q1. Approximately how many hours of paid employment Q2. Approximately how many hours per week during semester
per week do you anticipate engaging in during semester? do you anticipate that you will be providing unpaid care, help or
assistance to family members or others?
h None (This includes childcare for children under 15 years of age, or
h 1 - 4 hours per week dependency related to age, disability or illness.)
h 5 - 10 hours per week
h None
h 11 - 19 hours per week
h 1 - 4 hours per week
h 20 - 35 hours per week
h 5 - 10 hours per week
h > 35 hours per week
h 11 - 19 hours per week
h 20 - 35 hours per week
h > 35 hours per week
HEenrol2019 Updated November 2018 PAGE 2 of 4
 SECTION 7 – STATISTICAL INFORMATION –All students must complete unless stated otherwise
The Australian Government Department of Education and Training requires this information to be collected for statistical purposes.

Q1. Are you of Australian Aboriginal or Torres Strait Q7. Do you speak a language other than English at your
Islander origin? permanent home residence?
h Neither Aboriginal nor Torres Strait Islander h No
h Yes, Aboriginal h Yes, language
h Yes, Torres Strait Islander
h Yes, Aboriginal and Torres Strait Islander Q8. Where was your permanent home residence during Year 12?
Suburb/Town:
Q2. What is your Citizenship and Residence Status this
year? Postcode
h Australian citizen (including Australian citizens with dual Q9. In what year did you leave Secondary School?
citizenship)
h New Zealand citizen or a diplomatic or consular
representative of New Zealand, a member of the staff Q10. What is your highest educational participation prior to
of such a representative or the spouse or dependent commencement?
relative of such a representative, excluding those with
Australian citizenship. (Note: includes any such persons h A complete Higher Education postgraduate level course
who have Permanent Resident status) h A complete Higher Education bachelor level course
h I have a permanent humanitarian visa h A complete Higher Education sub-degree level course
h I have a permanent residency visa other than a h An incomplete Higher Education course
permanent humanitarian visa h A complete final year of secondary education course at
h I have a temporary entry permit or am a diplomat or school or Registered Training Organisation
a dependent of a diplomat (except New Zealand) and h Other qualification, complete or incomplete
resides in Australia during this unit of study h No prior educational attainment
h Not one of the above categories and I am residing h A complete VET award course
outside Australia during my unit of study h An incomplete VET award course
Year of completion was
Q3. If you have Permanent Resident status, which statement
best describes your circumstance? Q11. What was the highest level of education completed by
h Permanent Residence status does not apply to me your parent/guardian #1 and your parent/guardian #2
h I am residing in Australia during the semester OR #1 #2
outside Australia as per the course requirement h h Post Graduate Qualifications (eg. Masters, PhD)
h I am residing outside Australia for the semester h h Bachelor Level Qualifications
h On enrolment day I met the residency requirements h h Other Post School Qualifications (eg. VET/TAFE
more than 12 months ago Certificate, Completed Apprenticeship, Associate
Degree or Diploma)
The University must have a certified copy of your current visa h h Completed Year 12 Schooling or equivalent
documentation. Please help us to process your enrolment h h Did not Complete Year 12 Schooling or equivalent
by providing a certified copy of your current visa as soon as h h Completed Year 10 schooling or equivalent
possible if you have not already done so. h h Did not complete Year 10 schooling or equivalent
h h Don’t Know
Q4. In what country is your permanent home residence? h h Not Applicable
h Australia, postcode
Q12. Do you consider yourself to have a disability,
OR impairment or long-term medical condition?
h Overseas, name of country h No
h Yes
If yes, then please indicate the areas of disability,
Q5. In what country is your residence during the year? impairment or long-term condition and indicate if you
h Australia, postcode would like to be contacted regarding advice on support
services, equipment and facilities that may assist you.
OR
h Acquired Brain Impairment h please contact me
h Overseas, name of country h Hearing/deaf h please contact me
h Intellectual h please contact me
h Learning h please contact me
Q6. In what country were you born? h Medical Condition h please contact me
h Australia h Mental Illness h please contact me
h Mobility h please contact me
OR h Physical h please contact me
h Overseas, name of country h Vision h please contact me
h Other h please contact me
Year of arrival in Australia

HEenrol2019 Updated November 2018 PAGE 3 of 4

 SECTION 8 – DECLARATION AND SIGNATURE – All students must complete
• Read the declaration, and if in agreement then sign and date the form
• Additional Documentary Evidence – must be provided if you:
l Changed your name (documentary proof is required – driver’s license, marriage certificate, passport or statutory declaration)
l Became a permanent resident (documentary proof is required – passport or permanent residency documentation – document must state the
month and year residency was granted)
l Became an Australian Citizen – (documentary proof is required)

1. I declare that I have read the instructions for completing my enrolment and that the information I have provided in
connection with this enrolment is true and complete.
2. I acknowledge that it is my responsibility to enrol correctly and understand that I must ONLY enrol in units that comply
with the requirements of my course. I have also read the recommended study plan for my course, which is found on the
web (http://www.cdu.edu.au/courses).
3. I agree to meet all enrolment deadlines and make payment of all fees arising from this enrolment by their due date.
I understand that I must accept the consequences of not meeting these due dates in accordance with instructions either
published by the University or sent to me in any correspondence from the University relating to my enrolment.
4. I authorise the University to transfer my enrolment to the newest course version at the next available enrolment period,
where a course has been replaced and when there is no credit disadvantage to me. I understand that the University will
advise me of this in writing prior to any course changes.
5. I authorise the University to transfer, use and disclose any information provided by me to the University, or any
information obtained in connection with this enrolment to all its member institutions, the Universities Australia member
institutions, the members of the Australasian Conference of Tertiary Admissions Centres (ACTAC), any other tertiary
educational institution, any registration/accreditation board (including the Australian Health Practitioner Regulation
Agency) or authority either in Australia or Overseas where the University reasonably considers it is necessary.
I authorise the University to collect, receive, store, transfer, use and disclose any information regarding me provided by
its member institutions, the Universities Australia member institutions, the members of the Australasian Conference
of Tertiary Admissions Centres (ACTAC), any other tertiary educational institution, any registration/accreditation board
(including the Australian Health Practitioner Regulation Agency) or authority either in Australia or Overseas where the
University reasonably considers it is necessary.
6. I acknowledge that the University is required to release personal information I have given to the Australian Government
Department of Education and Training and that Australian Government Department of Education and Training will collect
and store my personal information in the Higher Education Information Management System (HEIMS).
7. I understand that the giving of false or misleading information may lead to the cancellation of my enrolment.
8. I acknowledge that while I am enrolled I will comply with the rules, procedures, policies and by-laws of the University, as
amended from time to time.
9. I hereby grant permission for Charles Darwin University to verify any documentation which accompanies this application
with the issuing body.
10. I understand that I am required to keep the original copy of any documentation provided for a 6 month period following
the submission of this form, and that I may be required to produce this as a result of a Charles Darwin University random
audit process.

Signature of Student: Date:

SECTION 9 – WHERE TO SEND YOUR FORM

• Your Enrolment form and appropriate Australian Government Department of Education and Training form (if required) can be posted or hand delivered
to Student Central.
• If you have any questions regarding your enrolment then email [email protected] or contact Student Central on 1800 061 963.

Postal Address Hand deliver Hand deliver Hand deliver

Student Central Student Central Student Central Student Central
Charles Darwin University Orange 1 Casuarina Campus CDU Darwin Waterfront Alice Springs Campus
DARWIN NT 0909 Charles Darwin University Ground Floor, 21 Kitchener Drive Charles Darwin University
AUSTRALIA Ellengowan Drive DARWIN Grevillea Drive
DARWIN ALICE SPRINGS

HEenrol2019 Updated November 2018 PAGE 4 of 4 59742 Uniprint 11.18