Course Transfer Form

COURSE TRANSFER FORM
Part A. Student Details:
Student ID:*
Given Name:*
Family Name:
Gender:*

MaleFemale
Part B. Contact Details:
Address:*

Street Address Line 2
Mobile Number:*
Email Validator*
Repeat Email Address:*
Part C. Course Details

(According to current eCoE)
Course/eCoE 1:*
Start Date:*

DayMonthYear
End Date:*

DayMonthYear
Course/eCoE 2:
Start Date:

MonthDayYear
End Date:

MonthDayYear
Course/eCoE 3:
Start Date:

MonthDayYear
End Date:

MonthDayYear
Attached your all eCoE:*

Cancelof
Part D. Course Details:

(Select the course you wish to study)
Course 1:*
Course 2:
Course 3:
Part E. Student Declaration:
I understand that as part of the transition to new courses, I am required to transfer to a new corresponding course under the new Services Training Package which came into effect on 25 march 2015. I have been explained of the consequences or otherwise of not transitioning into the new package. I have also been explained of the new structure as to its contents, duration and the new course costs. I have been provided with the following information to better understand this change. I have read and understand of following:
- General Direction—Learner transition
- Course Structure [Including Fees and duration of qualification]
- Updated agreement [Including updated payment plan]
Student Signature:*

Clear
Date:*

DayMonthYear
Should be Empty:

Part A. Student Details: