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Transfer of Course/Provider Request Form
Current Details
Date:
*
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Day
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Month
Year
Date
Student ID:
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Name:
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Course:
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Please Select
ELICOS - General English Program
BSB50420 - Diploma of Leadership and Management
BSB60420 - Advanced Diploma of Leadership and Management
BSB80120 - Graduate Diploma of Management (Learning)
ICT50220 - Diploma of Information Technology
ICT60220 - Advanced Diploma of Information Technology
SIT30816 - Certificate III in Commercial Cookery
SIT40516 - Certificate IV in Commercial Cookery
SIT50416 - Diploma of Hospitality Management
SIT60316 - Advanced Diploma of Hospitality Management
AUR30620 - Certificate III in Automotive Light Vehicle Technology
AUR40216 - Certificate IV in Automotive Mechanical Diagnosis
AUR50116 - Diploma of Automotive Management
Group Number:
New Course Provider Details
Write Glen Institute's details for internal course transfer
Name of Provider
*
Address:
Suburb:
State:
Phone:
Email:
*
example@example.com
Website:
Course:
I request a Transfer of Provider for following reasons:
*
Attach any supporting documentation
*
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Offer letter etc.
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Acknowledgement
*
I understand and acknowledge that this Transfer of Provider request will be processed in accordance with Glen Institute Transfer of Provider Policy.
I have attached all required supporting documentation.
My Fee payment is up to date.
I understand the implications of my student visa.
I shall have 20 days to access the Complaints and Appeals process, should my request be denied.
Print Name:
*
Signature:
*
Clear
Authorisation for Processing
YES
NO
N/A
Does the student have a Valid Letter of Offer?
Does the student have any outstanding fees or charges?
Has the student been maintaining good academic progress and attendance?
Has the student been counselled on their request?
Finance has cleared this request
Comments:
Action:
Approved
Denied
Signature
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Position:
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Date Processed:
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Date
RTO/Compliance Manager Use Only
Letter of release:
Yes
No
N/A
Date
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Day
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Month
Year
Date
Released in PRISMS:
Yes
No
N/A
Date
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Day
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Month
Year
Date
Comments:
Print Name:
Signature
Clear
Admin Use Only
Changed in Accounts:
Yes
No
N/A
Date
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Day
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Month
Year
Date
Staff Initials
Changed in SMS:
Yes
No
N/A
Date
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Day
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Month
Year
Date
Staff Initials
Changed in PRISMS:
Yes
No
N/A
Date
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Date
Staff Initials
Formal Letter/Email Sent:
Yes
No
N/A
Date
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Day
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Month
Year
Date
Staff Initials
Sent by:
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