Cancellation/Defer/ Suspend

Request for Enrollment Defer / Suspend / Cancellation Form
Student's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Current residential address:

Full Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DeferSuspendCancel
Original course start date:*

DayMonthYear
Date
Original course finish date:*

DayMonthYear
Date
Course enrolled:*
Course you are currently enrolled in
Proposed course finish date:*

DayMonthYear
When would you like to cancel your course?
Reason for defer/suspend/cancellation is:*
Other:
If you selected "other" please provide reason here
File Upload

Cancelof

Student declaration

1. I understand a $400 cancellation fee may apply (except for visa refusal)

2. I will remain liable for all fees if I do not formally cancel my enrollment before the relevant course start date as stated on COE.

3. The effective date of this request is the date this form is received by Pacific English Study, along with the required supporting documents. If any supporting documentation is missing, the request will become void.

4. I have read and understood this form in full.

5. I have retained a student receipt as evidence of my submission.

6. Cancellation of enrolment may affect my student visa, Pacific English Study will notify DHA via PRISMS when my enrollment is deferred, suspended, or canceled.

7. I should contact my local DHA offices, www.homeaffairs.gov.au, or by phone 131 881 to seek advice on how this will affect my visa status.
Effective Dates

The effective date of Defer/Suspend/Cancellation is based upon the date the form was completely submitted to Pacific English Study. It is the student's responsibility to receive formal acknowledgment of lodgement, by receiving a form receipt.

Financial Liability

If students do not officially defer/suspend/cancel their enrollment before the relevant commencement date as stated on the current COE, they will remain liable to pay for the course of study they have enrolled in, even if they have not or are no longer attending classes.

Fee Refunds

Eligible students may obtain an application to request a Free Refund Form from Student Administration.

Please refer to Pacific English Student Agreement and Refund Policy.
Student ID Number
Signature*

Clear

Student Fees Refund Request

Please submit this form if you are entitled for a refund
Account Details
Account Holder's Name

First NameLast Name
Account Holder's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bank Name
Bank Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Overseas Bank Details

Please note is essential to provide one of these codes for a refund
Account's number
SWIFT/BIC Code
IBAN-UK, Europe Code
Sort Code
ABA or Routing Number
Australian Bank Details
Account's holder name

First NameLast Name
BSB
Account number
Bank Name
Signature

Clear
Should be Empty:

Request for Enrollment Defer / Suspend / Cancellation Form

Student Fees Refund Request

Account Details

Overseas Bank Details

Australian Bank Details