VET - Course Completion & Graduation form

ACD Student Number*

Name*

TitleFirst NameMiddle NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

SuburbState

Post Code

Your name will be printed on your parchment exactly as it appears on this form. If the name shown on this form is a change of name, you must provide documentary evidence of the change (e.g. marriage certificate)

Is this a notification of Change of Name?*

YesNo

Please attach a certified copy of required document (e.g.birth certificate. marriage certificate, divorce certificate, deed poll certificate or other official document)*

Browse Files

Which College are you Affiliated with:

UCLTALCCEDAL

Please note: All ALC student parchments will be sent to ALC and distributed by them.

Qualification applying for*

Certificate III in Christian Ministry & Theology (10741NAT)Certificate IV in Christian Ministry & Theology (10742NAT)Diploma of Christian Ministry & Theology (10743NAT)

As part of your studies the Australian Government require you to complete the Learner Questionaire at the completion of your studies. Please click here to complete it.

I certify that the information I have provided on this form to be true and accurate.*

Type your name here

Date*

Date