Cancellation Request Form "*" indicates required fields Given Name(s) Family name (Surname) Student Number*Enrolment Date MM slash DD slash YYYY Qualification Code and Title* PhoneMobileEmail Reason for CancellationPlease select below the main reason you have decided to cancel your course. To ensure your application is processed as soon as possible, please provide evidence to support your application such as medical certificates and/or letters from employers, as required.Reason Medical condition Change of mind Course content Too busy to continue Financial hardship Course is more difficult than expected Personal reasons Other Cancellation FeePlease, select a payment optionUntitled Pay in full $200 $50 x 4 payments $25 x 8 payments Name on Card Card Number Expiry Date MM slash DD slash YYYY CVVSignature Reset signature Signature locked. Reset to sign again Provide details on your reasons for cancellation of your courseCourse Cancellation ConditionsStudents wanting to cancel their course are required to submit this completed Cancellation Request Form and email it to [email protected]ollege.edu.au within 10 days from their Enrolment Date. It is recommended that the Student contacts Australian College within 24 hours of submitting this form to confirm that the written request has been received. Approved requests will be issued a refund within 7-10 business days, less the applicable cancellation fee as outlined in our Fees and Charges available on our website. These are the same fees and charges that you read, understood and agreed to along with the Terms and Conditions of your course prior to submitting your enrolment form. Student DeclarationI have read the conditions and confirm that the information I have provided is correct and complete. I understand that my request for a course cancellation must comply with the Terms and Conditions of my enrolment.Student Signature Reset signature Signature locked. Reset to sign again Date MM slash DD slash YYYY
