FORM: STD09.006 Document Request Form Version No. 2

DOCUMENT REQUEST FORM
Please note that the requests can only be processed if payments are up to date. Request for transcripts/qualifications will be available within 30 calendar days from completion date. Please note all the documents request will take up to 10 working days from submission of this form. Optional: A charge of $50.00 will be applied for URGENT processing. (3 working days from the request)
STUDENT DETAILS:
Name *

First Name Family Name
Student ID *
Phone Number *

Area Code Phone Number
Address *
Email Address *
example@example.com
Course Name *
DOCUMENT REQUEST
Please choose from below *

Certificate (Re-issue fee $50.00 Course completed ONLY) Transcript (Re-issue fee $50.00 Course completed ONLY) Completion Letter (Re-issue fee $50.00 Course completed ONLY) Statement of Attainment Interim Transcript Confirmation / Reference Letter* Attendance Certificate* Other
Reason/s (Valid reason and supporting document/s are required) *
STUDENT DECLARATION:
I declare that all the information I have given above is correct and complete. I confirm that I have read all the terms and conditions and agree to abide by those rules and any subsequent amendments. If any information is false or has been withheld I accept that this may cause cancellation of my enrolment and/or further consequences.
Student Signature *

Clear
Date *

Day Month Year
I confirm that I have received the requested document(s).
Student Signature

Clear
Date

Day Month Year
OFFICIAL USE ONLY
Urgent Processing Fee Paid
Amount (AUD)
Charged By
Signature

Clear
Date

Day Month Year
Date
Processed By
Signature

Clear
Date

Day Month Year
Date
FORM: STD09.006 Document Request Form LAST UPDATED: June 2018, Version No.2
Should be Empty:

DOCUMENT REQUEST FORM

STUDENT DETAILS:

DOCUMENT REQUEST

STUDENT DECLARATION:

OFFICIAL USE ONLY