Pay Now Form

Student ID*

Student Name*

PrefixFirst NameMiddle NameLast Name

USI

https://www.usi.gov.au/students/get-a-usi

Phone Number*

Area CodePhone Number

Email*

example@example.com

Payment for*

Other*

Select payment method*

Credit Card*

AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Bank Transfer

One Payment receipt should go to the person who’s making payment.

Australian Bank Transfer:

Bank Name*

Account Name*

BSB*

Account Number*

Amount (AUD)*

Supporting Documents

Browse Files

Please upload the invoice or Offer letter.

Declaration

I declare that the information provided by me is true and complete and that it is my responsibility to provide all necessary documentation to support my request for refund. I agree and have read and understand Lead College’s Fess and Refund policy.

Signature*

Clear

Date*

Date

NOTE:

Your request will be actioned once we recieved payment in our account.

All payments will be deducted in Australian Dollars only.

Your credit card will be charged transaction fee if you choose to pay by Credit Card.