MIV Online Student Application Form

Thank you for choosing Mercury Institute of Victoria.

Please complete this form carefully and provide accurate information to the best of your knowledge. Once your application has been submitted, it will be processed within 1–3 business days.

Mercury Institute of Victoria | CRICOS 03439M | RTO 41264 | ABN 56 502 487 324

Personal Details

Title

First Name *

Last Name *

Middle Name (If Applicable)

Date of Birth *

Gender *

Passport Details

Passport No. *

Type of Passport *

Nationality *

Place of Birth *

Date of Issue *

Date of Expiry *

Issuing Authority *

Contact Details

Are you currently in Australia? *

NoYes

Residential Address - Onshore *

Street Address *

City/Suburb *

State *

Postcode *

Australian Mobile Number *

Email Address - Onshore *

Residential Address - Overseas *

Street Address *

City *

State *

Postcode *

Country *

Mobile / Phone Number - Overseas *

Email Address - Overseas *

Enrolment Details

Please select the type of course enrolment you are applying for. *

Single CourseMultiple CoursesPackaged Courses (Commercial Cookery)

Course 1 *

Course 2 *

Course 3

Course 4

Packaged Courses Options - Commercial Cookery *

Certificate III in Commercial Cookery + Certificate IV in Kitchen Management (1.5 years)Certificate III in Commercial Cookery + Certificate IV in Kitchen Management + Diploma of Hospitality Management (2 years)Certificate III in Commercial Cookery + Certificate IV in Kitchen Management + Diploma of Hospitality Management + Advanced Diploma of Hospitality Management (2.5 years)

Intake Month / Year *If you are enrolling in more than one course with us, please select the intake month for your first course. Please note that intake dates are subject to availability.

Delivery Location *

Melbourne Campus - 117 Lonsdale StCanberra Campus - 15 Moore St

Unique Student Identifier (USI)

Do you have a USI (Unique Student Identifier) number? *

Yes, I have a USI number.No, I authorise Mercury Institute of Victoria (MIV) to apply for a USI on my behalf using the personal information provided in this application.

USI Number *

Have you attended any Victoria School since 2009 or had any training with a Vocational Education and training (VET) registered training organisation provider or an Adult and community education provider in Victoria since 2011? *

Yes – I have attended a Victorian school since 2009.Yes – I have attended a TAFE institute or a private vocational education and training (VET) provider since the beginning of 2011.No – I have not attended a Victorian school since 2009 or a vocational education and training (VET) provider since the beginning of 2011.

If yes, please list most recent Victorian School Attended:

If yes, please provide the name of the most recent Vocational Education and Training (VET) provider you attended:

Australian Visa and Residency

What is your current Australian residency status? *

What is your current visa subclass? *

Language and Cultural Diversity

Do you speak a language other than English at home?

NoYes

If more than one language, indicate the one that is spoken most often.

What language you speak at home? *

How well do you speak English? *

Very wellWellNot wellNot at all

Are you of Aboriginal or Torres Strait Islander origin? *

NoYes, AboriginalYes, Torres Strait IslanderYes, both Aboriginal and Torres Strait Islander

Disability

Schooling

In which year did you complete that school level?

In which country did you complete that school level?

Are you still enrolled in secondary school? *

YesNo

Previous Qualifications

Employment

Of the following categories, which best describes your current employment status? *

Study Reason

Emergency Details of Next of Kin

Contact Person Name *

Relationship *

Phone Number *

RPL / Credit Transfer

Are you seeking recognition of prior learning? *

NoYes

If you ticked “Yes”, you will need to contact MIV RPL assessor / coursecoordinator for RPL application and other details.

Are you seeking Credit Transfer? *

NoYes

If you ticked “yes”, you will need to provide certified copies of transcripts,course outlines and subject descriptions for each unit of competency.

Accommodation and Airport Pickup

Do you require accommodation? *

NoYes

Do you require airport pick up? *

NoYes

Others

Upload Documents

Passport *

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Previous Qualifications or Transcripts 1

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Previous Qualifications or Transcripts 2

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IMMI Grant Notification / VEVO Check

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Enrolment Declaration

I, agree that by signing this declaration:

I declare that the information I have provided to the best of my knowledge is trueand correct.

I consent to the collection, use and disclosure of my personal accordance with the Privacy Notice above.

Student Name: {{first name}} {{last name}}

Student Signature *

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Date *

Agent Name

Agent Email

Additional Agent Email

Remark

Mercury Institute of Victoria

ABN 56 502 487 324 | RTO 41264 | CRICOS 03439M

OnlineApp v1.0 August 2026