Application 3

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Department of Home Affairs Record of

Application for a Student Visa Responses
Terms and Conditions

View Terms and Conditions View Privacy statement
I have read and agree to the terms and conditions
Yes
Application context
Current location
Give details of the applicant's current location.
Current location: AUSTRALIA
Application type
Is this the first time the applicant is applying for a student visa?
Yes
Confirmation of enrolment
Does the applicant hold a Confirmation of Enrolment (CoE) for any intended course of study in
Australia?
Yes
Confirmation of enrolment details

CoE code: F347B647
Is this course a continuation of the applicant's studies or training outside Australia?
Yes
CoE code: F347AC87
Yes
CoE code: F3470D96
Yes
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Application for a Student Visa

CoE code: F343DD32
Yes
Other evidence of intended study
Does the applicant hold evidence of their intended study in Australia other than a CoE?
No
Note: Do not add a Letter of offer for a course that has already been included in the Confirmation of
enrolment section above. Adding a CoE and a Letter of offer for the same course is unnecessary and
may lead to delays in processing the application.
Education sector
Select the education sector of the applicant's principal course.
Education sector: Vocational Education and Training Sector
Closure of education provider
Is the applicant applying for this visa due to the closure of their Australian education provider?
No
Commonwealth funded student
Is the applicant receiving partial or full funding under a training scheme approved by the
Commonwealth government of Australia?
No
Primary applicant
Information: Entering names incorrectly may result in denial of permission to board an aircraft to
Australia, or result in delays in border processing on arrival to Australia, even if the applicant has
been granted a visa.
Passport details
Enter the following details as they appear in the applicant's personal passport.
Family name: Mendioroz
Given names: Tomas
Sex: Male
Date of birth: 16 Apr 1991
Passport number: AAG540058
Country of passport: ARGENTINA - ARG
Nationality of passport holder: ARGENTINA - ARG
Date of issue: 27 Dec 2020
Date of expiry: 27 Dec 2030
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Place of issue / issuing RENAPER

authority:
It is strongly recommended that the passport be valid for at least six months.
National identity card
Does this applicant have a national identity card?

Yes
National identity card

Enter details exactly as shown on the national identity card.
Given names: Tomas
Identification number: 35478573
Country of issue: ARGENTINA
Note: If the National identity card does not have a Date of issue or a Date of expiry, do not enter a
date. Leave the field/s blank.
Date of issue: 23 Jun 2022
Date of expiry: 23 Jun 2037
Place of birth
Town / City: Salta

State / Province: Salta
Country of birth: ARGENTINA
Relationship status
Relationship status: Never Married

Other names / spellings
Is this applicant currently, or have they ever been known by any other names?
No
Citizenship
Is this applicant a citizen of the selected country of passport (ARGENTINA)?

Yes
Is this applicant a citizen of any other country?
No
Other passports
Does this applicant have other current passports?

No
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Other identity documents
Does this applicant have other identity documents?

No
Health examination
Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
No
Critical data confirmation
All information provided is important to the processing of this application.
If the information included on this page is incorrect, it may lead to denial of permission to board an
aircraft to Australia, even if a visa has been granted.
Confirm that the following information is correct and that it is in the correct fields.

Given names: Tomas
Sex: Male
Date of birth: 16 Apr 1991
Country of birth: ARGENTINA
Passport number: AAG540058
Country of passport: ARGENTINA - ARG
Is the above information Yes

correct?
Accompanying members of the family unit
Are there any accompanying members of the family unit included in this application?
No
Contact details
Country of residence
Usual country of residence: ARGENTINA

Department office
The applicant may be required to attend an Australian Government Office for an interview. Which is
the closest office to the applicant’s current location?
Office: Australia, Perth Regional Office

Residential address
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Note that a street address is required. A post office address cannot be accepted as a residential
address.
Country: ARGENTINA
Address: Santiago del Estero 848
Suburb / Town: Salta
State or Province: SALTA
Postal code: 4400
Postal address
Is the postal address the same as the residential address?

No
Country: AUSTRALIA
Address: 104a 3 powell road
Suburb / Town: Coogee
State / Territory: Western Australia
Postcode: 6166
Contact telephone numbers
Enter numbers only with no spaces.
Home phone: 5493874488092
Business phone:
Mobile / Cell phone: 61416390152
Email address
Email address: [email protected]

Authorised recipient
Does the applicant authorise another person to receive written correspondence on their behalf?
This authorises the department to send the authorised person all written correspondence that would
otherwise be sent directly to the applicant.
Yes, an education agent
This person is referred to as the 'authorised recipient'.
Education agent contact details
Education agent
Family name: Palet Orpinell

Given names: Enric
Organisation: Growpro Experience
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Postal address
Country: SPAIN
Address: Calle Tanger 86
Suburb / Town: Barcelona
State or Province: BARCELONA
Postal code: 08018
Contact telephone numbers
Enter numbers only with no spaces.
Business phone: 0034617527618
Mobile / Cell phone:
Electronic communication
The Department prefers to communicate electronically as this provides a faster method of
communication.
All correspondence, including notification of the outcome of the application will be sent to:
Email address: [email protected]
Note: The holder of this email address may receive a verification email from the Department if the
address has not already been verified. If the address holder receives a verification email, they should
click on the link to verify their address before this application is submitted.
Non-accompanying members of the family unit

Details of all members of the family unit of the applicant must be included in this application whether
or not they intend to apply for a student visa. If non-accompanying members of the family unit details
are not included in this application, they will not be eligible for grant of a student visa at a later date.
Does the applicant have any members of their family unit that have not already been included as an
'Accompanying member of the family unit' in this application?
No
Other family members
Does the applicant have any parents or siblings in or outside Australia?
Yes
Relationship to primary applicant
Relationship to the primary Parent

applicant:
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Family member details

Given names: Martin
Sex: Male
Date of birth: 02 Jan 1952
Usual country of residence

Relationship to the primary Parent

applicant:
Family name: Juncosa

Given names: Ines
Sex: Female
Date of birth: 10 Aug 1954

Relationship to the primary Brother

applicant:

Given names: Martin
Sex: Male
Date of birth: 11 Sep 1982

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Relationship to the primary Brother

applicant:

Given names: Nicolas
Sex: Male
Date of birth: 05 May 1983

Genuine temporary entrant
All student visa applicants are required to provide information in support of their application to
demonstrate that they meet the Genuine Temporary Entrant criteria.
Give details to support the applicant's ability to meet the criteria and ensure supporting documents
are attached
Please find attached a GTE letter for further information. Thank
you.
Funding for stay
Do all applicants in this application confirm that they each have access to sufficient funds to support
themselves for the total period of stay in Australia and understand that further evidence of funds may
also be requested?
Yes
Show how each applicant included in the application will support themselves in Australia to meet
living, tuition and school costs. Select any that apply.
Financial support from an individual
Financial support from an individual
Will the funds be provided by an individual other than the applicant?

No
Funding type: Ongoing income
Value in Australian dollars 37100
(whole dollars only)
Health insurance
Overseas Student Health Cover
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Does the applicant have Overseas Student Health Cover (OSHC)?

Yes
Was the Overseas Student Health Cover (OSHC) organised by the applicant's education provider?
No
Name of health insurer: Other
Name of other health insurer: CBHS International Health
Insurance policy number: 50105143
Date from: 07 Feb 2024
Date to: 20 Sep 2026
Education
Highest level of schooling

Give details of the applicant's highest level of schooling completed outside Australia.
Highest level of schooling Bachelor degree (including honours) or equivalent
completed:
Course name: Chemical engineering
Institution name: Universidad Nacional De Salta
Country of institution: ARGENTINA
Education history
Has the applicant completed, or is currently enrolled in any other studies or training outside
Australia?
Yes
Education history details

Give details of all past and current studies at secondary level and above.
Qualification: Senior Secondary School Certificate
Category of study: Curriculum and Education Studies
Field of study: Education Studies
Course name: High School
Institution name: Santa Teresa de Jesus
Country of institution: ARGENTINA
Date to: 20 Dec 2008
Has the applicant previously studied in Australia?
No
Employment
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Employment history
Give details of the applicant's employment and unemployment history since leaving school/college/
university.
• Employment includes all paid employment, self-employment, family business employment, work
experience, internships, unpaid employment and volunteer work. • Unemployment includes all gaps
in employment since leaving school/college/university.
Employment history details
Employment status: Employed

Is this the applicant's current employment situation?
Yes
Employer / business details
Give details of the employer / business.
Organisation name: Brunel
Industry type: Mining
Organisation address
Note that a street address is required. A post office address cannot be accepted as an organisation
address.
Country: AUSTRALIA
Address: Level 8/40 The Esplanade
Suburb / Town: Perth
Postcode: 6000
Contact person details
Give details of the contact person within the organisation.
Family name: Horton
Given names: Brad
Position details
Position: Process Operator

Date from: 10 Sep 2023

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Yes
Organisation name: Network Recruitment Group
Industry type: Construction
address.
Country: AUSTRALIA
Address: 7/22 railway rd
Suburb / Town: Subiaco
Postcode: 6008
Family name: Jena
Given names:
Position details
Position: General Labour

Date from: 05 Dec 2023

No
Organisation name: Network Recruitment Group
Industry type: Construction
address.
Country: AUSTRALIA
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Address: 7/22 railway rd

Suburb / Town: Subiaco
Postcode: 6008
Family name: Jena
Given names:
Position details
Position: General Labour

Date to: 31 Aug 2023

No
Organisation name: Event artillery
Industry type: Other Services
address.
Country: AUSTRALIA
Address: 4/305 victoria road
Suburb / Town: Malaga
Postcode: 6090
Family name: Brent
Given names:
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Position details
Position: Delivery operator

Date from: 06 Apr 2023
Date to: 26 Jul 2023

No
Organisation name: Mansifeld Minera SA
Industry type: Mining
address.
Country: ARGENTINA
Address: Av. del Bicentenario de la Batalla
de Salta 1224
Suburb / Town:
Postal code: 4400
Family name: Prentice
Given names: Cesar
Position details
Position: Maintenance Planner

Date from: 05 Aug 2019
Date to: 30 Nov 2021
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No
Organisation name: Neumaticos San Agustin
Industry type: Other Services
address.
Country: ARGENTINA
Address: Avenida Paraguay 1249
Suburb / Town:
Postal code: 4400
Family name: Martinez
Given names: Alejandro
Position details
Position: Administrator and logistics manager

Date from: 07 Mar 2017
Date to: 30 Jun 2019

No
Organisation name: 5 Minutos
Industry type: Accommodation and Food Services
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address.
Country: ARGENTINA
Address: Dean Funes 288
Suburb / Town:
Postal code: 4400
Family name: Juncosa
Given names: Ines
Position details
Position: Cashier and supplier manager

Date to: 31 Oct 2014
Future employment
Has the applicant been offered a job at the completion of their course?
No
Give details of the type of employment the applicant will be seeking at the completion of their course:
Please find attached a GTE letter for further information. Thank
you.
Language
Language - MENDIOROZ, TOMAS (16 Apr 1991)
Language ability
Has the applicant undertaken an English language test within the last 24 months?
No
Main language
Main language: Spanish

Study in English language
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Has the applicant successfully completed at least five years study (in the English language) in
Australia, Canada, New Zealand, Republic of South Africa, Republic of Ireland, United Kingdom and/
or United States of America?
No
In the two years before applying for the Student visa, has the applicant successfully completed the
requirements for a Senior Secondary Certificate of Education (conducted in English in Australia)?
No
In the two years before applying for the Student visa, has the applicant successfully completed
a substantial component of a course leading to a qualification from the Australian Qualifications
Framework at Certificate IV or higher as a holder of a Student visa (conducted in English in
Australia)?
No
Countries visited
Have any of the applicants visited any countries in the past 10 years? Include:
• Work or study outside your usual country of residence
• Holiday/leisure trips
• Business
• Military deployment
• Visits back to your usual country of residence if living away
Yes
Country visited
Name: MENDIOROZ, Tomas (16 Apr 1991)
Country: INDONESIA
Date to: 10 Feb 2023
Reason for visit: Holidays.
Country visited
Name: MENDIOROZ, Tomas (16 Apr 1991)
Country: BRAZIL
Date to: 04 Jan 2018
Reason for visit: Holidays.
Visa history
Has the applicant, or any person included in this application, held or currently hold a visa to Australia
or any other country?
Yes
Give details: Australia, Work and Holiday (subclass 462) VISA
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Has the applicant, or any person included in this application, ever been in Australia or any other
country and not complied with visa conditions or departed outside their authorised period of stay?
No
Has the applicant, or any person included in this application, ever had an application for entry or
further stay in Australia or any other country refused, or had a visa cancelled?
No
Health declarations
In the last five years, has any applicant visited, or lived, outside their country of passport, for more
than 3 consecutive months? Do not include time spent in Australia.
No
Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while
in Australia?
No
Does any applicant intend to work as, or study or train to be, a health care worker or work within a
health care facility while in Australia?
No
Does any applicant intend to work, study or train within aged care or disability care while in Australia?
No
Does any applicant intend to work or be a trainee at a child care centre (including preschools and
creches) while in Australia?
No
Has any applicant:
• ever had, or currently have, tuberculosis?
• been in close contact with a family member that has active tuberculosis?
• ever had a chest x-ray which showed an abnormality?
No
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require
treatment or medical follow up for:
• blood disorder
• cancer
• heart disease
• hepatitis B or C and/or liver disease
• HIV infection, including AIDS
• kidney disease, including dialysis
• mental illness
• pregnancy
• respiratory disease that has required hospital admission or oxygen therapy
• other?
No
Does any applicant require assistance with mobility or care due to a medical condition?
No
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Character declarations
If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details.
For combined applications, state which applicant the declaration applies to.
If the matter relates to a criminal conviction, provide:
• the date and nature of the offence
• full details of the sentence
• dates of any period of imprisonment or other detention.
Has any applicant ever been charged with any offence that is currently awaiting legal action?
No
Has any applicant ever been convicted of an offence in any country (including any conviction which is
now removed from official records)?
No
Has any applicant ever been the subject of a domestic violence or family violence order, or any other
order, of a tribunal or court or other similar authority, for the personal protection of another person?
No
Has any applicant ever been the subject of an arrest warrant or Interpol notice?
No
Has any applicant ever been found guilty of a sexually based offence involving a child (including
where no conviction was recorded)?
No
Has any applicant ever been named on a sex offender register?
No
Has any applicant ever been acquitted of any offence on the grounds of unsoundness of mind or
insanity?
No
Has any applicant ever been found by a court not fit to plead?
No
Has any applicant ever been directly or indirectly involved in, or associated with, activities which
would represent a risk to national security in Australia or any other country?
No
Has any applicant ever been charged with, or indicted for: genocide, war crimes, crimes against
humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?
No
Has any applicant ever been associated with a person, group or organisation that has been or is
involved in criminal conduct?
No
Has any applicant ever been associated with an organisation engaged in violence or engaged in
acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in
Australia?
No
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Has any applicant ever served in a military force, police force, state sponsored / private militia or
intelligence agency (including secret police)?
No
Has any applicant ever undergone any military/paramilitary training, been trained in weapons/
explosives or in the manufacture of chemical/biological products?
No
Has any applicant ever been involved in people smuggling or people trafficking offences?
No
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
No
Has any applicant ever overstayed a visa in any country (including Australia)?
No
Has any applicant ever had any outstanding debts to the Australian Government or any public
authority in Australia?
No
Student declarations
Warning:
Giving false or misleading information is a serious offence.
The applicants declare that they:
Have read and understood the information provided on the website (www.studyinaustralia.gov.au)
regarding living and studying in Australia.
Yes
Have made adequate arrangements for health insurance for the period of their stay in Australia and
acknowledge they are required to maintain these arrangements while in Australia as the holder of a
student visa.
Yes
Understand that a student visa is a temporary visa and that being granted a student visa will not
guarantee that they will be eligible for the grant of a further visa to stay in Australia, including a skilled
migration visa.
Yes
Understand that if they cannot obtain a further visa they must depart Australia on or before the cease
date of the student visa.
Yes
Acknowledge that if granted a student visa, they are required to understand and abide by its
conditions.
Yes
Understand that if the 8534 visa condition is imposed on the student visa, it will be indicated by the
condition code 8534 and by the short description No Further Stay.They acknowledge that this means
the 8534 condition has been imposed on their visa and while in Australia they will only be entitled to
the grant of limited visas including:
• A subclass 485 (Temporary Graduate) visa ,or
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• A subclass 590 (Student Guardian) visa.

Yes
Understand that the effect of 8534 visa condition is that it will not be possible to apply to remain in
Australia beyond the date authorised on the student visa and that they will be required to depart
Australia on or before that date.
Yes
Understand that if the 8535 visa condition is imposed on the student visa, it will be indicated by the
condition code 8535 and by the short description No Further Stay. They acknowledge that this means
that the 8535 condition has been imposed on their visa and while in Australia they will only be entitled
to the grant of limited visas including:
• A further student visa (subclass 500) in circumstance where the Commonwealth, or foreign
government (as the case requires), does not oppose them from obtaining a further visa to stay in
Australia.
Yes
Understand that the effect of the 8535 visa condition is that it will not be possible to remain in
Australia beyond the date authorised on the student visa, unless they are applying for a further
student visa in circumstances where the Commonwealth or a foreign government (as the case
requires) does not oppose them undertaking a relevant course of study, and that they will be required
to depart Australia on or before the authorised date.
Yes
Declarations
Warning:
Giving false or misleading information is a serious offence.
The applicants declare that they:
Have read and understood the information provided to them in this application.
Yes
Have provided complete and correct information in every detail on this form, and on any attachments
to it.
Yes
Understand that if any fraudulent documents or false or misleading information has been provided
with this application, or if any of the applicants fail to satisfy the Minister of their identity, the
application may be refused and the applicant(s), and any member of their family unit, may become
unable to be granted a visa for a specified period of time.
Yes
Understand that if documents are found to be fraudulent or information to be incorrect after the grant
of a visa, the visa may subsequently be cancelled.
Yes
Understand that if this application is approved, any person not included in this application will not
have automatic right of entry to Australia.
Yes
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Will inform the Department in writing immediately as they become aware of a change in
circumstances (including change of address) or if there is any change relating to information they
have provided in or with this application, while it is being considered.
Yes
Have read the information contained in the Privacy Notice(Form 1442i).
Yes
Understand that the department may collect, use and disclose the applicant's personal information
(including biometric information and other sensitive information) as outlined in the Privacy
Notice(Form 1442i).
Yes
Give consent to the collection of their fingerprints and facial image if required.
Yes
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints
and facial image and biographical information held by the Department may be given to Australian law
enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being
applied for, and for law enforcement purposes.
Yes
Give consent to Australian law enforcement agencies disclosing the applicant's biometric,
biographical and criminal record information to the Department to help identify the applicant, to
determine eligibility for grant of a visa and for law enforcement purposes.
Yes
Give consent to the Department using the applicant's biometric, biographical and criminal record
information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.
Yes
As an applicant:
I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia
at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such, I will be expected
to depart from Australia, and be subject to removal under the Migration Act 1958.
Yes
Australian values
Each applicant who is 18 years or over has read, or had explained to them, information provided by
the Australian Government on Australian society and values, and agrees to the Australian values
statement.
Yes
Life in Australia booklet Australian values statement
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Application 3

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Department of Home Affairs Record of

Terms and Conditions

Confirmation of enrolment details

Confirmation of enrolment details

Place of issue / issuing RENAPER

Does this applicant have a national identity card?

National identity card

Town / City: Salta

Relationship status: Never Married

Is this applicant a citizen of the selected country of passport (ARGENTINA)?

Does this applicant have other current passports?

Other identity documents

Does this applicant have other identity documents?

Family name: Mendioroz

Is the above information Yes

Usual country of residence: ARGENTINA

Office: Australia, Perth Regional Office

Is the postal address the same as the residential address?

Email address: [email protected]

Family name: Palet Orpinell

Non-accompanying members of the family unit

Other family members

Relationship to primary applicant

Relationship to the primary Parent

Family member details

Family name: Mendioroz

Usual country of residence: ARGENTINA

Relationship to primary applicant

Relationship to the primary Parent

Family name: Juncosa

Usual country of residence: ARGENTINA

Relationship to primary applicant

Relationship to the primary Brother

Family name: Mendioroz

Usual country of residence: ARGENTINA

Relationship to primary applicant

Relationship to the primary Brother

Family name: Mendioroz

Usual country of residence: ARGENTINA

Will the funds be provided by an individual other than the applicant?

Overseas Student Health Cover

Does the applicant have Overseas Student Health Cover (OSHC)?

Highest level of schooling

Education history details

Employment status: Employed

Position: Process Operator

Employment status: Employed

Position: General Labour

Employment status: Employed

Address: 7/22 railway rd

Position: General Labour

Employment status: Employed

Business phone: 61418229033

Position: Delivery operator

Employment status: Employed

Position: Maintenance Planner

Employment status: Employed