Appeal For Review of Decision Form

Appeal For Review of Decision Form
Important Information:
- Appeals form will be provided in accordance with HIC’s International Student Complaints and Appeals Policy and Procedure
- You should read the policy and procedures carefully to establish your eligibility for an appeal
- Any request for a student’s appeals must be using this form
- Before your form for an Appeal will be considered, you must complete all the sections below and attach documents relevant to your application
1. Personal Details:
Student ID: *
Given Name:
Family Name: *
Gender: *

Male Female
Birth date: *

Day Month Year
Mobile Number *
Email Address *
Home Address : *

Street Address Line 2

2. Appeal Information:
Reason for Appealing: *
Please provide summary of your appeal in the space below: *
Attach Documents:

Upload here

Cancel of
Checklist: *

I have indicated the grounds for appeal and addressed these in my submission I have attached copies of all my supporting documentation
Declaration:

I declare to the best of my knowledge and belief, the above information contained in this form is correct and complete. I hereby agree to be bound by the Rules and Regulations of Harward International College. I authorise Harward International College to release information to approved educational or migration-related government bodies at their request.
Signature *
Date *

Month Day Year
Pramukh Group of Companies T/A Harward International College

ABN: 72 135 865 066 I ACN: 135 865 066

Phone: 03 9639 4699 I Fax: 03 8669 4055

Email: info@harward.vic.edu.au I Web: www.harward.vic.edu.au
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