Amendment of Application for Award / Graduation 2023

Amendment to

Application for Award/Graduation

2023
Privacy Statement
The purpose of this form is to collect information on the matter stated in the form title and form body. The information is processed in accordance with the Personal Data Protection Act (PDPA) 2010. It is only disclosed to third parties for the above-mentioned purpose, with your consent, or to meet statutory obligations. For more information, please refer to the University’s Privacy Collection Notice at https://www.swinburne.edu.my/privacy/.

NOTE:

Submission Period & Deadline	Parchment Collection (after Ceremony)
16 January - 15 February 2023	March 2023
1 August - 2 October 2022	October 2023

1. Kindly take note that the aforementioned timeframe is approximate and subject to change. Any updates can be referrred from Swinburne Sarawak website and your Swinburne email.

2. The exact date, time and venue for Parchment Collection will be announced later.

3. For those who requested for Mail Out, the tracking number will be emailed to you once done.

* All fields are mandatory.
STUDENT DETAILS
Student Name*
*As per Identity Card / Passport
Student ID No.*
Date of Birth*

DayMonthYear
Student Email*
e.g. 123456789@students.swinburne.edu.my
Personal Email*
This email is only as alternative of communication
Program Code and Name*
Mobile No.*
AMENDMENTS
I want to amend my personal details :

Correct my nameChange my Address
I want to amend my Application to :

Defer my application to the next ceremonyGraduate in Absentia (Not attend a Graduation Ceremony)Withdraw my application to GraduateAttend a Graduation Ceremony
NAME CHANGE
My name should appear as:
Full Name*
CAPITAL LETTERS as per stated in your certified copy of legal document
First Name / Given Name*
As per stated in your IC or Passport
Last Name / Family Name / Surname*
CAPITAL LETTERS as per stated in your IC or Passport
The certified copy of legal document that I have e-mailed to (graduation@swinburne.edu.my) as a proof of name change is (Please select from list):-*

Identification Card (IC)Birth CertificatePassportMarriage CertificateDriving License
Note 1: Names may not be deleted - e.g. a middle name - if they are part of your correct legal name.

Note 2: Once your award has been presented / conferred, you will be unable to change the name on the certificate at a later date.
CHANGE OF ADDRESS
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
New Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
New Address effective from*

DayMonthYear
DEFER AWARD / GRADUATION APPLICATION
Defer Graduation Ceremony to*
** 2023/2024 Ceremonies are Tentative and Subject to Change

Notes:

1. Deferral notification must be made at least one (1) month prior to your nominated ceremony / award date. Fail to do so, a penalty fee amounting RM100.00 will be imposed.

2. You can only defer your graduation once; unless for exceptional grounds which beyond your control i.e. University's decision, natural disaster and other equivalent reasons.

3. The paid graduation fees will be brought forward. Any outstanding fee or penalty must be settled at least one (1) month prior to the ceremony.

4. If you opt for Melbourne ceremony, click HERE for more info. However, you still need to apply via Sarawak application form. Related payment and regalia booking can only be done upon receiving the email invitation & confirmation from Melbourne. Click HERE for the guideline.
GRADUATE IN ABSENTIA (Not attending any Graduation Ceremony)
*

I no longer wish to attend a Graduation Ceremony and opt to graduate in Absentia.
In - Absentia*

Self-collect at Swinburne Sarawak - RM200 (Parchment)Mailout WITHIN Malaysia - RM200 + RM100 (Parchment + Remittance fees)Mailout OUTSIDE Malaysia - RM200 + RM250
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Amount Paid (RM only)*
RM XXX
Official Receipt no. (from Swinburne)*
OR XXXXXX
REFUNDS

A refund will be made if the Graduation Section is notified in writing one month prior to your nominated ceremony / award date. Please note a cancellation fee of RM100 will be deducted and refunds will be processed after the ceremony / award date.
WITHDRAWAL OF APPLICATION TO GRADUATE
*

I no longer wish to attend a Graduation Ceremony and would like to withdraw my application to graduate.
Notice of withdrawal must be received at least one (1) month prior to award / ceremony date. You will be made ineligible and any refund will be processed after the ceremony / award date.
ATTEND A GRADUATION CEREMONY
*

I now wish to attend a Graduation / Award Ceremony and enclosed is my receipt of payment for attending the ceremony.
Please choose 1(One) Session :*

Sarawak Ceremony (March 2023)Sarawak Ceremony (October 2023)Melbourne Ceremony (August 2023)Melbourne Ceremony (December 2023)
Amount Paid (RM only)*
RM XXX
Official Receipt no. (from Swinburne)*
OR XXXXXX
** 2023/2024 Ceremonies are Tentative and Subject to Change

Notes:

1. The Graduation Section must be notified one month prior to the Graduation Ceremony. Please note a penalty fee of RM100 will be imposed if you informed within one week before ceremony. If there is no place available at the ceremony, your payment will be refunded.

2. If you opt for Melbourne ceremony, click HERE for more info. However, you still need to apply via Sarawak application form. Related payment and regalia booking can only be done upon receiving the email invitation & confirmation from Melbourne. Click HERE for the guideline.
REGALIA BOOKING
Gender*
Regalia Size*
SIGNATURE
Acknowledgement*

I have read and understood all the requirement of this application. The application will not be processed if I have any outstanding fees with the University.
Student Signature*
CONDITIONS, DISCLAIMER and PRIVACY STATEMENT
Conditions*

I hereby acknowledged that I (the applicant) clearly understand, accept and comply with all the important notes stated above. The University will also not be responsible for any of my own negligence OR ignorant act on the above.
Disclaimer and Privacy Statement*

Swinburne University of Technology collects, uses and destroys personal information in accordance with our Privacy Policy. I understand that if the request that I submit is incorrect or incomplete that my request will not be processed. I agree to the terms stated above.
Please verify that you are human*
Should be Empty:

Amendment to

Application for Award/Graduation

STUDENT DETAILS

AMENDMENTS

NAME CHANGE

CHANGE OF ADDRESS

DEFER AWARD / GRADUATION APPLICATION

GRADUATE IN ABSENTIA (Not attending any Graduation Ceremony)

WITHDRAWAL OF APPLICATION TO GRADUATE

ATTEND A GRADUATION CEREMONY

REGALIA BOOKING

SIGNATURE

CONDITIONS, DISCLAIMER and PRIVACY STATEMENT