Student Subsidised Travel Scheme - Application For Travel Form Ssts2

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SSTS2
Office use only; VN ______________________
STUDENT SUBSIDISED TRAVEL SCHEME (SSTS)
APPLICATION FOR TRAVEL
This form is to be submitted to the Department of Transport AT LEAST ONE MONTH PRIOR to the first intended date of travel
If your child has not accessed previously travelled on the Student Subsidised Travel Scheme
this form must be accompanied by the Initial Application Form (SSTS1)
Please contact the Department’s Travel Subsidy Officer on (08) 1300 660 147 to request the form.
PLEASE COMPLETE ALL QUESTIONS IN FULL USING BLOCK LETTERS AS INCOMPLETE FORMS WILL BE RETURNED
SECTION (1) - Student & travel details
Student family name
Student given names
Date of birth
Year of study
(Office use only) Party No.
From:
To:
Date:
From:
To:
Date:
If more than one type of service is used, please complete a separate application form for each service
Method of transport
(tick appropriate box)
AIR
BUS
TRAIN
Name of person to send approved voucher/refund to
Contact Number
Postal Address
Email Address
How would you like the approved voucher sent to you?
POST
EMAIL TICK
Has your residential address changed since last application?
If yes please supply new address below
YES
NO
SECTION (2) - Educational Institution
SECTION (3) - Other Benefits
This section must be completed by a PRINCIPAL, REGISTRAR or ENROLMENT OFFICER
BLANK FORMS ARE NOT TO BE ENDORSED
Does the student receive any allowance from Centrelink?
Please affix school stamp
YES
NO
Type;
Does the student receive Abstudy as well as a boarding allowance?
YES
NO
To the best of my knowledge the information recorded hereon is correct and
each journey required is for the purpose of the full time student’s travelling
IF THE ANSWER TO EITHER OF THE ABOVE QUESTIONS IS “YES” THE
between home and the educational institution attended.
STUDENT MUST APPLY FOR TRAVEL ASSISTANCE WITH CENTRELINK.
___________________________________ Date: _______________
Signature: Principal / registrar / enrolment officer
Passenger Services Business Unit
20 Brown Street, East Perth WA
GPO Box C102, Perth WA 6839
Ph: (08) 1300 660 147 Fax: (08) 9218 3661

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