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Refund Calculation Form (for International Students)
Note:

This form must be used to apply, for a refund, by International Students. Please complete this form and submit it.

Please note that there will be a service fee of $100 if ALACC staff has to go to a bank to pay the refund amount or if the online bank details do not work.
This form is to be used with any application for refund for all International Students
Full Name*

First NameMiddle NameLast Name
Date*

DayMonthYear
22251VIC- Certificate II in EAL (Access)22255VIC- Certificate III in EAL (Further Study)22258VIC- Certificate IV in EAL (Further Study)BSB41415 - Certificate IV in Work Health and SafetyBSB42015 - Certificate IV in Leadership and ManagementBSB51315 - Diploma of Work Health and SafetyBSB51615 - Diploma of QualityBSB51915 - Diploma of Leadership and ManagementBSB61015 - Advanced Diploma of Leadership and ManagementCHC30113 - Certificate III in Early Childhood Education and CareCHC33015 - Certificate III Individual Support (Ageing, Home & Community)CHC33015 - Certificate III in Individual Support (Disability)CHC43015 - Certificate IV in Ageing SupportCHC43115 - Certificate IV in DisabilityCHC43315 - Certificate IV in Mental HealthCHC43415 - Certificate IV in Leisure and HealthCHC50113 - Diploma of Early Childhood Education and CareCHC52015 - Diploma of Community ServicesCHC53315 - Diploma of Mental HealthCHC62015 - Advanced Diploma of Community Sector ManagementHLT33115 - Certificate III in Health Services AssistanceHLT37215 - Certificate III in Pathology CollectionHLT54115 - Diploma of NursingHLT64115 - Advanced Diploma of Nursing22282VIC- Course in the Management of Asthma Risks and Emergencies in the Workplace22300VIC- Course in First Aid Management of AnaphylaxisHLTAID003 - Provide first aidHLTAID004 - Provide an emergency first aid response in an education and care settingHLTFSE001 - Follow basic food safety practicesHLTHPS006 - Assist clients with medicationHLTWHS005 - Conduct manual tasks safelyEPEN14 - Return to Practice Course for Australian Qualified Nurses (Enrolled/Division 2)EPIQ14 - Bridging Course for Overseas Qualified Nurses (Enrolled/Division 2)OET (English Preparation)HLT35015 - Certificate III in Dental AssistingHLT45021 - Certificate IV in Dental AssistingOther
Student ID*
VR - Visa Refused (Full Refund)W10 - Withdrawal 10 weeks prior to course or semester commencement (Full Refund of course fees paid by the student minus the registration fees)W4 - Withdrawal 4 to 10 weeks prior to course or semester commencement (Refund 70% of course fees paid by the student minus registration fees)W0 - Withdrawal less than 4 weeks prior to course or semester commencement (Refund 50% of course fees paid by the student minus registration fees)WA - Withdrawals after the course or semester commences (No Refund on Current Semester Fee, current semester are payable and non-refundable)CAN - Course cancelled or rescheduled by Australasian Lawrence Aged Care College (Full Refund)
REFUND CALCULATION
Course Fee paid for current semester ( Label A)
Tuition Fee paid for next semester (Label B)
REASON CODE “VR” - Is their evidence that the Student Visa was refused?
YES – Full Refund to be made for Label A & Label B
Refund Remitted $
NO – No Refund to be made under this Reason Code – Please choose another Reason Code
REASON CODE “CAN” - Is their evidence that the course was rescheduled by the Provider?
YES – Full Refund to be made for Label A & Label B
Refund Remitted $
NO – No Refund to be made under this Reason Code – Please choose another Reason Code
ALL OTHER REASON CODES
Semester Commencement Date

DayMonthYear
Date
Withdrawal Notification Date (Written)
Weeks Notification Provided in Writing
true
Full Refund to be made for Label A & Label B
Refund Remitted $
true
70% Refund course fee minus registration fees to be made for Label A Full Refund for Label B
Refund Remitted $
true
50% Refund course fee minus registration fees to be made for Label A Full Refund for Label B
Refund Remitted $
true
NO Refund to be made for Label A Full Refund for Label B
Refund Remitted $
AUTHORISATION
E-mailFaxIn Person
YesNo (No Refund to be made unless refund request attached)
Authorised by
Name
Signature
Date

DayMonthYear
Date
ACCOUNTS SECTION
Refund Method
Rcpt No
Date

DayMonthYear
Date
Name
Signature
Date

DayMonthYear
Date
Should be Empty:

Refund Calculation Form (for International Students)