AUSTRALIAN STUDENTS
Acceptance of Offer / Payment Agreement Form
Title (please circle):
Mr
Mrs
Family Name/ Surname:
____________________________________________________________
Given Name(s):
____________________________________________________________
Gender (please circle)
Male
Female
Date of birth ____/____/____
(dd/mm/yy)
I accept the offer of admission as a full fee paying student to the following program:
Commencing semester: (please circle)
1. Feb/Mar
2. June/July
3. Oct
Year
Payment Options
Please read Conditions of Enrollment. Please select and complete the relevant information regarding the
method you wish to use to make your payment. The available methods of payment are cheque, direct
deposit, credit card, payment agreement and FEE-HELP. Please note that FEE-HELP is ONLY
available for payment of Diploma Course fees, not Certificate Course fees.
Should you require further information regarding the payment options, including FEE-HELP, please call
SAIBT on 83021555.
FEE-HELP
I have received and read a copy of the FEE-HELP information booklet and I wish to pay my outstanding
debt as at census date using FEE-HELP, being payment for semester
___________________________in the Diploma of ____________________ program. I have attached a
completed FEE-HELP Assistance Form and I consent to SAIBT providing my personal identity data to
DETS for the purposes of FEE-HELP.
Cheque Payment
Please find attached my cheque payment of $_______________, made payable to SAIBT/CELUSA,
being payment for semester __________________ in the ______________________ program.
Please see overleaf for further payment options
South Australian Institute of Business and Technology
Tel (61 8) 8302 1555
Fax (61 8) 83021557
University of South Australia – City East campus
Email saibt.info@unisa.edu.au
Brookman Building, North Terrace, Adelaide 5000
Web
South Australia