Re-Enrolment Form

Re-Enrolment Form
Student Name*
Are you*

Overseas Student (Offshore)Overseas Student in Australia (Onshore)
Which of the following describes you?*

I am an agency representative applying on behalf of a clientI am an individual applying directly
Type your educational agency name
Student ID*
Class/Group
Mobile No:*
Email*
example@example.com
Course Code:
Course Name:
Unit Code:
Unit Name
Reasons for Re-Enrolment:
Please note:

a) Re-enrolment will be granted only after due consideration and not as a matter of right.

b) It is at the discretion of the Management/your trainer that a re-enrolment into a unit/course can be permitted.

c)If the reasons are due to compassionate and compelling circumstances please provide documentary evidence.
Signature

Clear
Date

DayMonthYear
Date
Should be Empty: