Provider Transfer (Release) Application Form
PERSONAL DETAILS
Student ID
Family name (as shown on passport)
*
Given name (as shown on passport)
*
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Contact phone number
*
-
+61
4XXXXXXXX
Email
*
Confirmation Email
example@example.com
Current course
*
Please Select
General English
English for Academic Purposes
Cambridge English Advanced
High School Preparation
IELTS 6&7
Back
Next
REASONS FOR TRANSFER REQUEST
A detailed statement must be provided to support your application for release to another provider. Please also provide supporting documents to support your application for release.
*
SUPPORTING EVIDENCE DOCUMENTS
Please also provide supporting documentary evidence to support your application for release.
SUPPORTING EVIDENCE DOCUMENTS. Please also provide supporting documentary evidence to support your application for release.
*
a completed Provider Transfer (release) Application Form (this form)
a detailed statement (in the space above) describing reasons for release request.
Supporting documents to support your release application.
An Offer Letter from new provider
Proof of payment
Offer Letter from new provider
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proof of payment (A fee of $250 is applicable to process all transfer requests)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional supporting evidences
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
CONDITIONS
PLEASE READ THE FOLLOWING CONDITIONS CAREFULLY
You agree that:
You continue to attend classes and meet all course requirements while your application is being processed.
SCIC may inform the Department of Home Affairs of your cancellation which may adversely affect your visa.
Evidence such as offer letter from new provider must be submitted with relevant requests.
A fee of $250 is applicable to process all transfer requests. This fee is an application fee only and does not guarantee that the requests will be approved.
For all requests to be processed and approved, you must have paid all fees as specified on your Letter of Offer & Written Agreement at the time of submission for your provider transfer application form.
An application for release does not guarantee the grant of release.
SCIC will assess and reply to your request in writing within ten working days from the date of submission of all required documents and information.
Failure to provide adequate documents may result in further enquiries from SCIC which will delay the processing of your application
All refunds are subject to SCIC’s Fees & Refunds Policy.
All requests are subject to relevant SCIC policies and procedures.
You have read SCIC’s Transfer between Providers Policy & Procedure.
DECLARATION
PLEASE READ THE FOLLOWING CONDITIONS CAREFULLY
I declare that all the information I have given above is correct and complete.
I confirm that I have read SCIC’s Provider Transfer Policy & Procedure and agree to abide by the process described in this document
I have provided supporting documentation to support my provider transfer application.
If understand and accept that, if any information provided by me as part of this application is false or misleading, it may result in me being subject to disciplinary proceedings.
Date
.
Day
.
Month
Year
Date
Student Signature
*
Preview PDF
Submit
Should be Empty: