Concession Fee Application Form printable pdf download

Concession Fee Application Form

CONCESSION FEE APPLICATION

Australian Agricultural Training

FORM

For tomorrows industry leaders

To be eligible for the Student Concession fee you must meet one of the entitlement criteria in Part A or B on

this form and be receiving the entitlement at enrolment. For Youth Allowance or Austudy, you must provide the

Department of Human Services (Centrelink) approval letter as evidence that the commencement date of the

benefit is within two weeks of enrolment, first class attendance or first participation in training. No other

grounds will be recognised. Note: Concessions are only available to learners who meet the eligibility

requirements under Smart & Skilled and for enrolment in government subsidised qualifications up to &

including Certificate I

Family Name:

Given Name/s:

Student ID:

Date of Birth:(

)

dd/mm/yyyy

Course:

Email Address:

Postal address:

Town:

Post Code:

Telephone:

Mobile:

Submission Date:

I seek application for the student concession fee.

☐

. I am currently receiving the following entitlement(s)

☐ Age Pension

☐ Austudy

(AGEP)

(AUS)

☐ Carer Payment

☐

Exceptional Circumstances Relief Payment

(CARE)

(ECRP)

☐ Farm Households Allowance (FHS)

☐ Family Tax Benefit Part A (

max rate) (FTBA)

☐ Newstart Allowance

☐ Parenting Payment

(NEWS)

(Single) (PPS)

☐ Sickness Allowance

☐ Special Benefits

(SICK)

(SPEC)

☐ Veterans’ Affairs Payments

☐ Widow Allowance

(VAS)

(WPA)

☐ Widow ‘B’ Pension

☐ Wife Pension

(WIDP)

(WIFE)

☐ Youth Allowance

(YA)

…………………………………………………………………………………………………………………

☐

I am currently a dependent child, spouse or partner of a current recipient of an eligible entitlement.

Please indicate dependency status.

☐

Dependent Child of a Beneficiary

Dependent Spouse or Partner of a Beneficiary

(CHLD)

(PART)

Note: Evidence that the entitlement provider accepts the child/spouse partner as a dependent must be sighted

Concession Fee Application form

26th February 2016

Version 1.0

Page: 1 of 4

Concession Fee Application Form

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