Request Form - Defer / Suspension

Application*

Defer. If you HAVE NOT STARTED your course(s).Suspend Study. If you STARTED your course(s).

Student Full Name*

Student ID *

Date of Birth

Student Email Address*

Student Contact Number*

Current Address*

Street Address

SuburbState

PostalCountry

Deferment/Suspension from*

Deferment/Suspension to*

Reason for Deferment/Suspension. Note: Requests for Deferment/Suspension from an international student can only be approved for compassionate or compelling circumstances with supporting documents.*

Supporting Documents*

Payment*

Processing fee for deferment or suspension of studies

$400.00AUD

Enter coupon

Total

$0.00AUD

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

Declaration*

I declare that the information provided by me on this form is true and correct.I understand that I must pay the processing fee for deferment or suspension of studies in order to complete this request.I understand that, regardless of the decision, the processing fee for deferment or suspension of studies is non-refundable under any circumstances.I agree and give my permission to Evolution to release of personal information for the purpose of resolving this request.I understand that the request has to follow the related policies and procedures.I understand that the request can take up to 10 business days to process.I understand that if I am an international student, I must remain financial and enrolled in a registered course and satisfactory attendance in my course and course progress for each study period as required.

Signature*

Date*

Officer Name*

First NameLast Name

Decision*

APPROVEDECLINE

Comment(s)*

Signature*

Date*