Variation to Enrolment Form

Variation to Enrolment Form

Before completing this form, please read the Barrington Training Services Course Transfer, Extension and Deferral Policy
Type of Request?*
Student Details:
Full Name*

First NameLast Name
Unique Student Identifier (If you cannot remember your USI, please visit www.usi.gov.au and log in to the USI Registry System)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Current Course Details:

(Please enter the details of your current course)
Current Course Code*
Current Course Title*
Current Course Start Date*

MonthDayYear
Date
Mode of Delivery*

Face-to-faceOnlineBlended
New Course Details:

(Please enter the details of the course you wish to transfer to)
New Course Code*
New Course Title*
Requested Start Date*

MonthDayYear
Date
Preferred Mode of Delivery*

Face-to-faceOnlineBlended
Reason for Transfer:*

Course not suitableChange in career goalsPersonal/Health reasonsTimetable conflictOther (Please provide further details in the box below)
Reason for Deferral (Select One):*

MedicalFamily or Personal ReasonsFinancial HardshipEmployment/Scheduling ConflictOther (Please provide further details in the box below)
Reason for Extension (Select One):*

Illness or InjuryFamily or Personal ReasonsLearning Difficulties or workloadOther (Please provide further details in the box below)
Reason for Withdrawal (Select One):*

Personal reasonsEmployment/Scheduling conflictFinancial HardshipHealth/medical reasonsOther (Please provide further details in the box below)
Please provide details of your reason for transfer/deferral/extension/withdrawal if not listed above:
Withdrawal Request Date*

MonthDayYear
Date
Have you been granted a deferrment or extension previously for this enrolment? (Select One):*

YesNo
Please attach any relevant supporting evidence (E.g. Medical Certificate, Employment Letter, other)

Cancelof
Student Declaration
I understand that transferring courses may impact my course duration, fees, funding/subsidy eligibility, and training plan. I have read the RTO's course transfer policy, understood these implications and wish to proceed with this request.
I understand that deferring my course may affect the overall duration of my training, eligibility for government funding/subsidies, and future training schedule. I agree to abide by the RTO’s deferral policy and return within the agreed timeframe or notify the RTO of any changes.
I understand that an extension may affect my course timeline, potential government funding eligibility, and assessment deadlines. I have read the RTOs course extension policy and agree to any updated training schedule and requirements if this request is approved.
I confirm my intention to withdraw from the course listed above. I acknowledge that I have read and understood the RTO’s withdrawal and refund policy, and I am aware of any impacts on government funding, future training or qualification completion. I authorise the RTO to process this withdrawal.
Student Signature*
Date*

MonthDayYear
Date
Privacy Statement
The personal information supplied and collected in this Form is subject to the Privacy Act 1988 (Commonwealth) and will be treated in accordance with BTS’s Privacy Policy. A full copy of BTS’s Privacy Policy is available on our website.
RTO Use Only
Type of Request Submitted*

Course TransferCourse DeferralCourse ExtensionCourse Withdrawal
RTO Use Only
Student Interview Conducted?*

YesNo
Academic Progress Reviewed?*

YesNo
TRANSFER Assessed for Suitability (e.g. LLN, prerequisites?)*

YesNo
DERFERRAL Eligibility for Deferral Confirmed?*

YesNo
RTO Notes*
Decision*

ApprovedNot Approved
Conditions (if applicable)
Deferral Return Date*

MonthDayYear
Date
Extension End Date*

MonthDayYear
Date
Withdrawal Effective Date*

MonthDayYear
Date
RTO Signature*

Clear
Date*

MonthDayYear
Date
Name and Position Title*
Should be Empty: