Application For A Letter Of Release

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Application for a Letter of Release
Section A: Student Details
Surname:
Given Name:
Student No:
Date of Birth:
Course:
Email:
Mobile:
@cic.edu.au
Other Email:
Section B: Enrolment Offer Letter Details
If an enrolment offer is not attached your application cannot be assessed
Enrolment Offer Attached?
Section C: Reason for Application to Transfer
Select one or more reasons for your request to transfer:
My personal circumstances or wellbeing require me to transfer my course
I do not have the skill to successfully complete the course
I have not met or cannot meet the entry requirements to the course
The course is not being offered in the term or semester for which I enrolled
Other, please state:
Documents attached to support your application: Please choose one or more of the boxes:
Letter from health professional or other professional
Letter from family or a friend
Academic documents from CIC
Academic documents from other Education Provider - Australia
Academic documents from other Education Provider - Overseas
Other letter / document, please
specify
Section D: Application Information and Signature
Please read the following and sign below to confirm your understanding of the application:
1. I understand that my application will be assessed against the CIC Transfer Policy (A copy of the policy is available on the internet)
2. I will be advised in writing of the outcome of my application within 14 working days
3. I should continue to attend my classes (if classes have commenced) while I await a decision on my application
4. If I am requesting transfer from a course which leads to another course I understand that I need to confirm that my eligibility to
start the next course will not be effected if my application is approved
5. It is my responsibility to confirm with DIBP about any implications for my student visa if my application is approved
Student Signature
Date:
Ver3.15 Created October 2015 Review Date: October 2016

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Parent category: Letters
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