Student Profile Summary

Phoenix Academy is required to ensure that all international students entering Australia to study a
packaged program with their partner Universities under Simplified Student Visa Framework (SSVF)
meet the Department of Immigration and Border Protection’s Genuine Temporary Entrant (GTE) and
Genuine Student (GS) requirements.

Additionally, Phoenix academy requires all applicants to make a declaration regarding family
background and financial viability, and in some instances, provide certified documentary evidence.

Student’s Name: ___________________________ Agent: ___________________________

1. What is your purpose in studying at Phoenix Academy?

Why have you chosen to study in Australia? Perth? Phoenix Academy?

Because my mother lives in Perth, then i can be with her and also study.

2. Have you ever been refused/held or currently hold a visa to travel to Australia or any other
country?

No Yes. If yes, please attach notification

3. Are you Married? No Yes - If yes, fill out the Spouse information below

Traveling with any dependants? No Yes – If yes, who? ___________________

Spouse
Name of Spouse Date of Marriage Highest Level of Education Occupation

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 Student Profile Summary

4. Summary of Immediate family members in home country (father, mother, siblings)

Please include: Details on their relationship to you / marital status / occupation / ect

Romulo Fuenzalida Cortes - Father-married

Nataly Fuenzalida Tafra- sister- married

They are living in Chile

5. Summary of Immediate / Extended family members in Australia (father, mother, siblings, aunt,
uncle, cousins etc)

Please include: Details on their relationship to you / marital status / visa type / length of stay in Australia /
city where they are living / what they have been doing in Australia

Catalina Tafra Maita-mother- married- housewife- 5 years in Perth

Eduardo Muñoz Muñoz -stepfather- married- he works in mining - 35 years in perth

6. In your own words, please indicate how you will be funding your costs while in Australia.

Please include description of savings / land ownership / business ownership / any other major assets.

My stepfather finance my expenses

7. Student Declaration
I confirm that:

 I understand my financial obligations while in Australia.

 I have access to genuine funds to be used solely for the purpose of my study in Australia.
 The information provided is true and correct.

24 October 2018
_______________________________ __________________________
Signature Date

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