Enrollment Variation | Vibe College

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Enrollment Variation

(This should be used when requesting a variation to current enrolment status)

Please note: This request may be approved where fees are overdue

Student Information

Student ID *

Given Name *

Last Name *

Gender

Male
Female

Date of Birth

DD/MM/YYYY

Mobile No.: *

Email Address *

Home Address In Australia

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Current Course Details

Course Code and Title *

Course Start Date *

Course End Date

Enrollment Variation Requested *

Re-enroll
Suspend (current enrollment)
Transfer (to another course)
Cancel/Decline (enrollment)
Defer

Please provide your reason *

Start Suspension Date *

Return Date *

Old Course Name

Last date on your old course

Select Date

New Course Name

New Course Start Date

New Course End Date

Cancel Decline From Date

Deferment Start Date

Deferment End Date

Supporting Documentation

If applicable, please attach supporting documentation. Eg medical certificate

Reason for Deferral/Suspension/Transfer/Cancellation/Decline

Please tick the most appropriate box that gives the reason for your action

Reason (Supporting/required Evidence)

Course was not what I expected
No Longer interested in study
Too difficult to study
Not satisfied with training
Death in family (*Need: Death certificate(in English))
Family member has serious or severe illness (*Need: Medical certificate (in English))
Involved in legal or court action (*Need: Police or Court Record)
Victim of serious crime (*Need: Police Report)
Had an accident (*Need: Medical Certificate (in English))
Pregnant (*Need: Medical Certificate (in English))
Returning to home country (*Need: One-way airline ticket)
Visa refused (*Need: Refusal Letter)
Change in visa sub-class (*Need: Visa approval letter)
Other please specify
Other

I declare that the above information provided on this form is true and correct.

* In order to verify that you are the person submitting application form, please take a photo of yourself

Image Upload *

Drop your file here or click here to upload

Signature

Date

Captcha *

=

Phone

Form Categories

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Holiday Letter
Log-Book Request
Leave Request
Release Request
Reference letter
Student Feedback Form
Student Incident / Hazard / Accident Report
Withdrawal Application

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