WIA_STD 09.005 - Deferment, Suspension or Cancellation Request Form

If you wish to defer, suspend or cancel your course, you must complete a Deferment, Suspension or Cancellation of Enrolment Application Form and submit the form to the Reception at Warwick Institute of Australia. A $350 application fee is payable before the application is processed by the Admin Department.

First Name Family Name

Area Code Phone Number

Refund Payment Details ($ 350 Application Fee)

REQUEST INFORMATION: (Please tick one of the following options below to indicate the type of enrolment status required for processing. A $350 application fee is payable before the application is processed.)

Defer my course: (Prior to course commences) Suspend my course: (During the current enrolment) Cancel my course: (Terminate the Enrolment Permanently)

Please use an application form for release of study if you wish to withdraw from the course and transfer to another educational provider within 6 months of the principal course.

Visa refused (Please attach: Visa refusal letter issued by DHA) Medical Reasons (Please attach: - Medical Certificate/s (clear indication of unfitted period of study) - Relationship Certificate (If Patient is student's close family member) - Return Travel Itinerary (If student is overseas during deferment/suspension period) Other Compassionate and/or Compelling reasons (Please attach: - Supportive Documents) Transfer to another Education Provider (Please attach: - Letter of Offer from another Institution -Statement of reasons -Other Supportive Documents) Other

Area Code Phone Number

* Standard payment accepted include debit and credit cards (Visa and MasterCard, bank transfer or cash all in AUD. 1.5% surcharge will apply to all credit card transactions. Credit card payments accepted over the phone. No refund will be given after an approved deferment or suspension.

This written application must include supporting documentary evidence to be assessed and approved by authorised officers (Administration Manager, and Principal Executive Officer) including (where appropriate):

Death Certificate, Marriage Certificate, Police Report, Medical Certificate, Travel Itinerary, Letter of Offer or a Statutory Declaration where evidence is unavailable.

The process of deferring, suspending or cancelling an enrolment may affect your student visa. If you have any enquiries, you should visit the DHA website https://www.homeaffairs.gov.au/ or call the DHA helpline on 31 881 or contact your local DHA office for advice to prevent an unsatisfactory visa outcome.

If you return prior to the deferment or suspension stated date or expected date, you must notify Warwick Institute of Australia as soon as possible.

Student Declaration / Consent:

I declare that the information provided above is true and complete. I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application may delay the process of my application. I am aware that the decision to grant my deferral, suspension, or cancellation of enrolment may affect my Student Visa. I authorise Warwick Institute of Australia to obtain official student records from any educational institution necessary to make an informed decision about the application or matters that concern enrolment. Where my application to defer, suspend or cancel my enrolment is for period more than 28 days, I may be required to return to my home country unless approved by the Department of Home Affairs (DHA I am responsible for contacting DHA to clarify my Visa status.

A $350 application fee is payable before the application is processed.

If application is rejected, the application fee will be refunded in Australian Dollars.

If the application is approved and students are eligible for a refund, any refunds are processed within 28 days of receiving the written request via the Refund Application Form.

Refund: $350 Application fee

Yes, Total Refund No

Visa refusal letter Letter of offer from other institution Passport copy Medical certificate/s Statement of reasons Evidence of compassionate and/or compelling circumstances Return home flight ticket Other

Approved Not Approved

If the application is approved and students are eligible for a refund, any refunds are processed within 28 days of receiving the written request via the Refund Application Form.

DEFERMENT, SUSPENSION OR CANCELLATION OF ENROLMENT APPLICATION FORM

STUDENT DETAILS:

VISA INFORMATION:

Admin Department use ONLY