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Refund Form

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Husnain Arif
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22 views

Refund Form

Uploaded by

Husnain Arif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Withdrawal / Deferral / Transfer

Request Form

THE PURPOSE OF THIS REQUEST

☐ Withdrawal / Transfer ☐ Deferral

After receiving all the required information, it may take 10 working days for processing your application.

SECTION 1
STUDENT DETAILS
Student Name:
Student ID: Date:
Email: Mobile:
Course Name: Course Intake:
Enrolment Type: ☐ Domestic ☐ International *(please refer notes below)
REASON FOR REQUEST
☐ Transfer to another provider ☐ Personal reason (not associated with IHNA)
☐ Wish to enrol for another course at IHNA ☐ Unsatisfied with IHNA services
☐ Other (Please specify):

CHECKLIST TO BE COMPLETED BY STUDENT


☐ Discussed regarding Withdrawal / Deferral from the course with the Course Coordinator / Registrar / Delegate
☐ Feedback forms completed and submitted ☐ Student ID card returned in case of withdrawal
☐ Attached evidence in support of Deferral / withdrawal / Transfer

Date: Student signature:

OFFICE USE ONLY (please use section 2 for Domestic and section 3 for International students for the follow up actions)
TO BE COMPLETED BY COURSE COORDINATOR
☐ Discussed regarding Withdrawal/Deferral from the course.
☐ Reasons for Deferral/withdrawal/Transfer:

Assessment:

Version 6.0 April 2023 Page 1 of 2

Education for Employment

Legal entity: Health Careers International Pty Ltd | ABN: 59 106 800 944 | ACN: 106 800 944 | RTO ID: 21985 | CRICOS Provider Code: 03386G | www.ihna.edu.au
Withdrawal / Deferral / Transfer
Request Form

Request Approved by the course coordinator ☐ YES ☐ NO

Name: Date: Signature:

TO BE COMPLETED BY REGISTRAR/DELEGATE
☐ Assessment:

Request Approved by the Registrar/Delegate ☐ YES ☐ NO


SECTION 2
FOR DOMESTIC
☐ After Census Date
Applicable Census Date Withdrawal
☐ Before Census Date
Fee liabilities cleared based on Census date ☐ Yes ☐ No
Library books returned ☐ Yes ☐ No
Identity Card Returned ☐ Yes ☐ No
For Deferral moved the student to the new course offer in KH ☐ Yes ☐ No
Next Course Intake:
SECTION 3
FOR INTERNATIONAL IN CASE OF APPROVAL FOR DEFERMENT/WITHDRAWAL/TRANSFER*
☐ Course variation undertaken/COE updated on PRISMS
☐ Release granted on PRISMS
☐ Knowledge Hub updated
☐ For Deferral moved the student to the new course offer in KH ☐ Yes ☐ No
Next Course Intake:
☐ Formal Letter/Email Sent Sent by Date:
Name: Signature:

* International students need to be aware that any deferment, withdrawal, and transfer from the course may impact their
student visa if you withdraw. Students should also be aware that they need to meet all the student visa conditions such as
a) They cannot remain in Australia on a student visa for more than 28 days after their current COE lapses/cancelled.
They need to be enrolled in a course of study while on a student visa.
b) They should contact the Department of Home Affairs on 131 881 regarding the implications for their visa status.
Document check list
Evidence of Compassionate and compelling circumstances for deferral/withdrawal/transfer (e.g., general physician
☐
certificate)
☐ Current and valid offer letter from another CRICOS registered provider, if you wish to transfer between providers

Version 6.0 April 2023 Page 2 of 2

Education for Employment

Legal entity: Health Careers International Pty Ltd | ABN: 59 106 800 944 | ACN: 106 800 944 | RTO ID: 21985 | CRICOS Provider Code: 03386G | www.ihna.edu.au

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