DOCUMENT REQUEST FORM

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 *
Contact Number *
Address *
Email Address *
example@example.com
Course Name: *
DOCUMENT REQUEST: *

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
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
Date
I confirm that I have received the requested document(s).
Student Signature:

Clear
Date

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

Clear
Date:

Month Day Year
Date
Processed By:
Signature:

Clear
Date:

Month Day Year
Date
Should be Empty:

DOCUMENT REQUEST FORM

STUDENT DETAILS:

STUDENT DECLARATION:

OFFICE USE ONLY