Domestic Enrolment Form Please complete the following application form.If you have any questions, do not hesitate to get in touch with our admissions team.Email: admissions@eei.wa.edu.au Enrolment domestic student Personal information Title * Mr Mrs Ms Miss Other Specify Bellow Name * Surname * Gender * Male Female Other Specify Bellow Identification & Unique Student Indentifier (USI) Do you have a USI? * YES NO Your USI No. If not please follow the link bellow. https://www.usi.gov.au/providers/create-usi-student Provide at least ONE form of ID Photo Identification (e.g. Driver’s License) (Admin Staff will need to sight your ID) * Upload Choose File Maximum file size: 516MB Student´s Contact Details * Unit number and street * City / Suburb * State/ Province * ZIP / Postal code * Country Email Adress * Enter Email Confirm Email * Confirm Email Mobile Phone * Next Of Kin * Name Relationship: * Email: Mobile No: * Emergency Contact: * Name Relationship: * Email: Mobile No: * Summary Are you of Aboriginal and/or Torres Strait Islander origin?* No Yes, Torres Strait Islander / Aboriginal Current Employment Status Please choose one of these * Please Choose From BellowFull-Time EmployeePart-Time EmployeeSelf-Employed (Not Employing Others)Employed – Unpaid Worker in Family BusinessUnemployed – Seeking Full-Time WorkNot Employed – Not Seeking Employment If you are human, leave this field blank. Next
