Refund Request Form
Section 1: Personal Information
Full Name
Student ID Number
Email Address
Phone Number
Address
Section 2: Course Information
Course Enrolled In
Course Start Date
-
Month
-
Day
Year
Date
Reason for Refund Request
Please Select
Withdrawal from Course
Overpayment of Fees
Course Cancelled by College
Financial Hardship
Change of Enrolment Status
Other (Specify)
If Other, Please Specify
Description of Refund Reason
Section 3: Refund Details
Amount of Refund Requested
Payment Method Used
Please Select
Credit Card
Bank Transfer
PayPal
Other (Specify)
If Other, Please Specify
Bank Account Details (for Bank Transfer)
Provide bank name, account number, and BSB for bank transfers.
Section 4: Supporting Documentation
Upload Supporting Documents
Browse Files
Drag and drop files here
Choose a file
Please upload any relevant documents to support your refund request (e.g., proof of payment, withdrawal confirmation, medical certificates).
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Section 5: Agreement to Terms
Agreement to Refund Policy
I have read and agree to the terms and conditions of Rosehill College’s refund policy.
Consent to Data Processing
I consent to the collection and processing of my personal data as described in Rosehill College’s Privacy Policy.
Signature
Date
-
Month
-
Day
Year
Date
Section 6: Additional Information
Additional Comments or Requests
Submit
Should be Empty: