Enrolment Variation form
The outcome of this form will be released in 2 weeks after submission is received. You must contact DHA for any visa obligations in case of your enrolment status is changed.
Section 1 – Student Details
Name
*
Mr.
Mrs.
Miss.
Ms.
Prefix
First Name
Last Name
Student ID
*
USI Number
Gender
*
Male
Female
Other
Phone Number
*
-
Area Code
Phone Number
Email
Email
*
example@example.com
Course
*
Start Date
-
Day
-
Month
Year
Course 1 Start Date
End Date
-
Day
-
Month
Year
Course 1 End Date
Campus
*
Please Select
Liverpool
Sydney
Section 2 – Change Details
I wish to apply for (please tick one)
Deferment of my course
Amendment (change of my course)
Withdrawal from my course
Extension of my CoE/VoE
Reinstatement of my cancelled enrollment
Transfer to another Campus
Early Commencement
Withdrawal Date
-
Day
-
Month
Year
Select the option for withdrawal
Visa Refusal
Change of Provider
Special Consideration
Non Satisfaction with the AICSE Support services
Non Satisfaction with the Training Services
Please briefly describe the reason you have decided to discontinue your studies.
New Course 1
New Course 2
New Course 3
New Course Start Date
-
Day
-
Month
Year
Reason for Change of course
What are your career objectives
How do you think this course will contribute towards you obtaining your objectives
What must you do to achieve your objectives
Defer Start Date
-
Day
-
Month
Year
Date
Defer End Date
-
Day
-
Month
Year
Date
Defer to Date
-
Day
-
Month
Year
Please briefly describe the reason you have decided to defer your studies.
Early Commencement on
*
-
Day
-
Month
Year
Please briefly describe the reason you have decided to commence your studies earlier than actual start date
Are you extending for work placement
Yes
No
Briefly describe reason for extension
Extension start Date
-
Month
-
Day
Year
Date
Reason for cancellation
New enrolment Proposed start date
-
Month
-
Day
Year
Date
would like to attend intervention meeting on
-
Month
-
Day
Year
Date
Select the campus you would like to transfer
Please Select
Liverpool
Sydney
Briefly state the reason for your transfer
Briefly state the reason for your extension
Supporting documents
*
Browse Files
Cancel
of
I have already made the payment
*
Yes
No
Upload screenshot of your application fee payment
*
Browse Files
Cancel
of
Application Fee
Please refer
"
Fees & Charges
"
section in AICSE website for fee details.
Signature
*
Submit
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