DEFERMENT, SUSPENSION OR CANCELLATION OF ENROLMENT APPLICATION FORM

DEFERMENT, SUSPENSION OR CANCELLATION OF ENROLMENT APPLICATION 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 Business Institution of Australia. A $350 application fee is payable before the application is processed by the Admin Department.
STUDENT DETAILS:
Name *

First Name Family Name
Phone Number: *

Area Code Phone Number
Email Address *
example@example.com
Student ID *
Course Enrolled: *
Campus:

Sydney Brisbane
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)
I wish to
Defer my course: (Prior to course commences) Suspend my course: (During the current enrolment) Cancel my course: (Terminate the Enrolment Permanently)
Defer - From:

Day Month Year
Date
Defer - To:

Day Month Year
Date
Defer - From:

Day Month Year
Date
Defer - To:

Day Month Year
Date
Please use an application form for releaseof study if you wish to withdraw from the course and transfer to another educational provider within 6 months of the principal course.
Reasons

(Please tick one of the following options)
Visa refused Medical Reasons Other Compassionate and/or Compelling reasons Transfer to another EducationProvider Other
Attach Documentation
- Visa refusal letter issued by DHA
- 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)
- Supportive Documents
- Letter of Offer from another institution
- Statement of reasons
- Other Supportive Documents
Upload the Document

Cancel of
Are you planning to do ‘catch up’ classes to compensate the time lost during deferment or suspension? (If Yes, please see Course Coordinator to revise your study plan and a copy must be attached)

Yes No
Are you leaving Australia? If Yes, please attach a copy of your travel itinerary to this application and complete the overseas contact details below as per DHA requirements.

Yes No
Address

Unit No.

Street Address

City State / Province

Postal / Zip Code
Country
Overseas Contact

Area Code Phone Number
VISA INFORMATION:
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 Business 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 Business 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.
Student Signature *

Clear
Date *

Day Month Year
Date
Should be Empty:

DEFERMENT, SUSPENSION OR CANCELLATION OF ENROLMENT APPLICATION FORM

STUDENT DETAILS:

I wish to

Reasons

VISA INFORMATION: