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ECU Online Application Form
Application Form
Name and Contact Information
Student Number (if applicable)
Family Name
Given Name:
Preferred Name:
Correspondence Address:
Mobile:
E-mail:
Date of Birth:
Sex:
Male
Female
Country of Birth:
Please select...
Afghanistan
Aland Islands
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Algeria
American Samoa
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Angola
Anguilla
Antigua and Barbuda
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Romania
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Thailand
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USA
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Wallis & Futuna Isle
Western Sahara
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Nationality/Citizenship:
Please select...
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Isle
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Dem Rep of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Norway
Nth Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Moldova
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts & Nevis
Saint Lucia
Saint-Barthelemy
Saint-Martin(French)
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
St Pierre & Miquelon
St Vinc & Grenadine
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Isle
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
US Virgin Islands
USA
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Wallis & Futuna Isle
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Proposed Program
Preferred Commencement Trimester
Please select...
Trimester 01 – February
Trimester 02 – June
Trimester 03 – October
Preferred Program Type:
Please select...
University Foundation Program
Diploma Program
Undergraduate Program
Preferred Course
Please select...
University Foundation Program - Commerce
University Foundation Program: Communications & Creative Industries
University Foundation Program: Science (Computing & IT)
University Foundation Program: Science (Engineering Studies)
University Foundation Program: Science (Health Studies)
Preferred Course
Please select...
Diploma of Commerce
Diploma in Communications & Creative Industries
Diploma of Science (Computing & IT)
Diploma of Science (Engineering Studies)
Diploma of Health Science
Preferred Course
Please select...
Bachelor of Commerce
Bachelor of Computer Science
Bachelor of Science (Cyber Security)
Bachelor of Science (Bio Medical Science)
Bachelor of Design
Bachelor of Science (Nursing Studies)
Preferred Specialization
Please select...
International Business Major
Management Major
Preferred Specialization
Please select...
Software Engineering Major
Cyber Security Major
Preferred Specialization
Please select...
Games and Interactive Design
Preferred Location
Please select...
Colombo Campus
Kandy Campus
English Language Proficiency
You are required to provide proof of competence in English Language as per the Entry Requirements listed here English Language Entry Requirements
Qualifications
Name of Institution
Name of Award
Course Duration
Years Attended From
Years Attended To
Completed
Yes
No
Upload Documents
Other Information
Disability Declaration: Do you have a disability or any long term medical condition which may effect your studies?
Yes
No
If yes please indicate the area of impairment to enable the University to provide assistance:
Hearing
Learning
Mobility
Vision
Medical
Other
Other: please indicate
Do you permit ECU to provide information to your nominated sponsor/guardian or scholarship body?
Yes
No
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.html
I 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