DEFERMENT FORM

DEFERMENT FORM
This form is to be used when making an application to defer your enrolment into a course with us.You may defer your studies for up to 12 months. You must provide evidence of compassionate or compelling circumstances in order to defer your studies. Compassionateand compelling circumstances are personal circumstances that are involuntary and outside your control, for example, medical, wellbeing, or enrolmentcircumstances, and present you with limited or no choice. You must also provide supporting evidence with your application (e.g., a medical certificate
STUDENT INFORMATION
STUDENT NAME
STUDENT ID
DATE OF BIRTH

DayMonthYear
Date
MaleFemale
ECOE CODE
COURSE TITLE & CODE
Why do you want to defer your enrolment?
DATE YOU WOULD LIKETO DEFER YOUR STUDIES TO

DayMonthYear
Date
STUDENT DECLARATION
I declare that information I have provided in the form is accurate. I authorise Novus Education Pty Ltd to examine the validity of supporting reasons and documents. I have read and understood the College Policy and Procedure on defement and understand its implication on my eCoE. I understand that deferment may affect my course end date. I agree that deferment may affect my student visa. I agree that I have a right to appeal the College decision on deferment within 20 working days of the outcome.
STUDENT SIGNATURE

Clear
DATE

DayMonthYear
Date
Application ApprovedApplication Rejected
Reasons for Refusal / Approval
ACTION UNDERTAKEN
YesNo
NEW COE FINISHING DATE ( IF ECOE END DATE IS AFFECTED)

DayMonthYear
Date
APPLICATION PROCESSED BY NAME
STUDENT SIGNATURE

Clear
DATE OF PROCESSING

DayMonthYear
Date
Novus Education Pty Ltd | RTO Code 45082 | CRICOS Code 03966K www.novus.edu.au | 02 4308 9649 | academic@novus.edu.com
Should be Empty:

DEFERMENT FORM

STUDENT INFORMATION

STUDENT DECLARATION

ACTION UNDERTAKEN