ACFE Course Withdrawal/Deferral and Amendment Form

ACFE Course Withdrawal/Deferral and Amendment Form
This form is to be completed in accordance with ACFE’s Deferral Suspension or Cancellation Policy and Procedures which can be found on ACFE website http://acfe.edu.au/policies-procedures/ . Your visa may be affected by your application so you should contact Department of Home Affairs to discuss any visa implications.
Name *

Prefix First Name Middle Name Last Name
Gender *

Male Female Prefer not say
Mobile Number *
Email Validator *
Course Details
Course Name *
Course Start Date *

Day Month Year
Date
Course End Date *

Month Day Year
Date
Section 1 – If you wish to withdraw please fill up the details below:
I wish to withdraw from this course. I understand I need to abide by the Refunds Policy
Withdrawal Date

Day Month Year
Date
Withdrawal Reason
Section 2 – If you wish to defer please fill up the details below:
I wish to defer my enrolment in this course. I understand that my enrolment has an expiry date and deferment will result in extension of COE which might affect Visa Grant
Defer to Date:

Day Month Year
Date
Deferral Reason:
Section 3- If you wish to make amendments in your current enrolment date please fill up the details below :
Transfer to Date

Month Day Year
Date
Reasons for Transfer
If you like to upload any documents that can support your request

Browse Files

Cancel of
Signature *

Clear
Date *

Day Month Year
Date
Course Withdrawal/Deferral| V2 - Revised September 2020

ABN: 37 135 002 167
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