STUDENT DETAILS
Student's name
*
First Name
Last Name
Student's Phone Number:
Please enter a valid phone number.
Student's Email Address:
example@example.com
Course Start Date
*
/
Day
/
Month
Year
Date
Number of Weeks of Study
*
AGENT DETAILS
Agency Name
*
Head Office's Address
*
Main Contact
*
Phone Number
*
Email Address
*
example@example.com
Back
Next
CANCELLATION
Reason for Cancellation
*
You must provide detailed information
Please upload your evidence
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you applying for a refund?
*
Yes
No
Total Amount Paid
*
Amount in Australin Dollars
BANK DETAILS
Account number
*
BSB / SWIFT CODE / IBAN:
*
Name of the Account
*
Bank Address
*
Date
/
Day
/
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Student declaration
*
I have thoroughly read and comprehended the school's Cancellation/Refund Policy as outlined in the student handbook and published on the TLA website.
I have provided all necessary supporting evidence and documents required for the processing of my request.
I declare that the information and documents provided on this application are true and correct
I acknowledge that I remain enrolled until this cancellation/refund request is approved by TLA. Therefore, I understand that I must maintain my attendance and fulfill course tuition payments as outlined in my Letter of Offer.
I have carefully read and understood the terms and conditions stated below in relation to this request.
Main Person Sign
*
Name fo the person signing
*
First Name
Last Name
Terms and Conditions:
Students must consult their education/migration agent before submitting this form to verify any potential repercussions to their visa applications or current visa requirements. Additionally, students may wish to contact the Department of Home Affairs for further assistance prior to submitting their request.
You are required to provide a one-way flight confirmation to your home country as evidence of your intent to return home. If you are not travelling home but need to leave Australia, please explain this in the cancellation request and attach the flight confirmation to your destination.
All requests must be supported by relevant evidence. The validity of the evidence will be determined by the school, and additional evidence may be requested at the school's discretion. All submissions are subject to review and approval by TLA.
Preview PDF
Submit
Should be Empty: