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 *
Phone Number *

Area Code Phone Number
Address *

Unit

Street Address

Suburb State / Province

Postal / Zip Code
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
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
Date
FORM: STD09.006 Document Request Form LAST UPDATED: Oct 2017, Version No. 1
Should be Empty: