Form 1 - Student Transfer Note
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2Form 1 - Student Transfer Note
Education (General Provisions) Act 2006 (Qld) Section 384(1)
Approved Form Version 1.2
STUDENT TRANSFER NOTE
This document is to provide information and assist a Principal with ensuring the continuity of the student’s educational program
and meet duty of care obligations in relation to the student and school community.
Privacy Notice
The Department of Education, Training and Employment is collecting this information in accordance with Chapter 14 of the
Education (General Provisions) Act 2006 in order to create a consistent student transfer system for movement between any
schools within Queensland. In accordance with s426 of the Education (General Provisions) Act 2006, this information will only
be accessed by authorised school and departmental employees and should not be given to any other person or agency unless
permission has been received or required by law.
Student Identifying Information
Student Name:
Date of Birth:
______/______/__________
Sex: Female
Male
Australian Citizen/Permanent Resident?:
Yes
No
(provide Visa details below):
Student Numbers:
EQ ID (state schools only):
LUI:
MIS ID (state schools only):
AIMS ID:
Custody or Guardianship Orders
Are there any of the following legal, care and protection matters?:
•
Formal legal arrangements in place where parents are separated:
Yes
No
•
Children and young people in the care of the State:
Yes
No
Medical Details
Is the school aware of whether the child has any medical conditions?
Yes
(provide brief details below)
No
Does the child have a health plan?
Yes
(attach copy)
No
School Details
Name of School:
School Street Address:
Contact Person: Principal
Phone:
Level of Schooling
Year Level: _________ Semester: ________
Allocation of State Education
State Education Entitlement as at (date): ______/______/__________
•
Basic Semester Allocation:
24
•
Semesters Completed:
_______
•
Remaining Semester Allocation: _______
Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at
to ensure you have the most current version of this document.
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