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Perth : 08 9222 7535
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CPC30620 – Certificate III in Painting and Decorating
RII60520 – Advanced Diploma of Civil Construction Design
ICT60220 – Advanced Diploma of Information Technology
(Telecommunications Network Engineering)
BSB50420 – Diploma of Leadership and Management
BSB60420 – Advanced Diploma of Leadership and Management
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Refund Form
Student Name:
*
Student Number:
*
Email Address:
*
Contact Number:
*
Campus Name:
*
Sydney
Perth
Select Your Course:
*
CPC30620-Certificate III in Painting and Decorating
RII60520-Advanced Diploma of Civil Construction Design
ICT60220-Advanced Diploma of Information Technology
BSB50420-Diploma of Leadership and Management
BSB60420-Advanced Diploma of Leadership and Management
Agent Name (if applicable):
Invoice number:
Amount Paid (In AUD):
*
Refundable Amount (In AUD):
Do you wish to proceed with the cancellation of your studies?
*
Yes
No
Reason for Refund Request:
*
Discontinuing My Studies
Transferring to another training Provider
Withdrawing for other Reason
Please specify the reason:
*
Once approved I wish to receive the refund amount by one of the following
*
Bank Deposit
I wish to authorise someone to collect the payment on my behalf.
Choose location of your bank:
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Australia
Overseas
Note: Authorised person must have a valid photo identification.
Account Name:
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BSB:
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Account Number:
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Account Name:
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Address of Account Holder
Street No:
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Street Name:
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City/Suburb:
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State/Province:
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ZIP / Postal Code:
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Country:
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Swift Code:
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Account Number:
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Declaration:
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I have read and understood the policies and procedures related to this form before submitting. I acknowledge that the submission of false, incorrect or incomplete information will result in delaying the processing of this form.
Signature :
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Date:
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