Request for Additional Course/s Form
This form is to be used if you want to apply for an additional course or courses from your current enrolment.
PERSONAL DETAILS
Family Name
Student Number
Given Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Passport Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Postcode
Rows
I wish to add the below course/s to my enrolment
Intake Date:
1
2
3
Reason for additional Course Request
Please list your reasons for requesting an additional course/s. Please attach any supporting documentation.
Student Signature
Australian Virtus Institute
RTO Code: 45858 CRISCOS Code: 04023E
W: www.avi.edu.au E: admissions@avi.edu.au
Level 6 West, 50 Grenfell St., Adelaide SA 5000 (08) 7093 2414
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