Refund Application Form

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1. Personal Information
Student ID Number:
Student Name:
Email:
Phone Number:
2. Refund Reason
VR -
Visa Refusal
W10 - Withdrawal more than 10 weeks prior to course or semester commencement (70% Refund minus
W4 - Withdrawal 5 or more weeks prior to course or semester commencement (50% Refund minus the
W0 - Withdrawal less than 5 weeks prior to course or semester commencement (No Refund)
WA -
(No Refund on Current Semester Fee)
CAN -
Western Senior Secondary College (Full refund)
CD-
WSSC
VER-Visa Extension Refused (No Refund)
Please state why you wish to apply for a refund. Don’t forget to provide evidence to back your claim.
Date:
_ _ / _ _ / _ _ _ _
Format: DD/MM/YYYY
Student Signature:
*For further details please refer to WSSC’s Refund Policy or log on to
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