BLC Appeal Form V2

Blue Lotus College Student Appeal Form
This Appeal Form must be lodged directly to Student Services
Student Number*
USI No*
Name*

GivenFirst NameFamily Name
Course Enrolled in:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Contact Phone*
Mobile*
Note:
1. This Appeals Form must be lodged no later than 20 working days after the date of notification letter
2. This Appeals Form must meet the grounds for appeal
3. Grounds of appeal documents must be attached
4. Original notification letter being appealed must be attached Type of Appeal (Please tick appropriately)
Type of Appeal*

Intention to ReportComplaintAcademic ResultsDiscipline/Misconduct
DETAILS OF YOUR GROUNDS FOR APPEAL: (Attach additional pages if required)*
Attach additional pages if required.

Cancelof
Student Signature*

Clear
Date*

DayMonthYear
Date
Note: Commencement of process is within 10 working days of the formal lodgement of the appeal and reasonable measures are taken to finalise the process as soon as practicable.

Date created: August 2024 AABT College I RTO No: 45457 I CRICOS Code: 03734D
Should be Empty:

Blue Lotus College Student Appeal Form