Claim for Pensioner Education Supplement Instructions
This form contains 296 fields organized into 60 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Aboriginal or Torres Strait Islander Status | ||
| DummyCalcQ4 | Text | |
| No | Checkbox |
Check this box if you are not an Australian Aboriginal or Torres Strait Islander person.
|
| Yes - Aboriginal | Checkbox |
Check this box if you identify as an Australian Aboriginal person.
|
| Yes - Torres Strait Islander | Checkbox |
Check this box if you identify as a Torres Strait Islander person.
|
| ABSTUDY Pensioner Education Supplement Eligibility | ||
| No | Checkbox |
Check this box if you were NOT receiving ABSTUDY Pensioner Education Supplement while on Parenting Payment Single or Disability Support Pension. Fill only if 'Before the grant of your JobSeeker Payment or Youth Allowance (job seeker), were you receiving Parenting Payment Single or Disability Support Pension?' is 'Yes'.
Depends on:
Yes, was receiving previous benefit
|
| Yes | Checkbox |
Check this box if you WERE receiving ABSTUDY Pensioner Education Supplement while on Parenting Payment Single or Disability Support Pension. Fill only if 'Before the grant of your JobSeeker Payment or Youth Allowance (job seeker), were you receiving Parenting Payment Single or Disability Support Pension?' is 'Yes'.
Depends on:
Yes, was receiving previous benefit
|
| Address while studying | ||
| Address Line 1 | Text |
Provide the first line of your address while studying, including street number and street name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 2 | Text |
Provide the second line of your address while studying, including suburb or city and state. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Postcode | Text |
Provide the postcode for your address while studying. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Authorisation to act on your behalf | ||
| No | Checkbox |
Check this box if you do not want to authorise a person or organisation to make enquiries, updates, act, or get payments on your behalf.
|
| Yes | Checkbox |
Check this box if you want to authorise a person or organisation to make enquiries, updates, act, or get payments on your behalf.
|
| Centrelink/Veterans' Affairs Payment Details | ||
| No | Checkbox |
Check this box if you are not currently getting, and will not get, a Centrelink pension, benefit, payment, or allowance, or a pension from the Department of Veterans' Affairs.
|
| Yes | Checkbox |
Check this box if you are currently getting, or will get, a Centrelink pension, benefit, payment, or allowance, or a pension from the Department of Veterans' Affairs.
|
| Payment Type | Text |
Enter the type or category of the Centrelink or Veterans' Affairs payment. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Payment Name | Text |
Enter the full name of the Centrelink or Veterans' Affairs pension, benefit, payment, or allowance. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| CRN Segment 1 | Text |
Enter the first segment of your Customer Reference Number, if known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| CRN Segment 2 | Text |
Enter the second segment of your Customer Reference Number, if known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| CRN Segment 3 | Text |
Enter the third segment of your Customer Reference Number, if known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| CRN Segment 4 | Text |
Enter the fourth segment of your Customer Reference Number, if known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Veterans' Affairs Reference Number | Text |
Enter your Veterans' Affairs Reference Number, if known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Payment Date Day | Number |
Provide the day of the payment date. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Payment Date Month | Number |
Provide the month of the payment date. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Payment Date Year | Number |
Provide the year of the payment date. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Checklist of Provided Documents | ||
| Copy of documents with details of a cadetship/scholarship | Checkbox |
Check this box if you are providing a copy of documents with details of a cadetship or scholarship, and it is required at question 11. Fill only if 'Do you, or will you, receive other government assistance for study or training?' is 'A cadetship/scholarship'.
Depends on:
Cadetship/scholarship
|
| Copy of statement with reasons for break in study | Checkbox |
Check this box if you are providing a copy of a statement with reasons for a break in study, and it is required at question 22. Fill only if 'Are you returning to study after a break of more than one semester?' is 'Yes'.
Depends on:
Yes
|
| Copy of proof of enrolment in current study | Checkbox |
Check this box if you are providing a copy of proof of enrolment in your current study, and it is required at question 23.
|
| Copy of proof of full-time study | Checkbox |
Check this box if you are providing a copy of proof of full-time study, and you answered Yes at question 25. Fill only if 'Are you, or will you be, studying externally by distance education or correspondence?' is 'Yes'.
Depends on:
Yes
|
| Copy of proof of Startup Year course enrollment and STARTUP-HELP loan selection | Checkbox |
Check this box if you are providing a copy of proof that you are enrolled in the Startup Year course and have been selected for a STARTUP-HELP loan, and you answered Yes at question 27. Fill only if 'Are you studying a Startup Year course?' is 'Yes'.
Depends on:
Yes
|
| Copy of statement with a list of your subjects (Question 28) | Checkbox |
Check this box if you are providing a copy of a statement with a list of your subjects, and you answered Not sure at question 28. Fill only if 'Are you a full-time secondary school student, including a student enrolled in a secondary distance education institution?' is 'Not sure'.
Depends on:
Not sure
|
| Copy of statement from school about being a part-time student | Checkbox |
Check this box if you are providing a copy of a statement from your school about being a part-time student, and you answered question 29. Fill only if you answered question 29.
Depends on:
75 - 100%, 66 - 74%, 50 - 65%, 25 - 49%, 0 - 24%, Not sure, 75 - 100%, 66 - 74%, 50 - 65%, 25 - 49%, 0 - 24%, Not sure
|
| Copy of statement with a list of your subjects (Question 29) | Checkbox |
Check this box if you are providing a copy of a statement with a list of your subjects, and you answered Not sure at question 29. Fill only if 'Percentage of the full-time study load in your course' is 'Not sure'.
Depends on:
Not sure, Not sure
|
| Copy of details of dependent children travelling with you | Checkbox |
Check this box if you are providing a copy of details of dependent children travelling with you, and you answered Yes at question 34. Fill only if 'Will you have dependent children travelling with you?' is 'Yes'.
Depends on:
Yes
|
| Copy of statement with dates you will be living in residence | Checkbox |
Check this box if you are providing a copy of a statement with dates you will be living in residence, and you answered Yes and if known at question 35. Fill only if 'Do you want your residential costs paid instead of getting the Pensioner Education Supplement while you are living in a residential college or hostel?' is 'Yes'.
Depends on:
Yes
|
| Authorising a person or organisation to enquire or act on your behalf (SS313) form | Checkbox |
Check this box if you are providing an SS313 form authorising a person or organisation to enquire or act on your behalf, and you answered Yes at question 36. Fill only if 'Do you want to authorise a person or organisation to make enquires, make updates, act and/or get payments on your behalf?' is 'Yes'.
Depends on:
Yes
|
| Q38 | Text | |
| Citizenship Details | ||
| No | Checkbox |
Check this box if you are not an Australian citizen.
|
| Yes | Checkbox |
Check this box if you are an Australian citizen.
|
| Country of Birth | Text |
Please provide the country where you were born.
|
| Place of Birth | Text |
Please provide the city or town where you were born.
|
| Day of Citizenship | Text |
Please provide the day you became a citizen. Fill only if 'Place of Birth' is not 'Australia'.
Depends on:
Place of Birth
|
| Month of Citizenship | Text |
Please provide the month you became a citizen. Fill only if 'Place of Birth' is not 'Australia'.
Depends on:
Place of Birth
|
| Year of Citizenship | Text |
Please provide the year you became a citizen. Fill only if 'Place of Birth' is not 'Australia'.
Depends on:
Place of Birth
|
| Contact Details | ||
| Home Phone Number | Text |
Please enter your home phone number, including the area code.
|
| Mobile Phone Number | Text |
Please enter your mobile phone number.
|
| Semester/Term Phone Number | Text |
Please enter your phone number for the semester or term, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Work Phone Number | Text |
Please enter your work phone number, including the area code.
|
| Alternative Phone Number | Text |
Please enter an alternative phone number, including the area code.
|
| Email Address | Text |
Please enter your email address.
|
| Date of Birth | ||
| Day of Birth | Date |
Please provide the day of your birth. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Month of Birth | Date |
Please provide the month of your birth. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Year of Birth | Date |
Please provide the year of your birth. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Declaration Agreement | ||
| I have read, understood and agree to the above. | Checkbox |
Check this box to confirm that you have read, understood, and agree to the declarations and understandings outlined in Part H of the form.
|
| Declaration Date | ||
| Declaration Day | Text |
Please enter the day of the declaration date (e.g., 01 for the 1st). Fill only if 'I have read, understood and agree to the above.' is checked.
Depends on:
I have read, understood and agree to the above.
|
| Declaration Month | Text |
Please enter the month of the declaration date (e.g., 01 for January). Fill only if 'I have read, understood and agree to the above.' is checked.
Depends on:
I have read, understood and agree to the above.
|
| Declaration Year | Number |
Please enter the year of the declaration date (e.g., 2023). Fill only if 'I have read, understood and agree to the above.' is checked.
Depends on:
I have read, understood and agree to the above.
|
| Dependent children travelling with you | ||
| No | Checkbox |
The user should check this box if they will not have dependent children travelling with them.
|
| Yes | Checkbox |
The user should check this box if they will have dependent children travelling with them.
|
| External Study Status | ||
| No | Checkbox |
Check this box if you are not studying externally by distance education or correspondence.
|
| Yes | Checkbox |
Check this box if you are studying externally by distance education or correspondence.
|
| First Completed Course | ||
| First Course Institution Name | Text |
Please provide the name of the institution or campus where you completed your first course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Course Name | Text |
Please provide the full name of the first course you completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Current Course Study Year | ||
| Current Study Year | Text |
Please provide the year this current course of study began. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Current Study Year Stage | Text |
Please provide the year or stage of study for this current course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Current Course Institution Name | Text |
Please provide the full name of the institution where you are currently studying. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Current Course Name | Text |
Please provide the full name of the current course you are undertaking. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Full-time (Semester 1) | Checkbox |
Check this box if the study for Semester 1 of the first current course year was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Part-time (Semester 1) | Checkbox |
Check this box if the study for Semester 1 of the first current course year was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Full-time (Semester 2) | Checkbox |
Check this box if the study for Semester 2 of the first current course year was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Part-time (Semester 2) | Checkbox |
Check this box if the study for Semester 2 of the first current course year was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First date living in residence | ||
| Day (first digit) | Text |
Enter the first digit of the day you will begin living in residence. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Day (second digit) | Text |
Enter the second digit of the day you will begin living in residence. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Month | Text |
Enter the month you will begin living in residence. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year | Text |
Enter the year you will begin living in residence. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Date not yet known | Checkbox |
Check this box if you do not yet know the exact dates you will be living in residence. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Education Institution/Course | ||
| Institution Name | Text |
Provide the full name of the school, Australian college, or campus where you are studying.
|
| Student ID Number | Text |
Enter your unique student identification number issued by the institution.
|
| Course Title | Text |
Enter the exact title of the course you are undertaking, for example, 'School Studies' or 'Bachelor of Arts'.
|
| Course Code | Text |
Provide the official code assigned to your course.
|
| Course Year/Stage | Text |
Specify the current year or stage of your course, for instance, 'Year 11', '1st year', or 'B.Sc. Stage 2'.
|
| Study Start Date Day | Date |
Enter the day the course officially started.
|
| Study Start Date Month | Date |
Enter the month the course officially started.
|
| Study Start Date Year | Date |
Enter the year the course officially started.
|
| Study End Date Day | Date |
Enter the day the course is expected to finish.
|
| Study End Date Month | Date |
Enter the month the course is expected to finish.
|
| Study End Date Year | Date |
Enter the year the course is expected to finish.
|
| Course Official Start Date Day | Date |
Enter the official day of the full course period's commencement.
|
| Course Official Start Date Month | Date |
Enter the official month of the full course period's commencement.
|
| Course Official Start Date Year | Date |
Enter the official year of the full course period's commencement.
|
| Course Official End Date Day | Date |
Enter the official day of the full course period's completion.
|
| Course Official End Date Month | Date |
Enter the official month of the full course period's completion.
|
| Course Official End Date Year | Date |
Enter the official year of the full course period's completion.
|
| First Other Course Study Year | ||
| Study Year | Text |
Please provide the year of study for this other course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Year Stage | Text |
Please provide the stage or year of study for this other course (e.g., 1st year, 2nd year). Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Please enter the name of the institution where this other course was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Please enter the full name of this other course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Full-time | Checkbox |
Check this box if the first other course was studied full-time during Semester 1 of that year. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if the first other course was studied part-time during Semester 1 of that year. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if the first other course was studied full-time during Semester 2 of that year. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if the first other course was studied part-time during Semester 2 of that year. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Other Name | ||
| Other Name | Text |
Please provide the other name you have been known by. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Type of Other Name | Text |
Please specify the type of other name, for example, name at birth or previous married name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Flexible Learning Enrolment Status | ||
| No | Checkbox |
Check this box if you are not doing your course through flexible learning or study at your own pace enrolment.
|
| Yes | Checkbox |
Check this box if you are doing your course through flexible learning or study at your own pace enrolment.
|
| Fourth Completed Course | ||
| Fourth Course Institution Name | Text |
Please enter the name of the institution or campus where you completed your fourth course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fourth Course Name | Text |
Please enter the full name of the fourth course you completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fourth Other Course Study Year | ||
| Year of Study | Text |
Enter the year this other course study commenced or was completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year/Stage of Study | Text |
Enter the academic year or stage reached in this other course study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Name of Institution | Text |
Enter the full name of the institution where this other course study was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Name of Course | Text |
Enter the full name of this other course study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Full-time | Checkbox |
Check this box if the fourth other course of study was full-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if the fourth other course of study was part-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if the fourth other course of study was full-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if the fourth other course of study was part-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Gender | ||
| Male | Checkbox |
Check this box if your gender is male. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Female | Checkbox |
Check this box if your gender is female. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Non-binary | Checkbox |
Check this box if your gender is non-binary. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| General | ||
| Instructions | Button | |
| Q1GoToQ4 | Button | |
| Q7GoToQ11 | Button | |
| Q16_Address1 | Text | |
| Q16_Address2 | Text | |
| Q21GoToQ23 | Button | |
| Q27GoToQ29 | Button | |
| Q28GoToQ30 | Button | |
| Q28GoToQ32 | Button | |
| Q32GoToQ36 | Button | |
| Q33.Address1 | Text | |
| Q33.Address2 | Text | |
| Clear button | Button | |
| Interpreter Requirement | ||
| No | Checkbox |
Check this box if you do not need an interpreter.
|
| Interpreter Language | Text |
Please specify the language of the interpreter you require, such as Auslan or another sign language, or a specific spoken language.
|
| Yes | Checkbox |
Check this box if you need an interpreter.
|
| JobSeeker/Youth Allowance Status | ||
| No | Checkbox |
Check this box if you are not currently receiving JobSeeker Payment or Youth Allowance (job seeker).
|
| Job Seeker Status | Text |
Please enter your current Job Seeker status related to your JobSeeker Payment or Youth Allowance.
|
| Yes | Checkbox |
Check this box if you are currently receiving JobSeeker Payment or Youth Allowance (job seeker).
|
| Last Day of Study | ||
| Day of Last Study | Text |
Please enter the day of your last day of study. Fill only if 'No' is 'No'.
Depends on:
No
|
| Month of Last Study | Text |
Please enter the month of your last day of study. Fill only if 'No' is 'No'.
Depends on:
No
|
| Year of Last Study | Text |
Please enter the year of your last day of study. Fill only if 'No' is 'No'.
Depends on:
No
|
| Living away from home to study | ||
| No | Checkbox |
Check this box if you will not be living away from home to study.
|
| Fares Allowance Reference | Text |
Please provide any relevant reference number or details regarding the approval of Fares Allowance, as mentioned in the notes. Fill only if 'Do you, or will you, receive other government assistance for study or training?' is 'Yes'.
Depends on:
Yes
|
| Yes | Checkbox |
Check this box if you will be living away from home to study.
|
| Non-school Study Declaration | ||
| No | Checkbox |
Check this box if you have not started or completed any other non-school study related to the course you are currently doing. Fill only if 'Have you completed an undergraduate or postgraduate degree course?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you have started or completed other non-school study related to the course you are currently doing and need to provide details. Fill only if 'Have you completed an undergraduate or postgraduate degree course?' is 'No'.
Depends on:
No
|
| Other Government Assistance Confirmation | ||
| No | Checkbox |
Check this box if you do not currently receive, nor will you receive, any other government assistance for study or training. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you currently receive, or will receive, other government assistance for study or training. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Other Government Assistance Details | ||
| Payment Applies Code | Text |
Please enter the code that identifies which other government assistance payment applies to you. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Full-time apprenticeship/traineeship | Checkbox |
Check this box if you currently receive, or will receive, government assistance for a full-time apprenticeship or traineeship. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Cadetship/scholarship | Checkbox |
Check this box if you currently receive, or will receive, government assistance for a cadetship or scholarship. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Veterans' Children Education Scheme | Checkbox |
Check this box if you currently receive, or will receive, government assistance through the Veterans' Children Education Scheme. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Assistance for Isolated Children (AIC) | Checkbox |
Check this box if you currently receive, or will receive, government assistance through the Assistance for Isolated Children (AIC) scheme. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Youth Allowance | Checkbox |
Check this box if you currently receive, or will receive, government assistance through Youth Allowance. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Austudy | Checkbox |
Check this box if you currently receive, or will receive, government assistance through Austudy. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Living away from Home Allowance for an Australian Apprenticeship | Checkbox |
Check this box if you currently receive, or will receive, government assistance through the Living away from Home Allowance for an Australian Apprenticeship. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Any other assistance | Checkbox |
Check this box if you currently receive, or will receive, any other government assistance for study or training not listed above. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Details of Other Assistance | Text |
Please provide detailed information about any other government assistance not listed above. Fill only if 'Any other assistance' is 'Yes'.
Depends on:
Any other assistance
|
| Other Names Confirmation | ||
| No | Checkbox |
Check this box if you have never been known by any other name(s). Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you have been known by any other name(s), including those at birth, before marriage, previous married names, Aboriginal/tribal/skin names, aliases, adoptive names, or foster names. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Other Name Details | Text |
Please provide details of any other names you have been known by. This includes names at birth, before marriage, previous married names, aboriginal, tribal or skin names, aliases, adoptive names, or foster names. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Payment Details | ||
| Bank Name | Text |
Please enter the name of the bank, building society, or credit union where the account is held.
|
| Branch Number (BSB) | Text |
Please provide the Branch number (BSB) for the account.
|
| Account Number | Text |
Please enter the account number where you want the payment made.
|
| Account Holder Name | Text |
Please enter the full name(s) in which the account is held.
|
| Permanent Address | ||
| Address Line 1 | Text |
Please provide the first line of your permanent residential address, including street number and name.
|
| Suburb/Town/City | Text |
Please provide the suburb, town, or city of your permanent residential address.
|
| Postcode | Text |
Please provide the postcode of your permanent residential address.
|
| Postal Address | ||
| Address Line 1 | Text |
Enter the first line of your postal address.
|
| Address Line 2 | Text |
Enter the second line of your postal address.
|
| Suburb/City/State | Text |
Enter the suburb, city, or state for your postal address.
|
| Postcode | Text |
Enter the postcode for your postal address.
|
| Postgraduate Degree Inquiry | ||
| No | Checkbox |
Check this box if you have not completed an undergraduate or postgraduate degree course.
|
| Yes | Checkbox |
Check this box if you have completed an undergraduate or postgraduate degree course.
|
| Institution/Campus Name | Text |
Please provide the name of the institution or campus where the degree course was completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Preferred Spoken Language | ||
| Preferred Spoken Language | Text |
Please provide your preferred spoken language. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Preferred Written Language | ||
| Preferred Written Language | Text |
Please provide your preferred written language. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Previous ABSTUDY Payment | ||
| No, have not received ABSTUDY Pensioner Education Supplement | Checkbox |
Check this box if you have not previously received the ABSTUDY Pensioner Education Supplement payment for the course you are currently applying for.
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| Yes, have received ABSTUDY Pensioner Education Supplement | Checkbox |
Check this box if you have previously received the ABSTUDY Pensioner Education Supplement payment for the course you are currently applying for.
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| Previous Benefit Status | ||
| No, was not receiving previous benefit | Checkbox |
Check this box if you were NOT receiving Parenting Payment Single or Disability Support Pension before the grant of your JobSeeker Payment or Youth Allowance.
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| Yes, was receiving previous benefit | Checkbox |
Check this box if you WERE receiving Parenting Payment Single or Disability Support Pension before the grant of your JobSeeker Payment or Youth Allowance.
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| Residential costs payment preference | ||
| No | Checkbox |
Check this box if you do not want your residential costs paid instead of getting the Pensioner Education Supplement while living in a residential college or hostel.
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| Yes | Checkbox |
Check this box if you want your residential costs paid instead of getting the Pensioner Education Supplement while living in a residential college or hostel.
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| Second Completed Course | ||
| Second Course Institution Name | Text |
Provide the name of the institution or campus where the second completed course was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Course Name | Text |
Provide the full name of the second completed course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
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| Second Current Course Study Year | ||
| Second Current Course Year | Text |
Enter the year in which the second current course was or is being studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
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| Second Current Course Study Stage | Text |
Enter the stage of study for the second current course (e.g., 1st year, 2nd year). Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Current Course Institution Name | Text |
Enter the full name of the institution where the second current course was or is being studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Current Course Name | Text |
Enter the full name of the second current course being studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Full-time | Checkbox |
Check this box if your second current course study year's Semester 1 was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if your second current course study year's Semester 1 was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if your second current course study year's Semester 2 was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if your second current course study year's Semester 2 was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Education Institution/Course | ||
| Second Institution Name | Text |
Provide the name of the second education institution, Australian college, or campus.
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| Second Student Identification Number | Text |
Enter your student identification number for the second institution.
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| Second Course Title | Text |
Enter the exact title of your second course, for example, 'School Studies' or 'Bachelor of Arts'.
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| Second Course Code | Text |
Provide the course code for your second course.
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| Second Course Year/Stage | Text |
Specify the year or stage of your second course, for example, 'Year 11' or '1st year, B.Sc.'.
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| Second Course Study Start Day | Text |
Enter the day your second course of study will begin.
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| Second Course Study Start Month | Text |
Enter the month your second course of study will begin.
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| Second Course Study Start Year | Number |
Enter the year your second course of study will begin.
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| Second Course Study End Day | Text |
Enter the day your second course of study will end.
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| Second Course Study End Month | Text |
Enter the month your second course of study will end.
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| Second Course Study End Year | Number |
Enter the year your second course of study will end.
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| Second Course Official Start Day | Text |
Enter the day the full period of your second course officially starts.
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| Second Course Official Start Month | Text |
Enter the month the full period of your second course officially starts.
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| Second Course Official Start Year | Number |
Enter the year the full period of your second course officially starts.
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| Second Course Official End Day | Text |
Enter the day the full period of your second course officially ends.
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| Second Course Official End Month | Text |
Enter the month the full period of your second course officially ends.
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| Second Course Official End Year | Number |
Enter the year the full period of your second course officially ends.
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| Second Other Course Study Year | ||
| Year | Number |
Please provide the year this other course was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year/Stage | Text |
Please provide the specific year or stage of study for this other course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Please provide the name of the institution where this other course was completed or is being studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Please provide the full name of this other course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
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| Semester 1 Full-time | Checkbox |
Check this box if you studied the second other course full-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if you studied the second other course part-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if you studied the second other course full-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if you studied the second other course part-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Other Name | ||
| Second Other Name | Text |
Please provide the second other name by which you have been known. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Type of Second Other Name | Text |
Please specify the type of the second other name, such as Aboriginal/Islander name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
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| Secondary School Student Status | ||
| No | Checkbox |
Check this box if you are not a full-time secondary school student. Fill only if 'Are you studying a Startup Year course?' is 'No'.
Depends on:
No
|
| Not sure | Checkbox |
Check this box if you are unsure whether your course is full-time or part-time. Fill only if 'Are you studying a Startup Year course?' is 'No'.
Depends on:
No
|
| Next Question Number | Text |
Enter the number of the next question to proceed to if you are not a full-time secondary school student. Fill only if 'Are you studying a Startup Year course?' is 'No'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you are a full-time secondary school student. Fill only if 'Are you studying a Startup Year course?' is 'No'.
Depends on:
No
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| Semester 1 Study Load | ||
| 75 - 100% | Checkbox |
Check this box if your Semester 1 full-time study load is between 75% and 100%.
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| 66 - 74% | Checkbox |
Check this box if your Semester 1 full-time study load is between 66% and 74%.
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| 50 - 65% | Checkbox |
Check this box if your Semester 1 full-time study load is between 50% and 65%.
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| 25 - 49% | Checkbox |
Check this box if your Semester 1 full-time study load is between 25% and 49%.
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| 0 - 24% | Checkbox |
Check this box if your Semester 1 full-time study load is between 0% and 24%.
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| Not sure | Checkbox |
Check this box if you are not sure of your Semester 1 full-time study load.
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| Semester 2 Study Load | ||
| 75 - 100% | Checkbox |
Check this box if your full-time study load for Semester 2 is between 75% and 100%.
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| 66 - 74% | Checkbox |
Check this box if your full-time study load for Semester 2 is between 66% and 74%.
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| 50 - 65% | Checkbox |
Check this box if your full-time study load for Semester 2 is between 50% and 65%.
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| 25 - 49% | Checkbox |
Check this box if your full-time study load for Semester 2 is between 25% and 49%.
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| 0 - 24% | Checkbox |
Check this box if your full-time study load for Semester 2 is between 0% and 24%.
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| Not sure | Checkbox |
Check this box if you are not sure of your full-time study load for Semester 2 and will provide a copy of your subjects for assessment.
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| Semester/Term Address | ||
| Semester/Term Address Line 1 | Text |
Please enter the first line of your semester/term address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester/Term Address Line 2 | Text |
Please enter the second line of your semester/term address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester/Term Address Line 3 | Text |
Please enter the third line of your semester/term address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester/Term Suburb/City/State | Text |
Please enter the suburb, city, and state or territory for your semester/term address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester/Term Postcode | Text |
Please enter the postcode for your semester/term address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester/Term Address Presence Question | ||
| No | Checkbox |
Check this box if you will not have a semester/term address and wish to proceed to the next question.
|
| Yes | Checkbox |
Check this box if you will have a semester/term address and need to provide the details.
|
| Signature | ||
| Your Signature | Text |
Please provide your signature as required for this declaration. Fill only if 'I have read, understood and agree to the above.' is checked.
Depends on:
I have read, understood and agree to the above.
|
| Startup Year Course Status | ||
| No | Checkbox |
Check this box if you are not studying a Startup Year course.
|
| Yes | Checkbox |
Check this box if you are studying a Startup Year course.
|
| DummyCalcQ27 | Text | |
| Study Duration | ||
| DummyCalcQ24 | Text | |
| More than one year | Checkbox |
Check this box if your study duration will be longer than one year.
|
| Duration Years | Text |
Enter the number of full years you will be studying. Fill only if 'More than one year' is 'Yes'.
Depends on:
More than one year
|
| Duration Months | Text |
Enter the number of additional months you will be studying, if applicable. Fill only if 'More than one year' is 'Yes'.
Depends on:
More than one year
|
| Full school/academic year | Checkbox |
Check this box if your study duration will be for a full school or academic year.
|
| Study in the following semesters | Checkbox |
Check this box if your study duration is defined by specific semesters.
|
| Semester 1 | Checkbox |
Check this box if you will be studying during Semester 1. Fill only if 'Study in the following semesters' is 'Yes'.
Depends on:
Study in the following semesters
|
| Semester 2 | Checkbox |
Check this box if you will be studying during Semester 2. Fill only if 'Study in the following semesters' is 'Yes'.
Depends on:
Study in the following semesters
|
| Semester 3 | Checkbox |
Check this box if you will be studying during Semester 3. Fill only if 'Study in the following semesters' is 'Yes'.
Depends on:
Study in the following semesters
|
| Study in the following terms | Checkbox |
Check this box if your study duration is defined by specific terms.
|
| Term 1 | Checkbox |
Check this box if you will be studying during Term 1. Fill only if 'Study in the following terms' is 'Yes'.
Depends on:
Study in the following terms
|
| Term 2 | Checkbox |
Check this box if you will be studying during Term 2. Fill only if 'Study in the following terms' is 'Yes'.
Depends on:
Study in the following terms
|
| Term 3 | Checkbox |
Check this box if you will be studying during Term 3. Fill only if 'Study in the following terms' is 'Yes'.
Depends on:
Study in the following terms
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| Term 4 | Checkbox |
Check this box if you will be studying during Term 4. Fill only if 'Study in the following terms' is 'Yes'.
Depends on:
Study in the following terms
|
| Other | Checkbox |
Check this box if your study duration does not fit the provided options and requires custom date entry.
|
| Study Start Day | Text |
Enter the day of the month when your study will start. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study Start Month | Text |
Enter the month when your study will start. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study Start Year | Text |
Enter the year when your study will start. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study End Day | Text |
Enter the day of the month when your study will end. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study End Month | Text |
Enter the month when your study will end. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study End Year | Text |
Enter the year when your study will end. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Study History Requirement | ||
| Year of Study to List | Text |
Please enter the year of study that needs to be listed as part of your past 10 years of study history. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Return Question | ||
| No | Checkbox |
Check this box if you are not returning to study after a break of more than one semester.
|
| DummyCalcQ21 | Text | |
| Yes | Checkbox |
Check this box if you are returning to study after a break of more than one semester.
|
| Third Completed Course | ||
| Third Institution Name | Text |
Enter the name of the institution or campus where the third course was completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Course Name | Text |
Enter the full name of the third course completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Current Course Study Year | ||
| Study Year | Number |
Please provide the year in which you undertook this study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Stage | Text |
Please enter the stage or level of study you completed in this year, such as '1st year' or 'Beginner'. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Please provide the full name of the educational institution where you undertook this course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Please provide the full name of the course you studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Full-time | Checkbox |
Check this box if your study for the third current course in Semester 1 was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if your study for the third current course in Semester 1 was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if your study for the third current course in Semester 2 was full-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if your study for the third current course in Semester 2 was part-time. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Other Course Study Year | ||
| Study Year | Text |
Enter the year in which this course of study took place. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Stage | Text |
Enter the stage or year level of this course of study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Enter the full name of the institution where this course of study was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Enter the full name of the course of study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Full-time | Checkbox |
Check this box if the third other course listed was studied full-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 1 Part-time | Checkbox |
Check this box if the third other course listed was studied part-time during Semester 1. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Full-time | Checkbox |
Check this box if the third other course listed was studied full-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Semester 2 Part-time | Checkbox |
Check this box if the third other course listed was studied part-time during Semester 2. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Your Name | ||
| Title1_Mr | CheckBox | |
| Title1_Mrs | CheckBox | |
| Title1_Miss | CheckBox | |
| Title1_Ms | CheckBox | |
| Title1_Mx | CheckBox | |
| Other Title | Text |
Please specify your preferred title if it is not Mr, Mrs, Miss, Ms, or Mx. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Family Name | Text |
Please enter your family name or surname. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| First Given Name | Text |
Please enter your first given name. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|
| Second Given Name | Text |
Please enter your second given name, if applicable. Fill only if 'Are you getting JobSeeker Payment or Youth Allowance (job seeker)?' is 'No'.
Depends on:
No
|