CHANGE OF COURSE APPLICATION FORM
This form is to be used for students who have been enrolled full time by Auscanus Institute of
Australia and who are applying for a change of the existing enrolment.
Incomplete forms will not be accepted.
Application with no sufficient supporting documents (where applicable) will not be
accepted/processed.
Accurate information must be provided for the College to assess the application and
correspond to student.
The completed form and supporting documents must be submitted here.
Section 1 - Student Personal Details
Student ID
*
Name
*
Given Name
Family Name
Current Campus
*
Please Select
Melbourne
Current Course
*
Please Select
Diploma of Business
Diploma of Leadership and Management
Certificate IV in Leadership and Management
Advanced Diploma of Leadership and Management
Commercial Cookery Stream (VET Package)
Diploma of Hospitality Management
Advanced Diploma of Hospitality Management
Certificate III in Commercial Cookery
Certificate IV in Kitchen Management
General English (GE) Elementary to Upper Intermediate
English for Academic Purposes(EAP) Intermediate to Advanced
Mobile Number
*
Email address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Section 2 - Change Of Course Details
Current Course
*
Please Select
Diploma of Business
Diploma of Leadership and Management
Certificate IV in Leadership and Management
Advanced Diploma of Leadership and Management
Commercial Cookery Stream (VET Package)
Diploma of Hospitality Management
Advanced Diploma of Hospitality Management
Certificate III in Commercial Cookery
Certificate IV in Kitchen Management
General English (GE) Elementary to Upper Intermediate
English for Academic Purposes(EAP) Intermediate to Advanced
New Course
*
Please Select
Diploma of Business
Diploma of Leadership and Management
Certificate IV in Leadership and Management
Advanced Diploma of Leadership and Management
Commercial Cookery Stream (VET Package)
Diploma of Hospitality Management
Advanced Diploma of Hospitality Management
Certificate III in Commercial Cookery
Certificate IV in Kitchen Management
General English (GE) Elementary to Upper Intermediate
English for Academic Purposes(EAP) Intermediate to Advanced
Current Course Start Date:
*
-
Day
-
Month
Year
New Course Start Date:
*
-
Day
-
Month
Year
Current Course End Date:
*
-
Day
-
Month
Year
Reason for Request
*
Course Start Date:
*
-
Day
-
Month
Year
Date
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Section 3 - Student Declaration
I declare that the information supplied by me on all parts of this form is correct and true.
I understand that any false statement may result in
1) The college notifying DHA about my false claims.
A charge of breach of discipline or academic misconduct made against me.
I understand that the supporting documents must be submitted at the time of request
lodgement.
I understand the supporting documents I submitted must be true and genuine. The fraud
documents may result in the breach of my student visa.
I understand that the College will notify DHA of the change of my enrolment at Auscanus
Institute of Australia, and this may affect the validity of my student visa.
I understand that I must continue to attend class until I am notified of the outcome of my
request and failure to attend class will result in being marked absent and affect my course progress.
l understand that the assessment of my request will be based on the reasons and my
supporting documents and on the College policies and procedures.
I understand if my request is granted for course extension, change of course and change
of campus:
Tuition fees may incur.
The duration of my enrolment may be varied.
I need to seek advice from DHA about any possible implications for my student visa; for
instance, a longer period of enrolment than the expected duration may mean that
I
will need to apply to extend my student visa.
My course progress may be affected.
My timetable may change.
I must return to class when expected. If I do not, my enrolment and CoE will be
cancelled as non-commencement, and this will put my student visa at risk.
I understand that I will be issued a new Letter of Offer and a new Written Agreement
(WA) for the changes and until the signed WA is received by the admissions department.
The process of the request will not be finalised.
N
ew CoE will not be issued which could lead to my student visa at risk.
Student Name
*
PRINT FULL NAME
Student signature
*
Date
*
/
Day
/
Month
Year
Submit
Should be Empty: