Leave of Absence Application

Leave of Absence Application

Read this application carefully. Complete all sections and ensure that any supporting documents are attached and certified by a Justice of the Peace or equivalent in the approved form.
Student ID Number*
Only Numbers
Date of Birth*

DayMonthYear
DD-MM-YYYY
Name*

First NameLast Name
Email*
Please use your IMC/TOP email account for confidentiality. We will contact the provided email account for all on-going conversations.
Name of Your Course*
Your Campus*

Sydney CampusHobart CampusPerth Campus
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*

Country CodePhone Number

Length of Leave Request*

1 Term2 Terms (only available for courses above 2 years)
In which year will you take the leave?*
Write the year you will take leave, such as 2022
Which term is your first term of leave?*

Term 1Term 2Term 3
In which year will you return to your study?*
Which term will you return to your study?*

Term 1Term 2Term 3
I wish to apply for Leave of Absence from my studies in the above course for the following reason(s):*
Please attach your file(s) here. Documentary evidence in support of the application must be attached where appropriate e.g. medical certificate. Documents in languages other than English must be accompanied by an English translation. Please refer to point 10 of the Terms and Conditions.*

Cancelof

How you would like to plan your study?
Are you an international student?*

Yes. As an international student, I understand that I should complete my study within the duration specified on my Confirmation of Enrollment (CoE).No. I'm a domestic student.

Your CoE commence date*
Your CoE finish date*

I will follow the study plan as listed to complete my study.The number of units to be enrolled are indicated below.

Type the units number you have enrolled in previous terms and the number of units you will enroll once your return to your study. For the term(s) of Leave of Absence, please input 0.

For example, you started your study in Term 1 2021 and enrolled in 4 units, you will need to input "4". You would like to take LOA in Term 2 2021, you will need to input "0". You resume your study in Term 3 2021, and will enroll 4 units. So you will need to input "4". Based on your situation, fill out the following form. *

	Term 1	Term 2	Term 3
2021
2022
2023
2024
2025

Signature and Declaration
Terms and Conditions

1.Leave of Absence may be granted for a specified period of one (1) or two (2) terms to students in special circumstances.

2.Leave of absence is normally granted at the commencement of a term.

3.Students resuming an award program after a Leave of Absence shall be subject to the award program requirements that are ineffect at the time of resuming their studies.

4.Failure to re-enroll after a Leave of Absence period has expired will be interpreted as a discontinuation of studies unless the student applies for a further extension due to their extenuating circumstances.

5.Failure to re-enroll prior to the census date of the semester that the student is to resume their studies may result in financial and academic penalties.

6.If you are the holder of a scholarship or other academic award, any leave of absence may adversely affect your scholarship such that your scholarship is terminated revoked. You should read the full terms and conditions of your scholarship which is available here: https://www.imc.edu.au/future-students/scholarships.

7.Each Leave of Absence will be assessed on a case-by-case basis and on its merits. Each application must be accompanied by valid supporting documentation.

8.Notification of your Leave of Absence may be provided to various government bodies, including but not limited to, Department of Home Affairs and Australian Taxation Office (ATO).

8.For advice on your visa obligations and how your Leave of Absence may affect your obligations, please contact the Department of Home Affairs at your earliest convenience.

9.Please refer to the Privacy Policy for further information on the use of your personal information. The Institute will only use your personal information for administrative or educational purposes.

10.Documents in languages other than English must be accompanied by an English translation. The translation must be a certified translation from a National Accreditation Authority for Translators and Interpreters (NAATI) accredited translator. The translator with their full name, address, telephone number and a brief statement outlining their experience in the language being translated, should endorse translations provided by non-accredited translators outside of Australia. This statement may be attached to the translated copy of the documents.

11. I read and fully understood the above information. The information provided by me on this form is true and correct. I understand the information may be reported to the Department of Home Affairs as required by legislation. I understand the implications for my student visa. I have attached appropriate supporting documents.

For more information, see the Student Progression, Exclusion and Graduation Policy and Procedures which can be found on our website on www.imc.edu.au.
Decalration

I declare that I have read and understood the terms prescribed in this Application Form. I confirm that the information provided by me on this form is true and correct. I give the Institute permission to authenticate and seek verification of the information supplied by me in this application.
Please sign here*

Clear
Australian National Institute of Management and Commerce
CRICOS Code: 02491D | TEQSA PRV 12059 | Add: Suite 1, Biomedical Building, 1 Central Ave, Eveleigh NSW 2015
Tel: + 61 2 9209 4888 | Fax: + 61 2 8088 6784 | E-mail: info@imc.edu.au | Web: www.imc.edu.au
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Leave of Absence Application

How you would like to plan your study?

Signature and Declaration