Application For A Letter Of Release Page 2

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Office Use only:
Application for Letter of Release Assessment
Section E: Application grounds and documentation
Documentation accepted: (Y or N)
Valid Enrolment Offer has been provided
Documentation to support the application has been provided
Applicant does not have outstanding tuition fees
Application Grounds:
1.
2.
3.
4.
Section F: Application Assessment
1.
2.
3.
4.
Section G: Application Outcome
Approved
Not Approved (Reason not approved)
SOM / Nominee Signature:
Date:
Section H: Application Processing
Y or N where applicable
Student enrolment record amended & DIBP notified / CoE cancelled
Finance notified and refund calculated
Academic Department and Attendance notified
Student notified in writing of outcome
Application recorded and retained
Admin Officer Signature:
Date:
Ver3.15 Created October 2015 Review Date: October 2016

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