selectability Training - Student Refund Request Form

Student Refund Request Form

If you are requesting a full or partial refund this form must be completed. All parties will be contacted either prior to or following the request to clarify or confirm responses. Management reserves the right to approve or reject requests for refunds, and takes the information provided by the student and/or provider into consideration in forming a decision. Management may make other options available to students to support students continuing studies if they have not yet been explored.
Please read our refund terms and conditions prior to applying.
Date

DayMonthYear
Date
Please confirm if you are the Student or Provider who has paid for the student, completing this form:*

I am the studentProvider, completing on behalf of student with written consent
Provider Business Name
Please provide the name of the Business Provider who paid for the students course.
Student Full Name*
Please provide your full name as it appears on your enrolment.
Student Email*
Your personal email address.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
COURSE DETAILS
Course*
Select your course from the list
Other short course
Please write description of course.
PLEASE PROVIDE A DETAILED EXPLANATION OF THE REASON/S YOU ARE REQUESTING A REFUND:*
Please note: Course and unit progression commences from the Intake Start of Study (SOS) and concludes at the Close of Study (COS). All courses made available to students during that time are budgeted and expenses realised by the organisation, whether or not a student turns up to class or accesses the Learning Management System (LMS). Training Organisations have fixed costs and overheads and course services are made available on the basis of student numbers, therefore non-participation is not a valid reason for requesting a refund. We may contact you to gather further details about your refund request in order to improve our Training and Administration services.
PAYMENT DETAILS
Amount Initially Paid:*
Requested Refund Amount:*
Date Paid*

DayMonthYear
Date
Bank Details:

Please nominate the bank account you would like your refund to go into (if approved).
Bank:
Account Name:*
BSB:*
Account Number:*
By signing you declare that all information you have given here is truthful and accurate.
Draw your signature above the line*

Clear
Office Section
Name of Manager

First NameLast Name
Approval Status
Outcome Date

DayMonthYear
Date
Amount
Comments
Refunds that are approved will be returned by Direct Deposit within 2 weeks from approval date to the nominated bank account.
Manager Signature
Level 1/131 Denham Street, Townsville City Qld 4810

Phone: 07 4453 0100

Email: training@selectability.com.au

Website: www.selectabilitytraining.com.au

RTO CODE: 0281

sT-Form-Student Refund Request Form- V1-02-12-2019
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Student Refund Request Form

Office Section