STUDENT Complaints and Appeals Form
Student Details
Complainant Student ID Number:
*
Name of Complainant
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First Name
Last Name
Date of Birth
*
/
Day
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Month
Year
Date
Phone Number
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Course/Enrolment Details
Please select your course:
*
Please Select
BSB30220 Certificate III in Entrepreneurship and New Business
BSB40320 Certificate IV in Entrepreneurship and New Business
BSB50120 Diploma of Business
BSB50820 Diploma of Project Management
BSB50420 Diploma of Leadership and Management
BSB60420 Advanced Diploma of Leadership and Management
10904NAT Diploma of Social Media Marketing
Commencement Date
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Day
/
Month
Year
Expected Completion Date
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Day
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Month
Year
Details of Complaint/Appeal
Which of the following are you submitting:
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Informal Complaint
Formal Complaint
Internal Appeal
What is the nature of your complaint/appeal:
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Training
Assessment
Administration
Enrolment
Finance
Facility
Student Support
Intention to report to DHA
Other
Please provide the details of your complaint/appeal:
*
Please state your proposed course of action or desired outcome to solve this complaint or appeal:
*
If you have previously addressed this matter with the OC team, please provide the name(s) of the staff members you have been in contact with, the method of contact and the date of contact:
*
Date of Complaint/Appeal
*
/
Day
/
Month
Year
Date
Please upload any documents or evidence to support your complaint/appeal:
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Please sign:
*
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