Refund Application Form
1. ABOUT THIS FORM
This form is to be used when making an application for a refund. Please note that in the event we cancel the course before or after commencement, you do not need to complete this form, and a refund will be automatically provided to you as per our Fees and Refunds Policy and Associated Procedures.
All refunds will be processed as per the information included in the International Student Handbook about fees and refunds. Provision of bank details below are taken to mean that you authorise payment to this account.
Student ID:
Given Name:
Surname:
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender:
Male
Female
Others:
Nationality:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Address:
Passport no:
Course Name:
2. REASON FOR REFUND
Please briefly describe the reason you are seeking a refund.
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3. BANK DETAILS
Bank Name:
Bank Branch:
Country:
Account Name:
Account Number:
BSB / SWIFT Code:
Name:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature:
4. FOR OFFICE USE ONLY
Processed By:
Position:
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Remarks:
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Submit
Should be Empty: