Certificate Issue RequestForm
1. STUDENT DETAILS
Please ensure to fill this form correctly. Incorrect or incomplete forms will result in delays or rejections.
Student Name:
Student ID:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Address:
Course Name:
2. PLEASE CHOOSE ONE OF THE FOLLOWING:
I declare that I have completed all program requirements in my enrolled course, have paid all due tuition fees and would like the Heaton Institute of Technology to issue me with a Testamur and Statement of Results (SOR)
I declare that I have completed partial program requirements in my enrolled course, have paid all due tuition fees and would like the Institute to issue me with a Statement of Attainment (SOA)
I would like to pick up my Awards from the Institute
Student Signature:
Request Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Collected by (Student Signature):
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
3. OFFICE USE ONLY
Step 1: Student Services Officer/ Manager
We hereby certify that this student has met all program requirements to justify the issuance of this award. Academic records supporting these statements have been compiled in accordance with Australian Qualifications Framework requirements.
Certificate Validation Checklist
Sighted verified Unique Student Identifier (USI) in RTOM
Yes
No
Check Academic Records
Yes
No
Check re-assessment (date, grade) if any
Yes
No
Check COE detail (issue and completion date)
Yes
No
Certificate checked (date, name, qualification, grade, certificate number)
Yes
No
Details are recorded in Register of issued AQF qualifications
Yes
No
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Certificate Issue RequestForm
Student documents updated - PROCESS REQUEST
Student documents not updated - DO NOT PROCESS REQUEST
Student Services Name:
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Step 2: Finance Department
Tick Appropriate:
NO FEES DUE - PROCESS REQUEST
FEES DUE - DO NOT PROCESS REQUEST Amount Due:
Account Officer Name:
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Step 3: RTO Manager
RTO Manager:
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
4. COMMENTS
Certificate No:
Transcript No:
Date Certification Prepared:
Preview PDF
Submit
Should be Empty: